Excellent synopsis doc, especially of the limitations of the procedure. These are very important points that you made and not applicable to everyone. I for one, and considering the procedure and I was wondering why I would not be able to have it done. Thanks again doc and great job!
I am in the evaluation process with full urine retention and catheter for 7 weeks and two failed trials. US showed a 80cm prostate which is 30cm larger than the rectal exam suggested - during which the urologist recommended the urolift. I had already decided against Urolift due to the overwhelming negative reviews about it and the multiple of positive reviews of Aquablation which I am favoring at the moment. Your warning is very much appreciated, thank you
Yes I had the procedure 3 years ago and It was one of the WORST decision I have ever made. I regret it. I am now suffering the consequences because the #Urolift procedure has made my condition worse than it was before.
I've had two UROLIFT surgeries. The second one was supposed to have corrected what the first one was unable to do. The second surgery made my condition worse. I had to stay in the hospital two nights and three days. I had one more painful experience. I would not recommend this surgery to anyone. Now I have urgency incontinence and pain in lower abdominal.
@@buddyjames8451 agree 100% It may provide temporary relief for some but my procedure made it worse and it was awful and miserable and still have issues today because of the procedure. My new urologist wants to try the water / steam method treatment. Forget the medical name for it.
Well, I just finished by second Urolift a few days ago. It was in office under valium and local anesthetic. Because it was a redo, a company rep from Urolift was present to observe. IT HURT LIKE HECK! That was on Tuesday. Today's Saturday and I still have significant blood in my urine and it still hurts a bit when I pee. The flow is a bit better, but not what I thought it should be by now. I assure you, this was my last Urolift. I read somewhere that the FDA shows Urolift has a 14% failure rate within 5 years. When I mentioned this to the company rep, she became defensive and corrected me indicating it was actually 13.5%. If this one fails at any point, they'll be hearing from my lawyer.
@@georgeguerrero7943 Sorry to hear that George. Has this been going on for the entire year? What does your urologist say about it? My situation is nowhere near as severe as yours, nevertheless, lately I've noticed my stream getting weaker and I drip a lot longer.
Two failed Urolift procedures. Stress, long walks, and ladder climbing increase pain, bleeding and passing bloody clots. Changing the size of the pipe--is a stupid response to a faulty bladder level sensor. The cramping and intense need to pee when I have 200 ml of fluid in my bladder was the original problem.
I feel your pain, Stan. My second Urolift has failed. I'm lucky to pee 2oz at a time with considerable discomfort during the day. At night, it's the opposite problem. Last night I was up four times in five hours and peed over 44oz (14,12,10,8). I'd like to find an attorney who'd consider a class action on behalf of us. Still, I never empty completely.@@stankrajewski8255
My husband had the urolift procedure done in 2017. Now encrustation occurred when minerals from the urine deposit on the surface of the indwelling urolift implant. On 3/30/22, he had a cystolitholapaxy procedure to remove the "stone" encrusted on one of the implants. At the follow up visit, the urologist told us that only 50% of the "stone" was removed and my husband have to undergo another cystolitholapaxy procedure to remove the remaining "stone". My husband has low pain threshold, it was exhausting to take care of him postoperatively. He took Norco before bedtime, due to the constant irritation after the procedure. Then the narcotic induced sleep apnea happened, his pulse ox dropped to 88% at one point. It was a sleepless night for me. In my opinion , I do not recommend urolift procedure, it is a good quick fix but does it worth to go through the potential pain and sufferings in the future?
You must be an angel to do that. Did you find out anything about how frequent your husband's specific issue was? Who's to say that he would not have had worse pain, or you had more care taking to do than you already did? Thanks for posting your experience.
I had the Urolift procedure 4 years ago and have similar problems to your husband. I also got a hernia right after the procedure that required surgery. When I contacted Urolift they showed no interest. Statistically my operation is probably recorded as a success. After 9 months of suffering I had PEA for my BHP which was a success, but the Urolift implants still create problems.
same with me. My new urologist is going to perform a surgery to remove a pin of a failed urolift forming a calcium stone. stay away from this procedure.
My husband just had Urolift, he’s been in excruciating pain, blood clots. Went to ER was in the hospital 4 days, nurses irrigating catheter. Then after he was discharged he had to go back to the urologist who did procedure, he’s at office now!
Very helpful presentation. Also, I appreciate the comments from all the patients below with many indicating unsatisfactory or short-lived results. I'm going to look into the recent literature on complications and patient satisfaction.
I had the procedure 18 months ago. Before the procedure, I had bouts with acute prostatitis, occasional Foley catheters, intermittent catheters, acute renal failure due to an obstructed urethra, and medication. Since having the procedure, in conjunction with a bladder neck incision, I haven’t had any serious issues. I still have some days where my flow isn’t as strong as it was as some nights where I get up more often than usual, but I’ll take the good with the bad to stay off of meds and to avoid any sexual side effects.
Urolift lasted for me for only two years. I was hoping it would be five or even ten. Urolift also refused to talk to me to discuss my problem. Does anybody have ideas as to how to extend the lifespan of my urolift implant?
My doctor only did a cystoscope and not an US or MRI. I would highly recommend anybody thinking about doing this procedure be adamant with their doctor about getting an ultrasound or MRI first to get a better picture of the size of your prostate.
Who should avoid Urolift? EVERYONE! I had it, what a disaster! I underwent many tests ahead of time to ensure I met all the criteria. I was told by my urologist I was a perfect candidate; that it would definitely provide significant improvement. The only results I’ve had are significant pain and some kind of damage to my urethra. When I am able to pee, it sprays everywhere except into the toilet. I wish I never had heard of Urolift!
Had procedure done in January. I’ve had no problem since procedure. 3 days of a little discomfort. Complete 48 days of radiation clips where also used as treatment markers. Pee Like a firehouse
It's good to finally hear a success story. I'm thinking of getting it done, but my only noticeable problem is slower urination. Maybe that's not such a big problem.
Too early for you to tell. Had my Urolift done in May 2020. Lasted about 18 months. Went to different urologist and was told the urolift didn't work for my kind of prostate. Had 6 Uti since. 3 in just a 4 month period in 2022-23. Funny my symptoms did get better from may 2022 to jan 2022. Then got worse. Looking for other alternitives.
Dr. RezniceK: Question: Would you recommend the Urolift procedure for a man who is normally very active? For example, an active old guy in his mid sixties who is of a healthy body weight (BMI) and who jogs, bikes, does a little martial arts (which includes jumping and kicking), and who also does animal flow exercises which includes a lot of squats. I'd hate to think of the device working loose. Ouch! If not, what procedure would you recommend? Thanks for your good videos. Keep posting, doctor.
No answer for these questions re to 19 gauge wires with second 'spring role' inside very sensitive body part. My second question was ' how can you pull it out if spmething wrong happen, and s.o. for reasonable new technik? No answers...
I haven't (yet) seen or heard of anyone breaking an implant. The prostate is deep in the pelvis and very much fixed in place. It is hard to get shearing forces or an impact that moves the prostate on one side relative to the other side. For example, if you got kicked in the perineum, the whole prostate may move up and down but the implant isn't stretching or moving apart.
I have had s the urolift procedure..I have an obstructive median lobe.......the procedure failed.....bph has returned....had cyctoscopy performed .....recommendation was turp.......Question:.....what happens to the urolift wires and anchors during turp?.....is this a complication? and thank you!! great info..
