Diagnostics (Sep 2024)

Evaluation of Peri-Operative Outcomes after Prostatic Urethral Lift with Emphasis on Urodynamic Changes, Symptom Improvement and Sexual Function

  • Riccardo Lombardo,
  • Valerio Santarelli,
  • Beatrice Turchi,
  • Giuseppe Santoro,
  • Alessandro Guercio,
  • Antonio Franco,
  • Silvia Secco,
  • Paolo Dell’Oglio,
  • Antonio Galfano,
  • Alberto Olivero,
  • Antonio Luigi Pastore,
  • Yazan Al Salhi,
  • Andrea Fuschi,
  • Antonio Nacchia,
  • Giorgia Tema,
  • Alessandra Fegiz,
  • Ferdinando Fusco,
  • Riccardo Cini,
  • Antonio Cicione,
  • Andrea Tubaro,
  • Cosimo De Nunzio

DOI
https://doi.org/10.3390/diagnostics14192110
Journal volume & issue
Vol. 14, no. 19
p. 2110

Abstract

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Background and Aims: The aim of our study is to evaluate the possible urodynamic effect of prostatic urethral lift (PUL) in patients with lower urinary tract symptoms due to benign prostatic hyperplasia. Methods: A consecutive series of patients undergoing PUL placement were consecutively enrolled in two centers. Inclusion criteria: ≥50 years of age, benign prostatic obstruction (BPO), international prostate symptom score (IPSS) ≥ 13, prostate volume ≤ 60 mL, and no middle prostate lobe. All patients were evaluated using a detailed clinical history, a validated questionnaire, flexible cystoscopy, and pressure flow studies (PFS) at baseline. PFS were performed at 6 months to evaluate the urodynamic effect of PUL. Results: Overall, 20 patients with a median age of 63 were enrolled. At six months, statistically significant improvements in terms of median Qmax (11.5 vs. 8.5; p p Conclusions: PUL represents an effective treatment in patients with LUTS due to BPH and improves bladder outlet obstruction without any effect on sexual function.

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