Current Urology Reports

, Volume 14, Issue 6, pp 620–627

Urethral Lift for Benign Prostatic Hyperplasia: A Comprehensive Review of the Literature

Authors

    • Department of Urology, San Raffaele Turro HospitalVita Salute San Raffaele University
  • Luigi Broglia
    • Department of Urology, San Raffaele Turro HospitalVita Salute San Raffaele University
  • Giovanni Lughezzani
    • Department of Urology, San Raffaele Turro HospitalVita Salute San Raffaele University
  • Francesco Mistretta
    • Department of Urology, San Raffaele Turro HospitalVita Salute San Raffaele University
  • Alberto Abrate
    • Department of Urology, San Raffaele Turro HospitalVita Salute San Raffaele University
  • Giuliana Lista
    • Department of Urology, San Raffaele Turro HospitalVita Salute San Raffaele University
  • Nicola Fossati
    • Department of Urology, San Raffaele Turro HospitalVita Salute San Raffaele University
  • Mattia Sangalli
    • Department of Urology, San Raffaele Turro HospitalVita Salute San Raffaele University
  • Dana Kuefner
    • Department of Urology, San Raffaele Turro HospitalVita Salute San Raffaele University
  • Andrea Cestari
    • Department of Urology, San Raffaele Turro HospitalVita Salute San Raffaele University
  • Nicolomaria Buffi
    • Department of Urology, San Raffaele Turro HospitalVita Salute San Raffaele University
  • Massimo Lazzeri
    • Department of Urology, San Raffaele Turro HospitalVita Salute San Raffaele University
  • Giorgio Guazzoni
    • Department of Urology, San Raffaele Turro HospitalVita Salute San Raffaele University
  • Francesco Montorsi
    • Department of Urology, San Raffaele HospitalVita Salute San Raffaele University
Benign Prostatic Hyperplasia (K McVary and S Kaplan, Section Editors)

DOI: 10.1007/s11934-013-0348-3

Cite this article as:
Larcher, A., Broglia, L., Lughezzani, G. et al. Curr Urol Rep (2013) 14: 620. doi:10.1007/s11934-013-0348-3

Abstract

Current treatments for benign prostatic hyperplasia (BPH) include watchful waiting, medical therapy, and interventional procedures. The post-surgical complication profile and the early discontinuation of medical therapy are significant drawbacks of the established approach and stimulate the search for less-invasive approaches. Our aim is to provide a comprehensive review all available literature on prostatic urethral lift (PUL), presenting an overview of safety, indications, surgical technique and results of the procedure, and to evaluate the potential role it could play in the treatment of BPH. A comprehensive search was conduct on PubMed and Scopus database to identify original articles in English dealing with PUL without any limit to publication date. Keywords used were prostatic urethral lift, urethral lifting, Urolift, benign prostatic hyperplasia and minimally invasive therapy. The PUL seems to offer a better IPSS improvement when compared to medical therapy, but the result is inferior when compared to surgical therapy. Published studies report an absence of degradation of erectile or ejaculatory function after treatment, which appears a noteworthy benefit of PUL. Additional advantages of the PUL are a better complication profile in comparison to other surgical therapies and the use of a local anesthesia, sometimes without postoperative catheterization. The PUL, a novel, minimally invasive treatment option for men affected by BPH, presents a promising potential although it is clear that PUL is not a substitute for traditional ablative surgical approach, as this procedure requires a scrupulous selection of the patient.

Keywords

Urethral liftBenign prostatic hyperplasiaLower urinary tract symptomsTransurethral resection of the prostateProstatic urethral lift

Copyright information

© Springer Science+Business Media New York 2013