I would like an answer to this as well. During my Urolift procedure one of the needles hit a bone during the procedure. I screamed out, WOW that hit a bone! No reply from the DR. When we finished up, I asked him again about it he just said the procedure went well. It's now been 2 years since I've had the procedure. It has never worked like advertised. For a week after the procedure I felt urgency to void but nothing would come out. Dr. said this is normal and would get better soon. The only relief I could get was sitting in a bathtub of warm water. I usually sit to piss to keep it from going everywhere. I have pain in the area where the needle hit the bone during installation. It radiates out to my hip. Reading the replies on here I now have another thing that concerns me relative to stones in the bladder. I wish I never had this procedure performed!
Thank You so much for this info. I am going for this procedure in a couple of weeks. You seem to be a very honest and caring person. I am much more relaxed now. Thank You again.
@@kttango9662 Most people will probably be OK, but I found out the hard way that doctors do NOT want to talk about the small % like me who should have stuck with meds.
I have not done the Uro Lift procedure yet cause I do not feel good about the.possible problems. Glad I saw your video. I saw an article about a arterial lol procedure that blocked blood from going to the prostrate which in turn reduce the size of the prostate - side effects?
I had this procedure done Dec 2023 after i had seen the urolologjst for being in urinary retention. Although i had requested aquablation, the urologist talked me into urolift. Worst decision. The procedure was painful and should always be done with general anesthesia. But most importantly it just didnt work. After the catheter was removed, i still couldnt void - so the dr showed me how to self cath. I then got a second and third opinion to include cysto and both dr advised i was completely obstructed. I recently had aquablation and nearly 90% back to normal. Not sure why some dr are pushing this procedure, but i would not recommend it. Best of luck!!
Urolift completely and permanently destroyed my life !!!! Now I am faced with my new urologist wanting to do another surgery (greenlight) to correct to the botched UROLIFT procedure. I am told I would have to self catheterize everyday possible for the rest of my life. My symptoms now are WORSE than before Urolift. Please be advised and don't say I didn't warn you if you get this procedure !!!!!
He did try to explain what can go wrong. I had it done March 3 and it still feels pinched constantly! If I'd had any idea of how painful it would be I WOULD HAVE NEVER DONE IT! I have an appointment with another urologist September 4th and I will ask if he can take them out. I still have urgency and nocturia but my sexual function was preserved.
@@terrydavenport7480 have you taken phenazopyridine? Little red pills that turn your urine orange (box of 20 at Wal-Mart $3.97) get a couple boxes take one every 4 hours to start and then only as needed to stop pissing razors!
@@lamarrharding4776 yes i have can you take to much of that medication. It's been a week and in can leave the house I can not control my bladder some times I don't make it from my room to the bathroom. It been a week since I had the procedure done. I stand at the toilet for about 3 mins to finish. Where is you're practice located or maybe we could do a consultation over the phone. Please let me know something. N
First off I am just another victim. The prescription I got from my primary care physician was for 200 mg 3 times a day, so I would imagine that the non prescription strength would be safe. I know my friend who just had a TURP said that it helps immensely. My Urologist just told me that he had never heard of pain after the procedure. Six months after I still spray Aspercream with lidocaine between my legs when the pinching sensation gets to intense. Next month I'm going to see Dr Gaines who was supposed to have pioneered the proceedure to see what can be done now!
Well, almost correct, Doctor. The FDA did not approve the Urolift PROCEDURE, but only the Urolift DEVICE. The device approval was based upon the L.I.F.T. study of 140 operated patients and 66 control patients. This is a small number of cases, and I would have expected reference to a much larger database of outcomes of the treatment, particularly since the device was approved on the basis of a limited number of cases 12 years ago. Can you provide longer term followup in a getaer number of cases? T. Holohan M.D., FACP
Would the UROLIFT be compatible with an avid male bicyclist who rides 30-60 miles of bicycling 4-6X per week ?? Is bicycling a contraindication for the UROLIFT procedure and hardware ??
Urolift only lasted one year. I suspect my prostate was too large and one of the clips did not fully extend. Also, I believe I had a medium lobe that extended into the bladder. I initially wanted the urolift to avoid the more complicated Laser Turp Surgery. For me it was a bad choice. Medically, the urolift was easier (done in the doctors office) with a fairly quick recovery. Initial results were good but nowhere near the relief after I had the Green Lite Turp Surgery. The surgery was extensive and recovery was long and difficult but ultimately it made a HUGH difference in urinary flow.
@@mytaylor432 They removed the clips during the green light surgery. I had the catheter in for a week to 10 days. It was a relief to get the catheter out but healing continued for another week or so.
@@aprendeyviveahora this seems a avoided question . I'm wanting to find out what happens after surgery but never get a proper answer. Does it still work after a few weeks or is that the end of sexual functions...
I had a Urolift done without any pain or discomfort though now it seems that I am having the same issues two years later. I have to pee frequently with very little coming out at night I am up every hour going to the bathroom. Is is possible to have it done again, I am wondering what to do
I was planning to do the urolift before covid but it was postponed. I was waking up 4+ times a night to go to the bathroom. I also was having weak stream and would be at a urinal longer than the average guy while people waited. Really a self conscious situation. I read somewhere that going to the bathroom all the time kind of trains your mind and body to go even when you only have to urinate a little. To make a long story short, during covid isolation, I trained myself to stop going at the slightest urge. It took a lot of effort and many nights of waking up thinking should I go? While I still do wake up, it's now 1 maybe 2 times. Sometimes I sleep through the night. Good luck!
I had a Urolift procedure done in Houston in February 2021 and I have gotten no relief. I am still taking Flomax to ease urination. I asked my doctor and he gave me additional medication for overactive bladder, infection, etc. to no avail. He never suspected if the procedure may have been faulty. finally, I asked him to use the scope and see if my prostate is open and there is no further abstraction. Upon using the scope he explained that there are tissues hanging in the middle that blocks the urine to flow easily and he suggests going in and removing the extra tissues but I have to wear a catheter for few days. He also added that this is very unusual. Frankly, I didn't trust him, his explanation was at least questionable. I know Urolift is approved by FDA but I suggest the doctors and the FDA need to go back and revisit their analysis.
@@WildnUnruly No, I have become completely disappointed with any and all procedures. I spoke to another Urologist who told me not to waste my time and money on these fancy procedures and do Turp which is the only effective way.
@@MrOlivier1967 Actually, my cousin did it this past March of this year at the University of Missouri and it seemed to work only for a short while and now it's back to the way it was.
@@esfanintan Are you talking about the Green light laser pulverization of the prostate? Because once the exes of the prostate tissus are removed, it takes a very long time to re grow and most of the time it doesn't.
My urologist at the VA told me yesterday that he has had to remove many Urolifts and that there is about a 50% failure rate. He says the CT showed a normal sized prostate, but I have a curve in the urethra he has to ream out. I am scheduled to have surgery in March 23 and I am going to get a second opinion.
Thank G-d this Doctor advised on his video that the Median lobe can be done with the Urolift 2 machine.This changed everything and he is the first Doc that apologized for saying Previously with a median lobe can't be done.So he is my hero.
Hi Daniel, I have a urolift in my prostate that is relatively small, about 43cc. I improved a lot but since they put it on I started to urinate more frequently, because my bladder fills with only 140 miliiters of urine and I can't stand the urge to go to the bathroom. You can help me, thanks in advance.
