UroLift Chattanooga, TN
Prostatic Urethral Lift Procedure (UroLift) is a minimally invasive surgical approach to treating LUTS (lower urinary tract symptoms) secondary to BPH. The UroLift system lifts or holds the enlarged prostate out of the way so that it no longer blocks the urethra. There is no cutting, heating or removal of prostate tissue and the treatment can be performed in an office setting. The goal is to relieve LUTS due to BPH, and allow you to improve the quality of your life by removing the urinary symptoms.
This FDA approved system opens the urethra by using tiny implants to prevent the prostate tissue from blocking urine flow in the urethra and preserves sexual function and quality of life. Because it is minimally invasive, there are minimal complications and rapid and durable improvements in symptoms. The UroLift procedure avoids sexual side effects associated with other procedures. The procedure is performed under local anesthesia, and provides relief from urinary discomfort as early as 2 weeks after surgery. There is no catheter and no overnight stay necessary.
While this is a permanent solution, it does not preclude other BPH treatments, if they later become necessary. If the implants need to be removed, it is a simple procedure. The implants will not interfere with MRIs, or DREs. The UroLift procedure will not complicate other BPH treatments such as laser prostatectomy in the instance that the procedure does not provide a satisfactory result.
Comparison of the Gold standard treatment vs. UroLift
Prior to approval of this technique, the gold standard treatment was Transurethral Resection of the Prostate (TURP) where prostate tissue is removed by heat or laser. But this procedure can produce long-term side effects including retrograde ejaculation and erectile dysfunction or incontinence.
A recent study compared the UroLift system with TURP. Assessment of overall improvement of LUTS symptoms showed that patients treated with the UroLift system found consistent response, better than with TURP. UroLift is just as safe and effective as TURP but superior at preserving sexual function with more rapid recovery. In some instances, erectile function and issues with poor ejaculation related to an enlarged prostate may be improved with the procedure. UroLift provides rapid improvement and durable relief with minimal side effects. Side effects may include hematuria, dysuria, pelvic pain, urgency and urge incontinence. Side effects tend to be mild and resolve within 2-4 weeks after the procedure. Also, there is a low chance of retreatment for LUTS after UroLift.
Who is a candidate?
Men with severe urinary symptoms associated with their prostate, or men considering other treatments than medications that have not helped or impact sexual function. The UroLift procedure is an option for individuals who experience or want to prevent the sexual side effects associated with TURP as well. Additionally, men who have experienced bothersome sexual side effects such as ejaculatory issues may consider UroLift as a means to discontinue lifelong medication use. Your urologist will determine whether you are a candidate for this procedure. Assessment will include an evaluation of symptoms, a urine flow study, cystoscopy and urinalysis. Side effects include temporary pelvic discomfort, blood in the urine, and urinary urgency and frequency. The side effects usually resolve after 2-3 weeks.
To determine whether your health insurance will apply to the UroLift procedure, please speak with our dedicated staff. They will work with you and your health plan to determine insurance coverage. Medicare usually covers UroLift; However, the determination of coverage is made on a case by case basis.
Dr Shridharani was the first urologist to offer and perform this procedure in-office in the southeast region of the U.S. He is also the first to perform this procedure under an anesthetic in the State of Tennessee. His experience and expertise are essential to assessing your candidacy for Urolift and providing a great result.