Minimally Invasive Surgical Therapy (MIST) Procedure for BPH – UroLift

Dr Png Keng Siang
Senior Consultant Urologist & Robotic Surgeon

The UroLift® System Treatment

A minimally invasive approach to treating BPH that lifts or holds the enlarged prostate tissue out of the way so it no longer blocks the urethra. There is no cutting, heating or removal of prostate tissue.

Advantages of UroLift

Safe and effective

Sexual function is preserved

Rapid symptom relief, better than reported for medications

Ideal Candidates for UroLift

UroLift is suitable for men who:

Have moderate to severe urinary symptoms caused by BPH

Men experiencing symptoms such as frequent urination, urgency, weak urinary stream, or difficulty starting urination.

Prefer a minimally invasive treatment

Those who seek a less invasive option compared to traditional surgery and want to avoid the risks associated with more invasive procedures.

Are not responding well to medication

Men who have tried medications for BPH but have not achieved satisfactory relief from their symptoms.

Preparing for UroLift

Preparation for the UroLift procedure involves several steps to ensure safety and the best possible outcomes. Here are the key aspects involved in the preparation process:

Initial Consultation: The preparation process begins with a consultation where the urologist assesses the patient’s medical history, current medications, and the severity of BPH symptoms. This assessment typically includes a physical examination and may involve tests such as a urine flow study, prostate ultrasound, and possibly a cystoscopy to examine the bladder and urethra.

Medication Review: Patients may need to adjust or temporarily discontinue certain medications before the procedure. This is particularly important for medications that affect blood clotting, such as aspirin or other anticoagulants, as they can increase the risk of bleeding.

Fasting: Patients are usually instructed to fast for several hours before the procedure if sedation or anaesthesia is planned.

Proven Clinical Results of the UroLift® System

 

Clinical results from over 22 select sponsored publications and over 140 peer-reviewed publications demonstrate that treatment with the UroLift® System offers rapid and significant improvements in symptoms, urinary flow and quality of life sustained through five years.

 

The Prostatic Urethral Lift (PUL) procedure (using the UroLift® System) is recommended for the treatment of BPH in both the American Urological Association (AUA) and European Association of Urology (EAU) clinical guidelines.

How does UroLift procedure work?

The Delivery Device is placed through the obstructed urethra to access the enlarged prostate.

Small implants are permanently placed to lift and hold the enlarged prostate tissue out of the way and increase the opening of the urethra. The permanent Implants are delivered through a small needle that comes out of the Delivery Device and into the prostate.

UroLift procedure provides symptom relief by opening the obstructed urethra.

Recovery and Post-Procedure Care

Recovery from the UroLift procedure is typically quick, with most men returning to their normal activities within a few days. Here are some key aspects of post-procedure care:

Activity Restrictions

Patients are generally advised to avoid strenuous activities and heavy lifting for a short period post-procedure to prevent complications and ensure proper healing.

Monitoring Symptoms

Patients need to monitor their urinary symptoms and any signs of complications, such as severe pain, excessive bleeding, or signs of infection. Immediate medical attention should be sought if any of these occur.

Pain Management

Mild pain or discomfort may be experienced, which can usually be managed with over-the-counter pain relievers. The use of medication should be discussed with the urologist to ensure compatibility with other treatments.

Follow-Up Appointments

Follow-up visits are important to monitor the patient’s recovery and the procedure’s effectiveness. This typically involves a review of urinary flow and symptom scores to assess improvements.

Long-Term Care

Although UroLift provides durable results, ongoing monitoring is advised. Some patients might require additional follow-up procedures if symptoms recur or if the initial response to treatment diminishes over time.

UroLift procedure provides symptom relief by opening the obstructed urethra. Take the International Prostate Symptom Score (IPSS) questionnaire to help determine the severity of your BPH symptoms. Ask your urologist for an IPSS survey now

Dr Png Keng Siang

Dr Png Keng Siang

Senior Consultant Urologist & Robotic Surgeon

Dr Png is a United States fellowship-trained urologist who received his urology specialist board certification from Singapore. He is the first and only urologist in Singapore to be inducted into the Fellow, American College of Surgeons (FACS) after completing a minimally invasive surgery fellowship in the USA at the Indiana University School of Medicine, where he sub-specialised in robotic and laparoscopic surgery for urological cancers.

  • Joint Committee of Specialist Training Site Accreditor, Urology Residency Program
  • President of the Robotic Surgery Society of Singapore
Prior To Private Practice:
  • Director of the Robotic Urological Surgery Fellowship Program, Tan Tock Seng Hospital
  • Director of the National Healthcare Group Urology Residency Program & Adjunct Assistant Professor, NUS Yong Loo Lin School of Medicine
  • Member of the American Urological Association, Endourological Society (USA)
  • Executive Committee of the Singapore Urological Association, 2013 to 2020

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    Minimally Invasive Surgical Therapy (MIST) Procedure for BPH – UroLift

    Frequently Asked
    Questions

    What is the UroLift® System?

    The UroLift® System is the only treatment that uses the Prostatic Urethral Lift (PUL) procedure. The UroLift® System treatment is a proven, minimally invasive approach for treating lower urinary tract symptoms due to benign prostatic hyperplasia (BPH) that typically does not require ongoing medications and avoids major surgery. The UroLift® System’s implants, designed to be permanent, delivered during a minimally invasive outpatient procedure, relieve prostate obstruction and open the urethra directly without cutting, heating, or removing prostate tissue.

    As with any medical procedure, individual results may vary. The most common side effects are mild to moderate and include pain or burning with urination, blood in the urine, pelvic pain, urgent need to urinate and/or the inability to control the urge. Most symptoms resolve within two to four weeks after the procedure.

    How does the UroLift® System work?

    The UroLift® System consists of a delivery device and small implants, designed to be permanent.

    • The UroLift® Delivery Device is placed through the obstructed urethra.
    • Small UroLift® Implants are placed to lift or hold the enlarged prostate tissue out of the way like a curtain-tie. The implants are delivered through a small needle that comes out of the delivery device and into the prostate.
    • The UroLift® Delivery Device is removed, leaving an open urethra that provides symptom relief.

    The UroLift® System does not keep someone from having future BPH treatments if they are necessary.

    Is the treatment permanent or can it be removed?

    The implants are intended to be permanent. The implant is made up of standard surgical implantable materials: a nitinol capsular tab, a stainless steel urethral tab, and a polyethylene suture that holds the two tabs together. The urethral implant can be removed if needed. The suture can be cut and the urethral end piece can be retrieved with a standard grasper. The capsular tab will remain in place inside the body.

    How does the UroLift® System compare to other treatment options?

    The UroLift® System treatment has been found to be a safe and effective treatment for symptoms related to BPH.