I just had the procedure done almost a month ago . Still need a catheter . Every time they take it out . Having hard time urinating . Just recently found out that I have an infection . I’m having second thoughts on having this done . I was able to urinate before urolift . Now it’s a struggle to urinate . Urgency , pain and discomfort . Now I am seeing new urologist for second opinion . I believe I’m in good hands now . To who ever considering this . Do your research and read reviews . Not saying it’s not going to work but be mindful . It’s going on almost a month and I’m very concerned . Dr that did my surgery basically told me that everything is clear and there’s no blockage. My question is . Why can’t I urinate ? I should be able to pee like a race horse . I’m on antibiotics now so maybe that might help . New doctor is going to take care of me . Should have just had turp . I’m 46 and been having urgency problems for over 10 years now . Has anyone else had this procedure. Who could relate ?
Very similar to my situation. Had the Urolift done 2 weeks ago and I still need the catheter. Was able to urinate before. They say it's still healing. Good luck.
@@RonHartmanNet Hey Ron it’s almost a month and still having hard time urinating . Now I’m seeing new urologist . Thinking about having Turp done . He looked inside. Still swollen. I’ve have catheter in and out for about a month . Catheter back in . Scheduled Turp in mid February
@@danielandino3193 Hi Daniel, good luck with the Turp. I had looked into that but the Urolift sounded much less invasive. But they really downplay problems with it. I see my doctor in 2 weeks, and if I'm not doing better, will need to look into other options.
Can you determine the situation with the median lobe by ultrasound? or do you need a camera up there to determine if the median lobe is into the bladder or too big. Also - what about over time if this stops working or becomes ineffective ... does it affect the next steps or remove some other operations from consideration? Can Urolift be done twice?
Thanks, Doc, for a great video. I had the procedure done 10 days ago. I had complications in not being able to urinate afterward and had to have a catheter re-installed. My prostate is 2/3 normal size at 19 grams. I'm wondering if that contributed to the complication. I spoke to my Urologist over the phone, but have not visited with him yet for a follow-up. Doing fine now. But I wonder if you have seen this before? If the "stitch" is too long would that not just allow the prostate to return to its original configuration?
Had it done twice now. Problem is the prostate continues to swell around the clips, rendering the process worthless after about 3 years, so now researching other procedures for the third fix.
Thank you sir , for sharing your knowledge , going to have this procedure done , I am 65 and fit outside , I don't like fact putting foreign objects in me , but life goes on . Thank you for video
Thanks Doctor Daniel. If the Urolift gives 3 years comfort (from what I have searched), are the original staples removed during the second procedure, and how or are, they left in place?
I was extremely pleased with the Urolift procedure, but after only 3 months my BPH symptoms were as before or slightly worse. Could this be due to the urologist’s not evaluating the prostate adequately before judging it suitable for the procedure or possibly not properly positioning the sutures? If a reevaluation deemed me a good candidate and if the procedure can be repeated, I would consider having it done again.
I've had urine retention a few times. Seems the prostrate flairs up with infection and swells pressing on the bladder so when u go bursting to go u don't fully empty and have to go again and again.. If it stops as has done with me first time hospital to be catheterization drain it off and antibiotics.. I was prescribed ciprofluxian. 10 days 500 mg... second time I self did it as was given them at the hospital very easy to do... I just phoned up surgery doctor who prescribed Trimethropin 1 month course it cleared it. I was self catheterization for about 4 days before it started the prostrate to reduce with infection.. I'm. Now awaiting laser holep surgery very soon
Hello Dr. I just came across this video. I am experiencing BPH . I just had mine looked at through one of the procedures you mentioned. My urologist says I am 28 grams but want say about how big it is . He is pushing the urolift. . I don’t want it . Now after watching your video. My question is what happens in the future prostate want to get a little bigger with a urolift. Would that pull the outside clips into prostate. ?
I was told the Urolift was good for 5 years when the prostate grows again and blocks the urethra. I also was scheduled for 8/9/2022, and was told by my Internist, to reconsider given the issue, "if you can still urinate downhill, do not bother with this procedure" so that says it all.
This was a good video , but I have a gripe with the commercialization of this procedure. While searching for reviews the youtube world only seems to contain testimonials and patient reviews from clinics were the patients state no catheters needed , very little pain and after a couple days later they were back at work peeing like a racehorse. I have gotten the procedure 2 weeks ago and am hopeful it will work , and people reviews to these videos seem so state that is very successful in the end but that actually the pain free experience seems very rare. As for my experience so far the actual operation went well under General Anesthesia . The doctor put a catheter in just in case (he stated he always does this as a precaution) and told me to keep it in for one day. It was a terrible day , my Bladder kept having spasms. After 1 day I removed the Catheter to about 15 seconds of blood. At first I had to urinate about every 10 minutes with very little coming out and was still having painful Bladder spasms ( it was very painful even taking AZO). After about five days the urine stream started improving and I would only have to go about every hour (day and night) and while it still burned it was now much more tolerable. One very bad problem I had was that I got severe constipation even though I took Miralax and a stool softener. This was made much worse by the fact that every time I tried to push a little to poop my bladder would severely spasm. Even though the constipation is finally easing up (day 8) I am still having some urination problems where after I finish peeing I will have several bladder spasms about 30 seconds later where a little more urine will come out. I still get up about 3-4 times a night. My doctor says this is to be expected and give it a couple of WEEKS to subside. As I said if this works I am okay with it but I still think these testimonials should also include some realistic people that have had side effects. I am keeping my fingers and other things crossed.
Hi James, I think your right the side effects of this procedure should ease off over time but everyone is effected differently . I have just been told I have bph and the doctor has asked me to start taking the prescription .
Why is general anthenesia not recommend for the urolift procedure. I have read many review that there is significant pain associated with the urolift procedure when only local anesthesia is used
We do a general anesthetic or sedation in my office for the procedure because I feel it makes a better patient experience. Other people do prefer local anesthetic because many patients do tolerate the procedure under a local and they can actually drive themselves to and from the procedure. I think it is a good question to ask the urologist doing the procedure. If the cystoscopy was very uncomfortable, I think a local anesthetic may not be the best option.
I had this procedure at the end of 2020. Made very little difference. Based on my result, not to mention a painful recovery, I would not do it again. It does not work as advertised !
I had my second UROLIFT which made my problem worst. URGENT need to urination and inability to control the urge. I had to stay in the hospital 2 nights and three days. I am very disappointed with this procedure. I would never recommend this surgery to anyone. I was told that they could reverse the surgery, but they seam to avoid the subject wherever I ask about it. I'm a lot worst now and having to wear a diaper is very difficult for me.
@@westrokker They should stop giving out fault information about the UROLIFT surgery. I really had a hard time with my second surgery. They wanted me to stay the third night in the hospital after my surgery because of all the problems I was having. I cannot believe that I let the doctor talk me into a second surgery. I really have to watch and pick the places that we go because of I cannot control my Blatter Spams. I wish some of these Doctors that promote this surgery would get in touch me. I could rain on their parade. Have Bless Day!
Theoretically this procedure does NOT work! The urethra and prostate are 3 dimensional NOT 2 dimensional as in the drawings and videos. To fully open the tubular urethra you would have to pull it open two ways, each way perpendicular to each other (imagine pulling the neck of a balloon apart with you fingers, the other sides still touch). That takes two spacers, but then that is not enough so you would have to install two more spacers down the tube and so on spaced so there is no touching along the way. Then the question is, WHAT IF IT DOES NOT WORK? HOW DO YOU REMOVE THEM?
