Treatment for an Enlarged Prostate
There is a high prevalence of mild to severe symptoms of benign prostatic hyperplasia, which can affect men over 50 years old. The side effects of pharmacologic treatment and the morbidity that comes with ablation or resection have Urolift Reviews prompted the search for alternative therapies.
Prostatic urethral lifting, also known as the UroLift(r), is a minimally invasive method to treat an enlarged prostate. This procedure involves a series permanent, anchored implants that reshape and relieve urethral constriction. It does not require resecting or vaporizing any tissue.
James Ulchaker MD, urologist at Cleveland Clinic’s Glickman Urological & Kidney Institute, answers questions about the procedure.
What is UroLift And why is it important for its development?
Urolift Reviews, a minimally invasive procedure for benign prostatic hyperplasia, is performed in an office setting using a local anesthetic.
The Food and Drug Administration approved it for marketing in September 2013. It was approved for marketing by the Food and Drug Administration in September 2013.
This is important because, as more and more treatments are required to be done in a minimally invasive environment whenever possible, UroLift allows for patients to receive a single office-based procedure instead of taking multiple drugs every day for the foreseeable future.
How do I decide if UroLift is right for me?
The standard workup involves three outpatient tests. The first test is urodynamics Urolift Reviews. This is used to determine the patient’s bladder capacity to store urine and contract to expel it. This allows us to see the patient’s average flow and maximum flow as well as how much urine is left in the bladder after voiding. It also shows the pressure generated by both storage and voiding. Cystoscopy is the second test. This involves passing a flexible tube through the prostate and urethra to inspect the bladder. This allows us to determine if the problem is prostatic in nature, or from another source like a bladder stones, a tumor, or any other cause of lower urinary tract symptoms. Cystoscopy can also be used to determine whether the prostatic growth is tri-lobar or bi-lobar. It also helps us identify if there is any intravesicle extension or prostate tissue pushing into the bladder. Trans-rectal ultrasound is the last test that we perform. This allows us to measure the size of your prostate. We will not treat a 40-gram prostate the same way as an 80-gram or 180-gram prostate. There are many treatment options available to patients depending on the size of the prostate and its anatomy.
When is UroLift appropriate?
As long as there is at least some bladder contraction, a prostate that is less than 80g and bi-lobar hypertrophy, it can be done. If growth is coming from below, we cannot perform UroLift.
BPH patients have many options. UroLift may not be the best option. Others may opt for medication. Others may opt for medication. UroLift is a procedure that does not require a trip to the operating room. It can be performed in the office with no spinal or general anesthesia.
It’s not as effective as TURP, and it’s not intended to be. Urolift Reviews can be used to relieve BPH symptoms, but it will not result in the same level of urine flow. Although the surgical procedures performed in the operating room provide greater relief in terms of symptoms, they are not suitable or required for all patients. This is a matter of quality of life. After the work-up is complete, we share our findings with the patient and discuss the options. The final decision is made by the patient.
What is the Urolift Reviews process for implantation?
A hospital outpatient procedure area is used. We do not administer any oral, IV or sedative medications. First, we perform a prostate block and then trans-rectally inject lidocaine intra-prostatically. Then, we reposition the patient using Urolift Reviews lidocaine jelly. Cystoscope guidance is used to guide the UroLift delivery system through the obstruction. Most prostates require four implants. The implants include a nitinol capular tab, retractable PET suture, and a stainless-steel urethral endpiece. To mechanically lift and separate obstructed tissue, we place the implants at the 2 and 10-o’clock positions on the prostate. The implantation process takes just a few minutes once numbing has occurred.
What’s recovery of Urolift Reviews?
A catheter is not usually left behind after a procedure. Because no general anesthesia was used, the patient is able to drive to and fro the procedure. The patient usually experiences an improvement in urination due to the lifting and separation effects of the implants. Recent clinical trials have shown that BPH can cause a reduction in symptoms of the lower urinary tract. This improvement is lasting for up to four years.
Do you think there might be complications urolift reviews?
Yes. Yes. We provide preoperative antibiotics to help prevent urethral manipulation-related urinary tract infections. There is always concern about stone or encrustation on the stainless steel urethral endpiece. We have not seen any. Patients should experience little to none incontinence or retrograde ejaculation if the implants have been properly placed. These complications are common after other BPH surgery procedures. This is because UroLift leaves the bladder neck intact and the urethral pump unaffected.
Another thing to remember is that patients who are not satisfied with UroLift procedures can still have another procedure. You can always move on to more invasive procedures. Implants are permanent. However, if you have Turp, the electric current basically cuts through PET sutures, leaving the capsular tab intact.