urolift idf presentation algarve 2015 10-04 shorter 01
TRANSCRIPT
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