Can laser be used in conjunction with Uralift around the bladder entrance?? I had problem with medium lobe and green light laser was combined with 8 clips!
I've only read 100 of the 290 comments. The comments by those who have not experienced the proceedure praise the lecture. The rest of the comments by those who have had the proceedure are 100% fail. WTF% (72 year old male needing BPH help) Desperation makes us take these chances. I think the MD's count on it. My urologist is a predator/bully. He said "Flowmax, catheter or surgery are my only options." The only test performed was a finger wave and a urinalysis. Run
I imagine that some day I will reach the point of desperation and I may have to choose one of the proceedures. I'll know better when I get there. I'm certainly not going to pay some institution to cut me up on the chance that there might be some imrovement. It'll be like swaping one misery for another, only one party gets richer and walks away smiling. The other gets poorer and soldiers on as before. @@cocoanutte
I am wondering as I read information regarding Urolift, if it also helps correct they BPH symptom of URGENCY and the feeling of not being able to hold it ? Mine is terrible !
how are the clips removed if need be at a later date? can the patient stop taking finasteride and alfuzosin after the procedure? and doe the prostate continue to grow if the meds are stopped?
Clips can be pulled off pretty easily at a later date or cut out. Most men stop their medications shortly after the procedure. The prostate does continue to grow. There is decreased bloodflow and atrophy to the tissues between the clips. We do see some regrowth of tissue between clips over long periods of time.
@@pnus thank you for your response. i have seen 4 urologists and have been given 4 different surgery options. obviously they cannot all be correct. i need to do something. wish you were closer to me geographically.
@@garykay7418 Yeah. My urologist NOW tells me they have to roto-rooter it out to remove it. I need more opinions, too. I can't understand why they can't just pull or push the pins out.
@@genepozniak The pins are probably "grown over" making them hard to pull out. They may have to rip them out. (I had Urolift about 10 months ago and it hurt something awful), so far though, I am better now than before the procedure was done....good luck......
@@robertstancliffsr9575 I finally had an MRI done last week, so we'll see if there's anything extraordinarily wrong to report. Two months after the Urolift, I was told by the surgeon that the only way to remove the pins would be to just "roto-rooter" them out, which is the traditional prostate surgery. This would obviously just make things worse. What pisses me off is that the company that developed the pins and the technique initially advertised it as being "easily reversible" and my surgeon never contradicted me when I mentioned that before the surgery. In fact, he never once went over any kind of "pluses vs minuses" with me. He was always just gung-ho about it. Obviously, bringing in the cash was the only thing on his mind. Those ads were gone 2 months after my surgery, as I'm sure they'd already started being sued, which is what I'm probably going to do. It's been 2 years, and though it's not as painful day to day or during ejaculation, semen quantity is about 1/10 was it was before and it's still not the wonderful experience it used to be, AND I still need all the same meds I used before just to be able to urinate semi-normally.
Thank you for the information. I'm interested in long term. How long has this been around. Do you have to do it again. Do you end up having the rotor rooter anyways. Does that foreign object cause increased infections or mucus plugs. I was surprized how the body reacts to a catheter. I have been dealing w/ a blocked cathater, 4 UTI's w/ 4 courses of antibiotic treatments.
Good. Some questions: How many procedures should a surgeon have done to be considered an expert? Has painful ejaculation been reported as an adverse outcome? Is there a risk that the prostate may become distorted and out of shape as it is squeezed by these retractors, thereby in fact aggravating the problem it is intended to ameliorate? Thank you.
4:23 - "Men with prostates much larger than 100 cm in size ... probably not going to get a good benefit" What do you mean 100 cm in size? Did you mean to say cubic centimeters? You were just talking about width and length and general volume, but what metric do you mean by centimeters?
I have been on finasteride for a few years now. It has relieved my urinary issues and, I assume, the perineal pain I was having. I would like to get off the drug as it seems to be affecting my "libido" or perhaps being 72 is the cause. If I get the urolift procedure, will my prostate enlarge to the point where I have perineal pain again?
Will the urolift be effective with sleep urination? I also urinate 30 to forty times in a 24 hour period. I believed that the urolift would make the urination during sleep worse.
Many urologists would rather do a urolift first for patients with radiation to the prostate before trying a TURP. Procedures that remove tissue and require healing and after radiation treatment healing is very difficult and can have a higher complication rate.
Thank you for your video. I learned much about urolift and I'm intersted in the procedure. I want to preserve my ejaculatory functino and my prostate size is within range. I do have a medium lobe and would like to discuss this with an expert who would be able to treat me. Would you have any recommendations for me?
Doc - what about use with a prostate that was radiated for PCa? My BPH symptoms have been slowly coming back since I finished ADT and testosterone has been recovering. PSA remains undetectable (has been for 2 years.)
We have done a number of patients post radiation. Urolift is a much safer option than a transurethral resection of the prostate after radiation and so far have had good results.
@@pnus - thanks much for the response. It reassures me on having this done. Just back from a Urodynamics Study where the nurse couldn't get a catheter past the prostate (she tried 3 different diameters). The study was successful in identifying where the restriction is - hopefully a Urolift might be of help. At least I can still urinate, even if it takes a while. Thanks again!
My name is Malcolm Sheehan and I had this procedure several years ago. The original Urolift video whilst showing the methodology also said if results were a failure the coils could be removed. I would like to have some advice as how to procede on this.
how often do u see patients with an average size prostate suffer from urinary symptoms that we typically relate to BPH? i'm 55 and for unrelated reasons (trying to hold onto my hair) am already taking propecia & saw palmetto daily. symptoms started about a year ago. i can void 100% (3 separate tests confirmed this), no have "urgency" symptoms, have an average size prostate, don't feel like i struggle to urinate...... but my bladder aches all the time which gets worse with any volume. from all the research i've done, my very unprofessional opinion is that it falls more into the IC category than BPH. the local urologists are quick to offer rezum/urolift but none have made a convincing argument as to why those procedures would help my bladder stop aching all the time. any thoughts much appreciated.
Please help! I got the urolift procedure done over a month ago but I was still unable to urinate I was put on the pee bag for over 2 weeks. I go every week but still am not able to urinate. They took the bag off but not I rely on disposable pipes for me to be able to do my business. What do you recommend me to do? Anyone know any great doctors in san diego??
Were you able to urinate before the procedure? Sometimes you may need to proceed to a more invasive procedure such as a TURP which is better at treating urinary retention. I would see another urologist for another medical opinion.
@@pnus Yes I was able to urinate before the procedure. I went to my doctor, and he said that he would perform a laser operation on me in a month. Is it possible for it to be done when I already have the UroLift implant?
#Urolift completely and permanently destroyed my life !!!! Now I am faced with my new urologist wanting to do another surgery (greenlight) to correct to the botched UROLIFT procedure. I am told I would have to self catheterize everyday possible for the rest of my life. My symptoms now are WORSE than before Urolift. Please be advised and don't say I didn't warn you if you get this procedure !!!!!
I am in the evaluation process with full urine retention and catheter for 7 weeks and two failed trials. US showed a 80cm prostate which is 30cm larger than the rectal exam suggested - during which the urologist recommended the urolift. I had already decided against Urolift due to the overwhelming negative reviews about it and the multiple of positive reviews of Aquablation which I am favoring at the moment. Your warning is very much appreciated, thank you
Daniel, thanks for the video, great stuff!! I am on blood thinners, as long as I am off them prior to the procedure, you feel that may be OK? I have always had my cardiologist get me off them about 4-5 days prior to any procedure/surgery.
