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    UroLift vs. TURP: New gold standard for BPH?

    Neil Baum, MDNeil Baum, MD Commentary by Steven N. Gange, MDCommentary by Steven N. Gange, MD

    Dr. Baum is a urologist in private practice in New Orleans. He is a consultant and speaker 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.

     

    In this video, Dr. Baum compares UroLift with other BPH management strategies and also discusses his experience with the use of nitrous oxide as an effective sedative during in-office urologic procedures.

    Dr. Gange: Dr. Baum has adopted in-office UroLift and incorporated the use of nitrous oxide for sedation. Most of us have experienced the mutual stress associated with patient discomfort during certain vasectomies and even occasional prostate biopsies. Dr. Baum's patients are comfortable during the UroLift procedure while the nitrous oxide has rapid washout and prompt recovery.

    Dr. Hotaling: Here, Dr. Baum questions the standard dogma that transurethral resection of the prostate should be the gold-standard operation for BPH and reviews the information in support of this. He also provides a succinct review of the role of UroLift for urologists and patients, the relevant anatomic basis of the surgery, and his own experience. He also reviews the use of nitrous oxide in his practice to decrease patient pain and anxiety. This video will serve as an excellent reference for urologists looking to perform UroLift in their office.

    More UroLift videos:

    Prostatic urethral lift (UroLift) placement under topical anesthesia

    Prostatic urethral lift (UroLift): A minimally invasive approach



     

    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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