Prostatic Urethral Lifts - symptom relief & normal

ejaculationMarc Laniado MD FEBU FRCS(Urol)

Consultant Urologist

BPH affects all older men

30 40 50 60 70 80

100%

50%

0%

Age

Perc

enta

ge o

f men

affe

cted

We are looking for effective treatments for BPH without side-effect

Bladder

ProstateBladder neck

Current treatments for BPH have a major drawbacks…

….men don’t want sexual side-effects

Normal ejaculation requires an intact bladder neck

Bladder neck dysfunction gives antegrade ejaculation

UroLifts widen prostatic urethra without affecting bladder neck

Faster quality of life recovery after UroLift compared to TURP

TURP

UroLift

Antegrade wet ejaculation & better sex after UroLift compared to TURP

UroLift

TURP

Ejac

ulat

ory

& Se

xual

Fun

ctio

n

UroLifts relieve symptoms for at least 3 years

less freq, urge, better flow,

etc

IPSS

Que

stio

nnai

re

3 years2 years1 year

Side effects are transient & well tolerated

UroLift Controls

Dysuria 34% 17%

Hematuria 26% 5%

Pelvic pain 18% 5%

Urge Incontinence 4% 2%

UTI 3% 2%

NICE 2015: UroLift recommended

Sex as before

No catheterQuickly back to normal Fewer infections

Improved symptoms Day Case