Thank you for taking the time to create this video and the explanation of the limitations to include a median lobe issue.
Excellent synopsis doc, especially of the limitations of the procedure. These are very important points that you made and not applicable to everyone. I for one, and considering the procedure and I was wondering why I would not be able to have it done. Thanks again doc and great job!
I am in the evaluation process with full urine retention and catheter for 7 weeks and two failed trials. US showed a 80cm prostate which is 30cm larger than the rectal exam suggested - during which the urologist recommended the urolift.
I had already decided against Urolift due to the overwhelming negative reviews about it and the multiple of positive reviews of Aquablation which I am favoring at the moment.
Your warning is very much appreciated, thank you
Very well done: great pacing and strong graphics for the lay audience that will help them understand limitations.
Yes I had the procedure 3 years ago and It was one of the WORST decision I have ever made. I regret it. I am now suffering the consequences because the #Urolift procedure has made my condition worse than it was before.
@Eleven Eleven Thank you for sharing your personal experience. I pray and hope you are able to get relief!
I've had two UROLIFT surgeries. The second one was supposed to have corrected what the first one was unable to do. The second surgery made my condition worse. I had to stay in the hospital two nights and three days. I had one more painful experience. I would not recommend this surgery to anyone. Now I have urgency incontinence and pain in lower abdominal.
@@buddyjames8451 agree 100%
It may provide temporary relief for some but my procedure made it worse and it was awful and miserable and still have issues today because of the procedure. My new urologist wants to try the water / steam method treatment. Forget the medical name for it.
Ditto here, absolutely the worst thing I have ever done. I can’t believe I fell for their marketing hype and the doctor’s recommendation.
Well, I just finished by second Urolift a few days ago. It was in office under valium and local anesthetic. Because it was a redo, a company rep from Urolift was present to observe. IT HURT LIKE HECK! That was on Tuesday. Today's Saturday and I still have significant blood in my urine and it still hurts a bit when I pee. The flow is a bit better, but not what I thought it should be by now. I assure you, this was my last Urolift. I read somewhere that the FDA shows Urolift has a 14% failure rate within 5 years. When I mentioned this to the company rep, she became defensive and corrected me indicating it was actually 13.5%. If this one fails at any point, they'll be hearing from my lawyer.
It's nice that you have a lawyer. Most of us have no recourse at all.
I had one done in Feb 13 2022 and today Jan 21 2023 my urgency to urinate is every 15 to 20 minutes .I can not stand it.
@@georgeguerrero7943 Sorry to hear that George. Has this been going on for the entire year? What does your urologist say about it? My situation is nowhere near as severe as yours, nevertheless, lately I've noticed my stream getting weaker and I drip a lot longer.
Two failed Urolift procedures. Stress, long walks, and ladder climbing increase pain, bleeding and passing bloody clots. Changing the size of the pipe--is a stupid response to a faulty bladder level sensor. The cramping and intense need to pee when I have 200 ml of fluid in my bladder was the original problem.
I feel your pain, Stan. My second Urolift has failed. I'm lucky to pee 2oz at a time with considerable discomfort during the day. At night, it's the opposite problem. Last night I was up four times in five hours and peed over 44oz (14,12,10,8). I'd like to find an attorney who'd consider a class action on behalf of us. Still, I never empty completely.@@stankrajewski8255
Thank you for the clear and honest explaination of a procedure that is not for everyone.
Again this Doc knows what he is talking about and thanks G-d for his videos, changed my life.
My husband had the urolift procedure done in 2017. Now encrustation occurred when minerals from the urine deposit on the surface of the indwelling urolift implant. On 3/30/22, he had a cystolitholapaxy procedure to remove the "stone" encrusted on one of the implants. At the follow up visit, the urologist told us that only 50% of the "stone" was removed and my husband have to undergo another cystolitholapaxy procedure to remove the remaining "stone". My husband has low pain threshold, it was exhausting to take care of him postoperatively. He took Norco before bedtime, due to the constant irritation after the procedure. Then the narcotic induced sleep apnea happened, his pulse ox dropped to 88% at one point. It was a sleepless night for me.
In my opinion , I do not recommend urolift procedure, it is a good quick fix but does it worth to go through the potential pain and sufferings in the future?
You must be an angel to do that.
Did you find out anything about how frequent your husband's specific issue was?
Who's to say that he would not have had worse pain, or you had more care taking to do than you already did?
Thanks for posting your experience.
I had the Urolift procedure 4 years ago and have similar problems to your husband. I also got a hernia right after the procedure that required surgery. When I contacted Urolift they showed no interest. Statistically my operation is probably recorded as a success. After 9 months of suffering I had PEA for my BHP which was a success, but the Urolift implants still create problems.
I had the same issue, my Urologist removed the Urolift and gave me a Turp. What an awesome Wife you are! Thanks for sharing.
same with me. My new urologist is going to perform a surgery to remove a pin of a failed urolift forming a calcium stone. stay away from this procedure.
My husband just had Urolift, he’s been in excruciating pain, blood clots. Went to ER was in the hospital 4 days, nurses irrigating catheter. Then after he was discharged he had to go back to the urologist who did procedure, he’s at office now!
Very helpful presentation. Also, I appreciate the comments from all the patients below with many indicating unsatisfactory or short-lived results. I'm going to look into the recent literature on complications and patient satisfaction.
I had the procedure 18 months ago. Before the procedure, I had bouts with acute prostatitis, occasional Foley catheters, intermittent catheters, acute renal failure due to an obstructed urethra, and medication. Since having the procedure, in conjunction with a bladder neck incision, I haven’t had any serious issues. I still have some days where my flow isn’t as strong as it was as some nights where I get up more often than usual, but I’ll take the good with the bad to stay off of meds and to avoid any sexual side effects.
Urolift lasted for me for only two years. I was hoping it would be five or even ten. Urolift also refused to talk to me to discuss my problem. Does anybody have ideas as to how to extend the lifespan of my urolift implant?
My doctor only did a cystoscope and not an US or MRI. I would highly recommend anybody thinking about doing this procedure be adamant with their doctor about getting an ultrasound or MRI first to get a better picture of the size of your prostate.
Yes! Right!!! Get a ultrasound first!!! Before getting a urolift!!!!!
Correct you are. I’m getting an MRI in January. I’m demanding that and a cystoscopy.
Who should avoid Urolift? EVERYONE! I had it, what a disaster! I underwent many tests ahead of time to ensure I met all the criteria. I was told by my urologist I was a perfect candidate; that it would definitely provide significant improvement. The only results I’ve had are significant pain and some kind of damage to my urethra. When I am able to pee, it sprays everywhere except into the toilet. I wish I never had heard of Urolift!
Urolift made my condition WORSE !!!
YOU'VE BEEN WARNED !!!
Had procedure done in January. I’ve had no problem since procedure. 3 days of a little discomfort. Complete 48 days of radiation clips where also used as treatment markers. Pee Like a firehouse
It's good to finally hear a success story. I'm thinking of getting it done, but my only noticeable problem is slower urination. Maybe that's not such a big problem.
