title: Prostatic Urethral Lift: A New Minimally Invasive Treatment for Lower Urinary Tract Symptoms Secondary to Benign Prostatic Hyperplasia.
abstract: BACKGROUND
  Prostatic urethral lift (PUL) is a minimally invasive procedure for the treatment of lower urinary tract symptoms (LUTSs) secondary to benign prostatic hyperplasia (BPH). The PUL procedure involves the placement of implants that retract the obstructing prostate lobes. This procedure achieves quantifiable improvements in functional outcomes and quality of life (QoL), while preserving erectile and ejaculatory functions.
  
  
  METHODS
  Seventeen patients diagnosed with BPH who had undergone the UroLift® procedure between March 2011 and June 2015 were retrospectively evaluated. The parameters evaluated in the pre-operative, intra-operative and 1-year post-operative period were demographic data, and pre-operative, intra-operative and 1-year post-operative results were obtained from the International Prostate Symptom Score (IPSS), Uroflowmetry QoL index, International Index of Erectile Function (IIEF) and Male Sexual Health Questionnaire (MSHQ) for ejaculatory function (MSHQ-EjD).
  
  
  RESULTS
  The average improvements from baseline to 12 months after intervention were significant for the total IPSS 9.6. There was a 4.2-point increase in Qmax, a 0.9-point improvement in QoL and a 32% decrease in PVR. No statistically significant difference was found in the IIEF and MSHQ-EjD scores when the pre-operative and post-operative 3rd and 12th month scores were evaluated (p > 0.05).
  
  
  CONCLUSIONS
  PUL offers rapid improvement in voiding and storage symptoms, QoL and flow rate that is durable to 12 months after intervention. PUL is a minimally invasive procedure that has the moderate effect in treating troublesome LUTS secondary to benign prostatic obstruction and preserving total sexual function.
authors.affiliation: Erzincan University, Mengucek Gazi Training and Research Hospital, Urology Department, Erzincan, Turkey.
authors.forename: Aliseydi
authors.initials: A
authors.lastname: Bozkurt
authors.forename: Mehmet
authors.initials: M
authors.lastname: Karabakan
authors.forename: Ercument
authors.initials: E
authors.lastname: Keskin
authors.forename: Erkan
authors.initials: E
authors.lastname: Hirik
authors.forename: M B Can
authors.initials: MB
authors.lastname: Balci
authors.forename: Baris
authors.initials: B
authors.lastname: Nuhoglu
mesh_terms: D004542:Ejaculation; D006801:Humans; D059411:Lower Urinary Tract Symptoms / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*; D008297:Male; D010410:Penile Erection; D011470:Prostatic Hyperplasia / Q000150:complications* / Q000175:diagnosis; D011474:Prosthesis Design; D011788:Quality of Life; D020127:Recovery of Function; D012189:Retrospective Studies; D011795:Surveys and Questionnaires; D013997:Time Factors; D016896:Treatment Outcome; D014521:Urethra / Q000503:physiopathology / Q000601:surgery*; D014563:Urodynamics; D013521:Urologic Surgical Procedures, Male / Q000009:adverse effects / Q000295:instrumentation*