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    Prostatic urethral lift (UroLift): A minimally invasive approach

    Lance P. Walsh, MD, PhDLance P. Walsh, MD, PhD Commentary by Steven N. Gange, MDCommentary by Steven N. Gange, MD

    Dr. Walsh is a urologist in group practice in Rancho Mirage, CA. He is a consultant, faculty member, and proctor for NeoTract. Dr. Gange is a urologist in group practice in Salt Lake City. He has served as a principal investigator, consultant, and proctor for NeoTract.

     

    Section Editor's note: 'Y'tube, a video section of UrologyTimes.com, is a resource for urologists and other clinicians who focus on men's health. 'Y'tube covers surgical aspects of a variety of men's health issues with the ultimate goal of accumulating a library of videos to serve as a reference. This installment looks at the prostatic urethral lift (UroLift, NeoTract, Inc.), which provides another tool in the urologist's armamentarium for treating BPH. It can be done in the office and provides a great option for patients who want to preserve sexual function and/or do not want to undergo transurethral resection of the prostate. While the data are early, it appears that it may provide a viable alternative to TURP. Here, Drs. Baum, Gange, and Walsh demonstrate several techniques to help urologists transition from performing this procedure in the OR to an office setting, where it is quicker and easier for the patient. Each video presents a different sedative option for in-office UroLift.

    This video provides an overview of the prostatic urethral lift (UroLift), highlighting the entire cycle of patient care.

    Dr. Gange: Dr. Walsh seamlessly adds a TRUS-guided peri-prostatic block to an otherwise standard local anesthetic approach, reporting a high level of patient satisfaction with this technique. Since his UroLift patients are awake, he and his staff utilize the art of verbal anesthesia, thereby minimizing stress and maximizing comfort for his patients. Without receiving sedation, and rarely requiring a catheter, his patients can drive themselves home shortly after the procedure.

    Dr. Hotaling: Dr. Walsh's video does an excellent job of demonstrating the entire cycle of care for a patient undergoing UroLift and reviews the indications and counseling for this procedure. The peri-prostatic nerve block is something almost all urologists are very comfortable with and can easily perform. The use of a drape and conversation also help to maximize patient comfort and facilitate the procedure.

    More UroLift videos:

    UroLift vs. TURP: New gold standard for BPH?

    Prostatic urethral lift (UroLift) placement under topical anesthesia




     

    Section Editor James M. Hotaling, MD, MSSection Editor James M. Hotaling, MD, MS

    Dr. Hotaling is assistant professor of surgery (urology) at the Center for Reconstructive Urology and Men's Health, University of Utah, Salt Lake City.


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