Too early for you to tell. Had my Urolift done in May 2020. Lasted about 18 months. Went to different urologist and was told the urolift didn't work for my kind of prostate. Had 6 Uti since. 3 in just a 4 month period in 2022-23. Funny my symptoms did get better from may 2022 to jan 2022. Then got worse. Looking for other alternitives.
had it done and im fine worked great
Dr., Thank you for thoroughly explaining the procedure.
Dr. RezniceK: Question: Would you recommend the Urolift procedure for a man who is normally very active? For example, an active old guy in his mid sixties who is of a healthy body weight (BMI) and who jogs, bikes, does a little martial arts (which includes jumping and kicking), and who also does animal flow exercises which includes a lot of squats. I'd hate to think of the device working loose. Ouch! If not, what procedure would you recommend? Thanks for your good videos. Keep posting, doctor.
No answer for these questions re to 19 gauge wires with second 'spring role' inside very sensitive body part. My second question was ' how can you pull it out if spmething wrong happen, and s.o. for reasonable new technik? No answers...
I haven't (yet) seen or heard of anyone breaking an implant. The prostate is deep in the pelvis and very much fixed in place. It is hard to get shearing forces or an impact that moves the prostate on one side relative to the other side. For example, if you got kicked in the perineum, the whole prostate may move up and down but the implant isn't stretching or moving apart.
@@pnus Thanks.
AS the Prostate continues to grow, as it will, what is the effects on the Prostate with this procedure?
Today the prostate health has become an important issue for all men. I was introduced to dr udoka on UA-cam who cured me with his herbal remedy
I have had s the urolift procedure..I have an obstructive median lobe.......the procedure failed.....bph has returned....had cyctoscopy performed .....recommendation was turp.......Question:.....what happens to the urolift wires and anchors during turp?.....is this a complication? and thank you!! great info..
I would like an answer to this as well. During my Urolift procedure one of the needles hit a bone during the procedure. I screamed out, WOW that hit a bone! No reply from the DR. When we finished up, I asked him again about it he just said the procedure went well. It's now been 2 years since I've had the procedure. It has never worked like advertised. For a week after the procedure I felt urgency to void but nothing would come out. Dr. said this is normal and would get better soon. The only relief I could get was sitting in a bathtub of warm water. I usually sit to piss to keep it from going everywhere. I have pain in the area where the needle hit the bone during installation. It radiates out to my hip. Reading the replies on here I now have another thing that concerns me relative to stones in the bladder. I wish I never had this procedure performed!
Thank You so much for this info. I am going for this procedure in a couple of weeks.
You seem to be a very honest and caring person. I am much more relaxed now.
Thank You again.
Pls let me know how it went and if you got good results😁 i hate taking flowmax👍
@@kttango9662 Most people will probably be OK, but I found out the hard way that doctors do NOT want to talk about the small % like me who should have stuck with meds.
@@genepozniak oh?? What happened? Im still on the fence about it👍
@@kttango9662 Click on "Read more"!
@@genepozniak ya it doesn’t say anything 😐
I have not done the Uro Lift procedure yet cause I do not feel good about the.possible problems. Glad I saw your video. I saw an article about a arterial lol procedure that blocked blood from going to the prostrate which in turn reduce the size of the prostate - side effects?
I had this procedure done Dec 2023 after i had seen the urolologjst for being in urinary retention. Although i had requested aquablation, the urologist talked me into urolift. Worst decision. The procedure was painful and should always be done with general anesthesia. But most importantly it just didnt work. After the catheter was removed, i still couldnt void - so the dr showed me how to self cath. I then got a second and third opinion to include cysto and both dr advised i was completely obstructed. I recently had aquablation and nearly 90% back to normal.
Not sure why some dr are pushing this procedure, but i would not recommend it.
Best of luck!!
Urolift completely and permanently destroyed my life !!!! Now I am faced with my new urologist wanting to do another surgery (greenlight) to correct to the botched UROLIFT procedure.
I am told I would have to self catheterize everyday possible for the rest of my life. My symptoms now are WORSE than before Urolift. Please be advised and don't say I didn't warn you if you get this procedure !!!!!
I'm praying for you okay. I have an enlarged prostate and kidney stone history. Trying to weigh, what to do.
THANK YOU FOR YOUR HONESTY IN SAYING WHAT IS SAFE AND WHAT IS NOT SAFE IN THIS PROCEDURE.
PATRICK CESPEDES FROM TORONTO, CANADA.
You have provided a great service with all of this information. Thank you so much!!!
He did try to explain what can go wrong. I had it done March 3 and it still feels pinched constantly! If I'd had any idea of how painful it would be I WOULD HAVE NEVER DONE IT! I have an appointment with another urologist September 4th and I will ask if he can take them out. I still have urgency and nocturia but my sexual function was preserved.
I had it done about a week ago and still straining to urine dam it painful
@@terrydavenport7480 have you taken phenazopyridine? Little red pills that turn your urine orange (box of 20 at Wal-Mart $3.97) get a couple boxes take one every 4 hours to start and then only as needed to stop pissing razors!
Look for AZO the one with Phenazopyridine
@@lamarrharding4776 yes i have can you take to much of that medication. It's been a week and in can leave the house I can not control my bladder some times I don't make it from my room to the bathroom. It been a week since I had the procedure done. I stand at the toilet for about 3 mins to finish. Where is you're practice located or maybe we could do a consultation over the phone. Please let me know something.
N
First off I am just another victim. The prescription I got from my primary care physician was for 200 mg 3 times a day, so I would imagine that the non prescription strength would be safe. I know my friend who just had a TURP said that it helps immensely. My Urologist just told me that he had never heard of pain after the procedure. Six months after I still spray Aspercream with lidocaine between my legs when the pinching sensation gets to intense. Next month I'm going to see Dr Gaines who was supposed to have pioneered the proceedure to see what can be done now!
Well, almost correct, Doctor. The FDA did not approve the Urolift PROCEDURE, but only the Urolift DEVICE. The device approval was based upon the L.I.F.T. study of 140 operated patients and 66 control patients. This is a small number of cases, and I would have expected reference to a much larger database of outcomes of the treatment, particularly since the device was approved on the basis of a limited number of cases 12 years ago. Can you provide longer term followup in a getaer number of cases?
T. Holohan M.D., FACP
Would the UROLIFT be compatible with an avid male bicyclist who rides 30-60 miles of bicycling 4-6X per week ??
Is bicycling a contraindication for the UROLIFT procedure and hardware ??
No answer to this question ?
I run every day and plan on running till I no longer can.
What are the effects on a very active lifestyle ?
Urolift only lasted one year. I suspect my prostate was too large and one of the clips did not fully extend. Also, I believe I had a medium lobe that extended into the bladder. I initially wanted the urolift to avoid the more complicated Laser Turp Surgery. For me it was a bad choice. Medically, the urolift was easier (done in the doctors office) with a fairly quick recovery. Initial results were good but nowhere near the relief after I had the Green Lite Turp Surgery. The surgery was extensive and recovery was long and difficult but ultimately it made a HUGH difference in urinary flow.
How long was recovery and did they take the clips out?
@@mytaylor432 They removed the clips during the green light surgery. I had the catheter in for a week to 10 days. It was a relief to get the catheter out but healing continued for another week or so.
Get off all sugar and carbs. Can take up to a year. But it will get small again. ;)
Does that green lite turp surgery affect your sex activity?
@@aprendeyviveahora this seems a avoided question . I'm wanting to find out what happens after surgery but never get a proper answer. Does it still work after a few weeks or is that the end of sexual functions...
