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    Prostatic urethral lift (UroLift) placement under topical anesthesia

    Steven N. Gange, MDSteven N. Gange, MD

    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 demonstrates UroLift placement under topical anesthesia in the office setting and also includes comments from several patients who underwent the procedure.

    Dr. Hotaling: Dr. Gange explains the evolution of the UroLift and illustrates the optimal techniques for both local analgesia and implant placement. Specifically, he demonstrates an atraumatic rotation of the device in the bladder and placement along a clear plane 1.5 cm from the bladder neck. He also illustrates his care pathway for managing these patients.

    More UroLift videos:

    UroLift vs. TURP: New gold standard for BPH?

    Prostatic urethral lift (UroLift): A minimally invasive approach


    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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