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Prostatic Tissue Approximation (Urolift)

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Treatment of Benign Prostatic Hyperplasia: Modern Alternative to Transurethral Resection of the Prostate

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Abstract

The prostatic urethral lift (PUL) is a minimally invasive device for the treatment of lower urinary tract symptoms (LUTS) due to benign prostatic hyperplasia (BPH). It recently received Food and Drug Administration (FDA) approval as a treatment for LUTS in September 2013. PUL is mechanically based and does not involve the destruction or physical removal of prostatic tissue. It differs from other mechanically based treatments such as prostatic urethral stents because it does not attempt to conform to the anatomy of the prostatic urethra. Furthermore, the prosthesis becomes incorporated into the prostate and is covered by the urothelium. PUL is performed under endoscopic guidance and prostheses are deployed with the aim of retracting the prostatic urethra towards the prostate capsule to open the prostatic urethral space. In this chapter, we discuss the indication, current studies, and role of PUL in the management of LUTs secondary to BPH.

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Author information

Authors and Affiliations

  1. Sydney Adventist Hospital Clinical School, University of Sydney, San Clinic, Suite 406, 185 Fox Valley Road, Wahroonga, NSW, 2076, Australia

    Henry H. Woo M.B.B.S., FRACS (Urol)

Authors
  1. Henry H. Woo M.B.B.S., FRACS (Urol)
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Corresponding author

Correspondence to Henry H. Woo M.B.B.S., FRACS (Urol) .

Editor information

Editors and Affiliations

  1. Department of Urology, Weill Cornell Medical College, New York, New York, USA

    Bilal Chughtai

  2. Department of Urology, Weill Cornell Medical College, New York, New York, USA

    Alexis E. Te

  3. Department of Urology, Weill Cornell Medical College, New York, New York, USA

    Steven A. Kaplan

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© 2015 Springer Science+Business Media New York

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Woo, H.H. (2015). Prostatic Tissue Approximation (Urolift). In: Chughtai, B., Te, A., Kaplan, S. (eds) Treatment of Benign Prostatic Hyperplasia: Modern Alternative to Transurethral Resection of the Prostate. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-1587-3_18

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  • DOI: https://doi.org/10.1007/978-1-4939-1587-3_18

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  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4939-1586-6

  • Online ISBN: 978-1-4939-1587-3

  • eBook Packages: MedicineMedicine (R0)

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