I had a Urolift done without any pain or discomfort though now it seems that I am having the same issues two years later. I have to pee frequently with very little coming out at night I am up every hour going to the bathroom. Is is possible to have it done again, I am wondering what to do
That's because the prostate continues to grow as we age. You may need a touch-up
I was planning to do the urolift before covid but it was postponed. I was waking up 4+ times a night to go to the bathroom. I also was having weak stream and would be at a urinal longer than the average guy while people waited. Really a self conscious situation.
I read somewhere that going to the bathroom all the time kind of trains your mind and body to go even when you only have to urinate a little.
To make a long story short, during covid isolation, I trained myself to stop going at the slightest urge. It took a lot of effort and many nights of waking up thinking should I go? While I still do wake up, it's now 1 maybe 2 times. Sometimes I sleep through the night. Good luck!
Had this done,it did nothing,going back for the turp,hope it works,have not had a good nights sleep in years
Agree, very well done and to the point. I believe this is how most people would like information videos…..thanks again…
I had a Urolift procedure done in Houston in February 2021 and I have gotten no relief. I am still taking Flomax to ease urination. I asked my doctor and he gave me additional medication for overactive bladder, infection, etc. to no avail. He never suspected if the procedure may have been faulty. finally, I asked him to use the scope and see if my prostate is open and there is no further abstraction. Upon using the scope he explained that there are tissues hanging in the middle that blocks the urine to flow easily and he suggests going in and removing the extra tissues but I have to wear a catheter for few days. He also added that this is very unusual. Frankly, I didn't trust him, his explanation was at least questionable. I know Urolift is approved by FDA but I suggest the doctors and the FDA need to go back and revisit their analysis.
@@WildnUnruly No, I have become completely disappointed with any and all procedures. I spoke to another Urologist who told me not to waste my time and money on these fancy procedures and do Turp which is the only effective way.
@@esfanintan How about the Green Light laser pulverization of the prostate?
It is very effective.
@@MrOlivier1967 Actually, my cousin did it this past March of this year at the University of Missouri and it seemed to work only for a short while and now it's back to the way it was.
@@esfanintan Are you talking about the Green light laser pulverization of the prostate? Because once the exes of the prostate tissus are removed, it takes a very long time to re grow and most of the time it doesn't.
Go to Mayo in Phoenix and ask for Dr. Tyson.
5 years and has worked perfectly.
Please post your success at the 8 year point. We will be waiting to hear from you.
@@watersbey25what is the significance of 8 years?
@@jackfromthe60s Because I can't find any success stories of Eurolift working past 5 years. I'm just wondering if you have any facts I should know
My urologist at the VA told me yesterday that he has had to remove many Urolifts and that there is about a 50% failure rate. He says the CT showed a normal sized prostate, but I have a curve in the urethra he has to ream out. I am scheduled to have surgery in March 23 and I am going to get a second opinion.
Thank G-d this Doctor advised on his video that the Median lobe can be done with the Urolift 2 machine.This changed everything and he is the first Doc that apologized for saying Previously with a median lobe can't be done.So he is my hero.
Hi Daniel, I have a urolift in my prostate that is relatively small, about 43cc. I improved a lot but since they put it on I started to urinate more frequently, because my bladder fills with only 140 miliiters of urine and I can't stand the urge to go to the bathroom. You can help me, thanks in advance.
I just had the procedure done almost a month ago . Still need a catheter . Every time they take it out . Having hard time urinating . Just recently found out that I have an infection . I’m having second thoughts on having this done . I was able to urinate before urolift . Now it’s a struggle to urinate . Urgency , pain and discomfort . Now I am seeing new urologist for second opinion . I believe I’m in good hands now . To who ever considering this . Do your research and read reviews . Not saying it’s not going to work but be mindful . It’s going on almost a month and I’m very concerned . Dr that did my surgery basically told me that everything is clear and there’s no blockage. My question is . Why can’t I urinate ? I should be able to pee like a race horse . I’m on antibiotics now so maybe that might help . New doctor is going to take care of me . Should have just had turp . I’m 46 and been having urgency problems for over 10 years now . Has anyone else had this procedure. Who could relate ?
Very similar to my situation. Had the Urolift done 2 weeks ago and I still need the catheter. Was able to urinate before. They say it's still healing. Good luck.
@@RonHartmanNet Hey Ron it’s almost a month and still having hard time urinating . Now I’m seeing new urologist . Thinking about having Turp done . He looked inside. Still swollen. I’ve have catheter in and out for about a month . Catheter back in . Scheduled Turp in mid February
@@danielandino3193 Hi Daniel, good luck with the Turp. I had looked into that but the Urolift sounded much less invasive. But they really downplay problems with it. I see my doctor in 2 weeks, and if I'm not doing better, will need to look into other options.
So sad, very similar to my experience. I wish I never heard of Urolift. Horrible experience.
Is prostate surgery performed by accessing through the bladder? If not why?
Can you determine the situation with the median lobe by ultrasound?
or do you need a camera up there to determine if the median lobe is into the bladder or too big.
Also - what about over time if this stops working or becomes ineffective ... does it affect the
next steps or remove some other operations from consideration? Can Urolift be done twice?
Thanks, Doc, for a great video. I had the procedure done 10 days ago. I had complications in not being able to urinate afterward and had to have a catheter re-installed. My prostate is 2/3 normal size at 19 grams. I'm wondering if that contributed to the complication. I spoke to my Urologist over the phone, but have not visited with him yet for a follow-up. Doing fine now. But I wonder if you have seen this before? If the "stitch" is too long would that not just allow the prostate to return to its original configuration?
How long will the urolift last or be effective?
Had it done twice now. Problem is the prostate continues to swell around the clips, rendering the process worthless after about 3 years, so now researching other procedures for the third fix.
Thank you sir , for sharing your knowledge , going to have this procedure done , I am 65 and fit outside , I don't like fact putting foreign objects in me , but life goes on . Thank you for video
Was your procedure successful and did it fix your issue? Thank you in advance...been giving this option and would like to see if it works
Thanks Doctor Daniel. If the Urolift gives 3 years comfort (from what I have searched), are the original staples removed during the second procedure, and how or are, they left in place?
I was extremely pleased with the Urolift procedure, but after only 3 months my BPH symptoms were as before or slightly worse. Could this be due to the urologist’s not evaluating the prostate adequately before judging it suitable for the procedure or possibly not properly positioning the sutures? If a reevaluation deemed me a good candidate and if the procedure can be repeated, I would consider having it done again.
Excellent clip.
Would I be excluded from the procedure if I have a nodule on prostate?
Thank you.
The photo is of my wife. What about the bladder neck. Will there be leakage?
I'm concerned about urine retention. Would like to know more about that thank you
I've had urine retention a few times. Seems the prostrate flairs up with infection and swells pressing on the bladder so when u go bursting to go u don't fully empty and have to go again and again.. If it stops as has done with me first time hospital to be catheterization drain it off and antibiotics.. I was prescribed ciprofluxian. 10 days 500 mg... second time I self did it as was given them at the hospital very easy to do... I just phoned up surgery doctor who prescribed Trimethropin 1 month course it cleared it. I was self catheterization for about 4 days before it started the prostrate to reduce with infection.. I'm. Now awaiting laser holep surgery very soon
I had a urolift tons of bleeding 3 days later I was in the emergency room unable to urinate do to blood clots
Hello Dr. I just came across this video. I am experiencing BPH . I just had mine looked at through one of the procedures you mentioned. My urologist says I am 28 grams but want say about how big it is . He is pushing the urolift. . I don’t want it . Now after watching your video. My question is what happens in the future prostate want to get a little bigger with a urolift. Would that pull the outside clips into prostate. ?
