Video Archives

Prostate Urethral Lift. How I Do It.

Posted by Amin S. Herati, MD | Aug 2024

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.

Water Vapor Thermal Therapy. How I Do It

Posted by Kevin C. Zorn, MD, FRCSC, FACS | Aug 2024

Kevin C. Zorn, MD, FRCSC, FACS, analyzes water vapor thermal therapy for the treatment of benign prostatic hyperplasia (BPH), focusing on its application, benefits, and procedural techniques. His discussion highlights the efficacy and minimally invasive nature of this therapy, making it an appealing option for patients seeking relief from BPH symptoms.

Dr. Zorn explains the mechanism of water vapor thermal therapy, which involves the delivery of steam directly into the prostate tissue. He outlines the procedural steps, starting with patient preparation and anesthesia. Dr. Zorn details the insertion of the transurethral device and the precise delivery of water vapor to the targeted prostate zones.

The advantages of water vapor thermal therapy are discussed extensively. Dr. Zorn highlights its high safety profile, low risk of complications, and significant improvement in urinary symptoms and quality of life. He also notes the durability of the treatment outcomes. Challenges and potential complications are addressed, including transient dysuria, hematuria, and urinary retention.

Future directions for water vapor thermal therapy include ongoing research to refine techniques, improve patient outcomes, and expand the indications for this treatment. Dr. Zorn highlights the potential for combining this therapy with other minimally invasive treatments to enhance efficacy and broaden its applicability.