What is the UroLift procedure, and how does it work to treat an enlarged prostate?

The UroLift procedure is a minimally invasive surgical treatment designed to alleviate the symptoms of benign prostatic hyperplasia (BPH), commonly known as an enlarged prostate. This condition can lead to various urinary problems, such as frequent urination, difficulty starting urination, and a weak urine stream.

Leading consultant urological and robotic pelvic surgeon Mr Edward Calleja goes into expert detail about this operation in this informative article.

How does it work?

The UroLift system utilises small, implantable devices to lift and hold the enlarged prostate tissue out of the way, thus creating a wider passage for urine to flow through the urethra. During the procedure, a urologist inserts a unique device through the urethra into the prostate. Tiny implants are then positioned to pull back the lobes of the prostate, providing immediate relief by reducing obstruction without removing any tissue.

What are the benefits and potential risks associated with UroLift?

Benefits

1. Minimally invasive: The procedure usually doesn't require incisions, making it less invasive than other surgical treatments.
2. Quick recovery: Patients often experience quick recovery times, usually resuming normal activities within a week.
3. Preservation of sexual function: Unlike some treatments for BPH, UroLift has a lower risk of affecting sexual function.
4. Immediate symptom relief: Many patients report immediate improvement in urinary symptoms.

Potential risks

1. Temporary pain or discomfort: Some patients experience pelvic pain following the procedure.
2. Infection: As with any surgical procedure, there is a risk of infection, although it is generally low.
3. Failure to relieve symptoms: In some cases, the procedure might not relieve the urinary symptoms.
4. Need for additional treatment: Over time, additional treatments may be needed to maintain symptom relief.

How is a patient evaluated for eligibility for the UroLift procedure?

The evaluation process typically involves multiple steps:

1. Medical history and symptom assessment: A detailed medical history is taken, along with an evaluation of the patient’s symptoms using tools like the International Prostate Symptom Score (IPSS).
2. Physical examination: Includes a digital rectal exam to assess the size and condition of the prostate.
3. Imaging: Ultrasound or MRI may be conducted to visualize the prostate's size and shape.
4. Urodynamic studies: These tests evaluate how well the bladder and urethra are storing and releasing urine.
5. Cystoscopy: This involves inserting a small camera into the urethra to examine it and the prostate.

Based on these assessments, the urologist can determine whether UroLift is the most appropriate treatment option.

What is the recovery process like after undergoing a UroLift procedure?

Immediate post-procedure period

Patients may experience some urinary discomfort and minor bleeding, but generally, the procedure has a relatively quick recovery time.

First week

Patients are usually advised to avoid strenuous activities but can resume normal activities within a week.

Long-term recovery

Most patients report improved quality of life, including better sleep due to fewer nighttime bathroom trips and increased urinary flow.

Are alternative treatments available for managing an enlarged prostate, and how does UroLift compare to them?

Alternative treatments

1. Medications: Alpha-blockers and 5-alpha reductase inhibitors are commonly prescribed.
2. Transurethral resection of the prostate (TURP): This is considered the gold standard but is more invasive.
3. Laser procedures include Holmium laser enucleation and GreenLight laser therapy.

How UroLift compares

1. Invasiveness: UroLift is generally less invasive than TURP and laser procedures.
2. Recovery time: Quicker recovery compared to other surgical treatments.
3. Sexual function: UroLift is less likely to affect sexual function than other surgical options.
4. Effectiveness: Medications may take longer to show effects and may not be as effective for severe symptoms, whereas UroLift offers immediate relief in most cases.

If you're considering the UroLift procedure, arrange a consulation with Mr Calleja via his Top Doctors profile.