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Case Report

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IS THERE A MINIMALLY INVASIVE DAY CASE OPERATION TO TREAT LUTS SECONDARY TO BPH AND AVOID SEXUAL DYSFUNCTION? UROLIFT A CASE REPORT

Urolift as a Day Case Operation to Treat LUTS and Sexual Dysfunction; A Case Report

  • Antonio D. Bardoli1
  • Will St. J. Taylor2
  • Jon Cobley2
  • Wasim Mahmalji2

1University of Birmingham Medical School, College of Medical & Dental Sciences, Birmingham, UK

2Department of Urology, Hereford County Hospital, Wye Valley NHS Trust

DOI: 10.22374/1875-6859.14.1.3 Vol.14,Issue 1,January 2018 pp.16-18

Published: 01 January 2018

*Corresponding Author(s): Wasim Mahmalji E-mail: wasim.mahmalji@gmail.com

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Abstract

A 75-year-old Caucasian male with a prolonged history of lower urinary tract symptoms and sexual dysfunction was referred to the urology department. Assessment revealed a diagnosis of benign prostatic hypertrophy (BPH) and the patient was reassessed by flexible cystoscopy revealing a large occlusive 80 cc prostate. Baseline symptoms of BPH were measured using the International Prostate Symptom Score (IPSS), urinary function was quantified by measuring post-void residual (PVR) volume and QMAX flow rates were also recorded. The patient underwent the UroLift procedure and urological parameters were reassessed at 4 months post-operatively. There was an improvement in the patients IPSS by 14 points (IPSS Before = 22, at 4 months = 8), with a reduction in quality of life by 3 points (QoL before = 5, at 4 months = 2). PVR volume decreased by almost a third (29.4 %) (Before = 390 mL, at 4 months = 275 mL) and QMAX improved by 8 mL/s (Before = 14 mL/s, at 4 months = 22 mL/s). The patient reported a slight improvement in sexual function (IIEF-5 Before = 14, at 4 months = 15) and was very satisfied with the result. The improvement in IPSS, PVR volume and QMAX show Urolift is an appropriate treatment for symptomatic BPH.

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Antonio D. Bardoli,Will St. J. Taylor,Jon Cobley,Wasim Mahmalji. IS THERE A MINIMALLY INVASIVE DAY CASE OPERATION TO TREAT LUTS SECONDARY TO BPH AND AVOID SEXUAL DYSFUNCTION? UROLIFT A CASE REPORTUrolift as a Day Case Operation to Treat LUTS and Sexual Dysfunction; A Case Report. Journal of Men's Health. 2018. 14(1);16-18.

References

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2. Woo H, Chin PT, McNicholas TA, et al. Safety and feasibility of the prostatic urethral lift: a novel, minimally invasive treatment for lower urinary tract symptoms (LUTS) secondary to benign prostatic hyperplasia (BPH). BJU Int 2006;108:82–88.

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3. Bardoli AD, Taylor ST W, Mahmalji W. Can the UroLift prostatic implant device treat the symptoms of benign prostatic hypertrophy, avoid sexual dysfunction and reduce hospital TURP waiting times? A single centre, single surgeon experience and review of the literature. Aging Male 2017;Jun 13:1–6.

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4. Roehrborn G, Gange S, Shore ND, et al. Durability of the prostatic urethral lift: 2 year results of the L.I.F.T. Study. Urol Pract 2015;2:26–32.

http://linkinghub.elsevier.com/retrieve/pii/S2352077914001447

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