The Prostatic Urethral Lift Procedure involves “pinning” back the side lobes of the prostate, thereby opening the channel for passing water, without the need to remove any tissue. Often it can be done under local anaesthesia, though at this stage, it is also often done with a general anaesthetic. The “pins” are placed using a specifically approved device, called “UroLift”, and remain in the prostate after the operation. The operation has not been carried out extensively in the UK, however this may be an option for men wishing to preserve ejaculation.
For the right patient, the preliminary results have been very promising, improving urinary flow, bladder emptying and quality of life. This procedure does not suit men having a prostate with a very prominent middle lobe or excessive enlargement, and the durability of the benefit in the longer term (i.e. after 5 years) is not yet known. Typically, there is no need for a catheter, and men are back to everyday activities within a week.