Amin S. Herati, MD presented “Prostate Urethral Lift. How I Do It.” during the 2023 Frontiers in Oncologic Prostate Care and Ablative Local Therapy symposium on November 10, 2023, in Chicago, Illinois.
How to cite: Herati, Amin S. “Prostate Urethral Lift. How I Do It.” November, 2023. Accessed Aug 2024. https://grandroundsinurology.com/prostate-urethral-lift-how-i-do-it/
Prostate Urethral Lift. How I Do It. – Summary
Amin S. Herati, MD provides an overview of the prostate urethral lift (PUL) procedure, detailing its application, benefits, and technical execution for the treatment of benign prostatic hyperplasia (BPH). He emphasizes the minimally invasive nature of PUL and its effectiveness in alleviating urinary symptoms while preserving sexual function.
Dr. Herati explains the indications for PUL, stressing the evaluation of prostate size, anatomy, and symptom severity. Ideal candidates typically have lateral lobe enlargement without significant median lobe obstruction.
The procedural technique is outlined with precision, starting with patient preparation and anesthesia. Herati describes the insertion of the cystoscope through the urethra to visualize the prostate and the subsequent deployment of tiny implants to retract the enlarged prostate tissue away from the urethra. Dr. Herati emphasizes the technical aspects critical to the success of the procedure.
The benefits of PUL are highlighted, including its high safety profile, quick recovery, and preservation of erectile and ejaculatory function. Additionally, he discusses complications, which are generally mild and transient. Challenges and limitations of PUL are also addressed.
Frontiers in Oncologic Prostate Care and Ablative Local Therapy (FOCAL) is an outstanding program on prostate imaging, transperineal interventions, and ablative treatments for prostate cancer and benign prostatic hyperplasia. Bringing together community-based, academic, and industry partners, FOCAL offers lectures by world-renowned faculty and hands-on training workshops on in-office transperineal interventions, fusion-guided prostate ablation and state-of-the-art BPH management with novel technologies.