Benign prostatic hyperplasia, an enlarged prostate gland, is a common condition
that affects more than 500 million aging men worldwide. One in four men
experience symptoms of an enlarged prostate by the age of 55, and that
rate increases to 90 percent of men over the age of 70. Chronic lower
urinary tract symptoms associated with BPH can cause loss of productivity
and sleep, depression and decreased quality of life.
Medication is often the first line of therapy, but relief can be inadequate
and temporary. Side effects can include sexual dysfunction, dizziness
and headaches, prompting many patients to quit using the drugs. For these
patients, the classic alternative is surgery that cuts or heats prostate
tissue to open the blocked urethra. Although effective, patients have
to “earn” their symptom relief after a difficult period of
irritative voiding symptoms and catheterization.
Even the “gold standard” surgery, TURP (transurethral resection
of the prostate), can leave patients with permanent side effects such
as urinary incontinence, erectile dysfunction (ED) and, very commonly,
retrograde ejaculation (dry orgasm).
UROLIFT® GENTLY OPENS URETHRA WITHOUT INCISIONS
A new, less-invasive surgical system called UroLift® from Neotract
is designed to treat BPH without incisions to the urethra. To date, the
new approach is showing excellent results in preserving male sexual function
— which traditionally has been a significant problem with trying
to surgically treat BPH. The UroLift system is designed to open the urethra
directly without applying incisions, surgical resection or thermal injury
to the prostate. Obstructive prostate lobes are transurethrally pushed
aside and small permanent UroLift implants hold the lobes in the retracted
position, thus opening the urethra while leaving the prostate gland intact.
UroLift is an outpatient surgical procedure approved by the FDA in the
United States. The procedure usually takes 15–20 minutes in the
operating room to complete. It typically is done on an outpatient basis,
though at times the procedure can be done in the office.
A key benefit of UroLift is there is no chance of incontinence with this
procedure, as with other procedures on the prostate. That’s a significant
point because when the vast majority of men hear “prostate surgery,”
they immediately associate it with a significant likelihood of urinary
Adverse reactions associated with the UroLift treatment system are comparable
to other minimally invasive surgical therapies as well as standard cystoscopy.
The most common adverse events reported during clinical trials included
pain or burning with urination, blood in the urine, pelvic pain, urgent
need to urinate, and the inability to control urine because of an urgent
need to urinate. Most symptoms were mild to moderate in severity and resolved
within two to four weeks after the procedure.
The Urolift procedure is available at
St. Mary Outpatient Surgery Pavilion. For more information, please call (760) 946-5920.
UroLift® is also available at
Mission Hospital and
St. Jude Medical Center in Southern California. Read more about the
procedure at Mission Hospital. Learn more about the
procedure at St. Jude.