Prostatic Tissue Approximation (Urolift)
The prostatic urethral lift (PUL) is a minimally invasive device for the treatment of lower urinary tract symptoms (LUTS) due to benign prostatic hyperplasia (BPH). It recently received Food and Drug Administration (FDA) approval as a treatment for LUTS in September 2013. PUL is mechanically based and does not involve the destruction or physical removal of prostatic tissue. It differs from other mechanically based treatments such as prostatic urethral stents because it does not attempt to conform to the anatomy of the prostatic urethra. Furthermore, the prosthesis becomes incorporated into the prostate and is covered by the urothelium. PUL is performed under endoscopic guidance and prostheses are deployed with the aim of retracting the prostatic urethra towards the prostate capsule to open the prostatic urethral space. In this chapter, we discuss the indication, current studies, and role of PUL in the management of LUTs secondary to BPH.
KeywordsBenign Prostatic Hyperplasia Sexual Function Lower Urinary Tract Symptom Delivery Device Prostatic Urethra
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