Open Access

HOW I DO IT

UroLift system for relief of prostate obstruction under local anesthesia

Jack Barkin¹, Jonathan Giddens², Peter Incze³, Richard Casey³, Stephen Richardson⁴, Steven Gange⁴

1 Humber River Regional Hospital, University of Toronto, Toronto, Ontario, Canada
2 Department of Urology, Brampton Civic Hospital, Brampton, Ontario, Canada
3 The Male Health Center, Oakville, Ontario, Canada
4 Western Urological Clinic and Salt Lake Research, Salt Lake City, Utah, USA
Address correspondence to Dr. Jack Barkin, Humber River Regional Hospital, 404-960 Lawrence Avenue West, Toronto, ON M6A3B5 Canada

Canadian Journal of Urology 2012, 19(2), 6217-6222.

Abstract

Many men with benign prostatic hyperplasia (BPH) forgo therapy because they are dissatisfied with current treatment options. While surgical resection and ablation using many different forms of energy remain the reference standard for BPH treatment, many men seek a less invasive technique that will improve symptoms without risking the complications associated with tissue removal. The Prostatic Urethral Lift opens the prostatic urethra using UroLift (NeoTract Inc., Pleasanton, CA, USA) permanent implants that are delivered under cystoscopic visualization. The implants literally "hold open" the lateral prostatic lobes, creating a passage through the obstructed prostatic urethra. Voiding and symptoms are significantly improved without the morbidity or potential complications following prostate resection. The entire procedure can be readily performed using local anesthesia. As with all new implant procedures, the technique has evolved with experience. The objective of this article is to describe the most current technique for the delivery of the UroLift implant in order to achieve maximal impact on symptom relief.

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