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UroLift — Prostatic Urethral Lift

Minimally invasive technique that retracts the prostate lobes with permanent implants to relieve urethral obstruction.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Üroloji department. Book Appointment →

What is UroLift — Prostatic Urethral Lift?

The Prostatic Urethral Lift (PUL, UroLift system) is a minimally invasive treatment for lower urinary tract symptoms (LUTS) due to benign prostatic hyperplasia (BPH). Permanent suture-based implants are placed transurethrally to retract the obstructing lateral lobes of the prostate from the urethral lumen.

Ideal candidates have an estimated prostate volume of 30-80 mL, no median lobe enlargement, and a desire to preserve sexual function. The procedure can be performed under local, sedation, or general anesthesia in an outpatient setting and typically lasts under 30 minutes; catheterization is brief or unnecessary.

Compared with TURP, PUL has a more favorable side-effect profile with preservation of antegrade ejaculation and erectile function, but provides somewhat lower flow rate improvements. Re-treatment rates over five years are about 13-15%, making careful patient selection essential.

Symptoms

Frequency and urgency of urination
Weak urinary stream
Hesitancy and intermittency
Sensation of incomplete emptying
Nocturia
Acute urinary retention episodes
Bothersome IPSS symptom score

Risk Factors

Prostate volume 30-80 mL
No significant median lobe
Wish to preserve ejaculation
Failure or intolerance of medical therapy
Comorbidities that limit TURP
Need for outpatient procedure
Anticoagulation profile

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • Worsening LUTS despite medication
  • Acute urinary retention
  • Hematuria or recurrent UTI
  • Bladder stones or upper tract changes
  • Concerns about ejaculatory function with TURP

Treatment Methods

01
Preoperative IPSS, uroflowmetry and PVR
02
Cystoscopy and prostate volume assessment
03
Outpatient PUL with permanent implants
04
Short-term catheterization if needed
05
Continued surveillance with PSA
06
Conversion to TURP/laser if symptoms recur

Which Department to Visit?

You can visit our Üroloji department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

Learn About Üroloji Department

Let us help you

You can make an appointment with our specialists or contact us for your concerns.

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.