urolift idf presentation algarve 2015 10-04 shorter 01
TRANSCRIPT
![Page 1: Urolift idf presentation algarve 2015 10-04 shorter 01](https://reader031.vdocuments.us/reader031/viewer/2022021919/587c843f1a28ab93568b5d2d/html5/thumbnails/1.jpg)
Prostatic Urethral Lifts - symptom relief & normal
ejaculationMarc Laniado MD FEBU FRCS(Urol)
Consultant Urologist
![Page 2: Urolift idf presentation algarve 2015 10-04 shorter 01](https://reader031.vdocuments.us/reader031/viewer/2022021919/587c843f1a28ab93568b5d2d/html5/thumbnails/2.jpg)
BPH affects all older men
30 40 50 60 70 80
100%
50%
0%
Age
Perc
enta
ge o
f men
affe
cted
![Page 3: Urolift idf presentation algarve 2015 10-04 shorter 01](https://reader031.vdocuments.us/reader031/viewer/2022021919/587c843f1a28ab93568b5d2d/html5/thumbnails/3.jpg)
We are looking for effective treatments for BPH without side-effect
![Page 4: Urolift idf presentation algarve 2015 10-04 shorter 01](https://reader031.vdocuments.us/reader031/viewer/2022021919/587c843f1a28ab93568b5d2d/html5/thumbnails/4.jpg)
Bladder
ProstateBladder neck
Current treatments for BPH have a major drawbacks…
![Page 5: Urolift idf presentation algarve 2015 10-04 shorter 01](https://reader031.vdocuments.us/reader031/viewer/2022021919/587c843f1a28ab93568b5d2d/html5/thumbnails/5.jpg)
….men don’t want sexual side-effects
![Page 6: Urolift idf presentation algarve 2015 10-04 shorter 01](https://reader031.vdocuments.us/reader031/viewer/2022021919/587c843f1a28ab93568b5d2d/html5/thumbnails/6.jpg)
Normal ejaculation requires an intact bladder neck
![Page 7: Urolift idf presentation algarve 2015 10-04 shorter 01](https://reader031.vdocuments.us/reader031/viewer/2022021919/587c843f1a28ab93568b5d2d/html5/thumbnails/7.jpg)
Bladder neck dysfunction gives antegrade ejaculation
![Page 8: Urolift idf presentation algarve 2015 10-04 shorter 01](https://reader031.vdocuments.us/reader031/viewer/2022021919/587c843f1a28ab93568b5d2d/html5/thumbnails/8.jpg)
UroLifts widen prostatic urethra without affecting bladder neck
![Page 9: Urolift idf presentation algarve 2015 10-04 shorter 01](https://reader031.vdocuments.us/reader031/viewer/2022021919/587c843f1a28ab93568b5d2d/html5/thumbnails/9.jpg)
Faster quality of life recovery after UroLift compared to TURP
TURP
UroLift
![Page 10: Urolift idf presentation algarve 2015 10-04 shorter 01](https://reader031.vdocuments.us/reader031/viewer/2022021919/587c843f1a28ab93568b5d2d/html5/thumbnails/10.jpg)
Antegrade wet ejaculation & better sex after UroLift compared to TURP
UroLift
TURP
Ejac
ulat
ory
& Se
xual
Fun
ctio
n
![Page 11: Urolift idf presentation algarve 2015 10-04 shorter 01](https://reader031.vdocuments.us/reader031/viewer/2022021919/587c843f1a28ab93568b5d2d/html5/thumbnails/11.jpg)
UroLifts relieve symptoms for at least 3 years
less freq, urge, better flow,
etc
IPSS
Que
stio
nnai
re
3 years2 years1 year
![Page 12: Urolift idf presentation algarve 2015 10-04 shorter 01](https://reader031.vdocuments.us/reader031/viewer/2022021919/587c843f1a28ab93568b5d2d/html5/thumbnails/12.jpg)
Side effects are transient & well tolerated
UroLift Controls
Dysuria 34% 17%
Hematuria 26% 5%
Pelvic pain 18% 5%
Urge Incontinence 4% 2%
UTI 3% 2%
![Page 13: Urolift idf presentation algarve 2015 10-04 shorter 01](https://reader031.vdocuments.us/reader031/viewer/2022021919/587c843f1a28ab93568b5d2d/html5/thumbnails/13.jpg)
NICE 2015: UroLift recommended
![Page 14: Urolift idf presentation algarve 2015 10-04 shorter 01](https://reader031.vdocuments.us/reader031/viewer/2022021919/587c843f1a28ab93568b5d2d/html5/thumbnails/14.jpg)
![Page 15: Urolift idf presentation algarve 2015 10-04 shorter 01](https://reader031.vdocuments.us/reader031/viewer/2022021919/587c843f1a28ab93568b5d2d/html5/thumbnails/15.jpg)
Sex as before
No catheterQuickly back to normal Fewer infections
Improved symptoms Day Case