Urethral lift (UroLift): Walking through the cycle of care

This video looks at the prostatic urethral lift (UroLift, NeoTract, Inc.), which provides another tool in the urologist's armamentarium for treating BPH. Here, Neil Baum, MD, Steven N. Gange, MD, and Lance P. Walsh, MD, PhD, demonstrate several techniques to help urologists transition from performing this procedure in the OR to an office setting, where it is quicker and easier for the patient. Each video presents a different sedative option for in-office UroLift. Commentary on the videos is provided by Dr. Gange, a urologist in group practice in Salt Lake City, and 'Y'tube Section Editor James M. Hotaling, MD, MS, assistant professor of surgery (urology) at the Center for Reconstructive Urology and Men's Health, University of Utah, Salt Lake City. Dr. Gange has served as a principal investigator, consultant, and proctor for NeoTract.

This video provides an overview of the prostatic urethral lift (UroLift), highlighting the entire cycle of patient care.

Dr. Gange: Dr. Walsh seamlessly adds a TRUS-guided peri-prostatic block to an otherwise standard local anesthetic approach, reporting a high level of patient satisfaction with this technique. Since his UroLift patients are awake, he and his staff utilize the art of verbal anesthesia, thereby minimizing stress and maximizing comfort for his patients. Without receiving sedation, and rarely requiring a catheter, his patients can drive themselves home shortly after the procedure.

Dr. Hotaling: Dr. Walsh's video does an excellent job of demonstrating the entire cycle of care for a patient undergoing UroLift and reviews the indications and counseling for this procedure. The peri-prostatic nerve block is something almost all urologists are very comfortable with and can easily perform. The use of a drape and conversation also help to maximize patient comfort and facilitate the procedure.

Dr. Walsh

is a urologist in group practice in Rancho Mirage, CA.          

'Y'tube Section Editor James M. Hotaling, MD, MS,

is assistant professor of surgery (urology) at the Center for Reconstructive Urology and Men's Health, University of Utah, Salt Lake City.