I was told the Urolift was good for 5 years when the prostate grows again and blocks the urethra. I also was scheduled for 8/9/2022, and was told by my Internist, to reconsider given the issue, "if you can still urinate downhill, do not bother with this procedure" so that says it all.
This was a good video , but I have a gripe with the commercialization of this procedure. While searching for reviews the youtube world only seems to contain testimonials and patient reviews from clinics were the patients state no catheters needed , very little pain and after a couple days later they were back at work peeing like a racehorse. I have gotten the procedure 2 weeks ago and am hopeful it will work , and people reviews to these videos seem so state that is very successful in the end but that actually the pain free experience seems very rare. As for my experience so far the actual operation went well under General Anesthesia . The doctor put a catheter in just in case (he stated he always does this as a precaution) and told me to keep it in for one day. It was a terrible day , my Bladder kept having spasms. After 1 day I removed the Catheter to about 15 seconds of blood. At first I had to urinate about every 10 minutes with very little coming out and was still having painful Bladder spasms ( it was very painful even taking AZO). After about five days the urine stream started improving and I would only have to go about every hour (day and night) and while it still burned it was now much more tolerable. One very bad problem I had was that I got severe constipation even though I took Miralax and a stool softener. This was made much worse by the fact that every time I tried to push a little to poop my bladder would severely spasm. Even though the constipation is finally easing up (day 8) I am still having some urination problems where after I finish peeing I will have several bladder spasms about 30 seconds later where a little more urine will come out. I still get up about 3-4 times a night. My doctor says this is to be expected and give it a couple of WEEKS to subside. As I said if this works I am okay with it but I still think these testimonials should also include some realistic people that have had side effects. I am keeping my fingers and other things crossed.
Hi James, I think your right the side effects of this procedure should ease off over time but everyone is effected differently . I have just been told I have bph and the doctor has asked me to start taking the prescription .
Did it work sir ..
Why is general anthenesia not recommend for the urolift procedure.
I have read many review that there is significant pain associated with the urolift procedure when only local anesthesia is used
We do a general anesthetic or sedation in my office for the procedure because I feel it makes a better patient experience. Other people do prefer local anesthetic because many patients do tolerate the procedure under a local and they can actually drive themselves to and from the procedure. I think it is a good question to ask the urologist doing the procedure. If the cystoscopy was very uncomfortable, I think a local anesthetic may not be the best option.
I had this procedure at the end of 2020. Made very little difference. Based on my result, not to mention a painful recovery, I would not do it again. It does not work as advertised !
I had my second UROLIFT which made my problem worst. URGENT need to urination and inability to control the urge. I had to stay in the hospital 2 nights and three days. I am very disappointed with this procedure. I would never recommend this surgery to anyone. I was told that they could reverse the surgery, but they seam to avoid the subject wherever I ask about it. I'm a lot worst now and having to wear a diaper is very difficult for me.
@@buddyjames8451 totally agree. Wish I'd never done it. I think it's a money grab. The commercials are very deceptive too....
@@westrokker They should stop giving out fault information about the UROLIFT surgery. I really had a hard time with my second surgery. They wanted me to stay the third night in the hospital after my surgery because of all the problems I was having. I cannot believe that I let the doctor talk me into a second surgery. I really have to watch and pick the places that we go because of I cannot control my Blatter Spams. I wish some of these Doctors that promote this surgery would get in touch me. I could rain on their parade. Have Bless Day!
I cringe at the thought. How do they get camera and needle and space to work?
@@user-jb1ck2xx8f I'm not sure, fortunately I was anesthetized !
Theoretically this procedure does NOT work! The urethra and prostate are 3 dimensional NOT 2 dimensional as in the drawings and videos. To fully open the tubular urethra you would have to pull it open two ways, each way perpendicular to each other (imagine pulling the neck of a balloon apart with you fingers, the other sides still touch). That takes two spacers, but then that is not enough so you would have to install two more spacers down the tube and so on spaced so there is no touching along the way. Then the question is, WHAT IF IT DOES NOT WORK? HOW DO YOU REMOVE THEM?
Wow! Great point 🎉! I ain't doing it
Can laser be used in conjunction with Uralift around the bladder entrance?? I had problem with medium lobe and green light laser was combined with 8 clips!
Mens with prostates larger than 100 cm in size?? That's 40 inches. Is that correct?
Ray Moro ...
*100 grams* not 100 centimetres.
It's actually cc they measure prostate in cc's.. mine is 120 CC's and I was told urolift is not good cuz my prostate is too big
I've only read 100 of the 290 comments. The comments by those who have not experienced the proceedure praise the lecture. The rest of the comments by those who have had the proceedure are 100% fail. WTF% (72 year old male needing BPH help) Desperation makes us take these chances. I think the MD's count on it. My urologist is a predator/bully. He said "Flowmax, catheter or surgery are my only options." The only test performed was a finger wave and a urinalysis. Run
Agree - I found some videos on reducing BPH by cutting carbs/sugar - Search Dr. Ken Berry and Dr. Eric Berg here on UA-cam.
I imagine that some day I will reach the point of desperation and I may have to choose one of the proceedures. I'll know better when I get there. I'm certainly not going to pay some institution to cut me up on the chance that there might be some imrovement. It'll be like swaping one misery for another, only one party gets richer and walks away smiling. The other gets poorer and soldiers on as before. @@cocoanutte
Does having a kidney transplant further complicate having the Urolift procedure?
I am wondering as I read information regarding Urolift, if it also helps correct they BPH symptom of URGENCY and the feeling of not being able to hold it ? Mine is terrible !
how are the clips removed if need be at a later date? can the patient stop taking finasteride and alfuzosin after the procedure? and doe the prostate continue to grow if the meds are stopped?
Clips can be pulled off pretty easily at a later date or cut out. Most men stop their medications shortly after the procedure. The prostate does continue to grow. There is decreased bloodflow and atrophy to the tissues between the clips. We do see some regrowth of tissue between clips over long periods of time.
@@pnus thank you for your response. i have seen 4 urologists and have been given 4 different surgery options. obviously they cannot all be correct. i need to do something. wish you were closer to me geographically.
@@garykay7418 Yeah. My urologist NOW tells me they have to roto-rooter it out to remove it. I need more opinions, too. I can't understand why they can't just pull or push the pins out.
@@genepozniak The pins are probably "grown over" making them hard to pull out. They may have to rip them out. (I had Urolift about 10 months ago and it hurt something awful), so far though, I am better now than before the procedure was done....good luck......
@@robertstancliffsr9575 I finally had an MRI done last week, so we'll see if there's anything extraordinarily wrong to report. Two months after the Urolift, I was told by the surgeon that the only way to remove the pins would be to just "roto-rooter" them out, which is the traditional prostate surgery. This would obviously just make things worse. What pisses me off is that the company that developed the pins and the technique initially advertised it as being "easily reversible" and my surgeon never contradicted me when I mentioned that before the surgery. In fact, he never once went over any kind of "pluses vs minuses" with me. He was always just gung-ho about it. Obviously, bringing in the cash was the only thing on his mind. Those ads were gone 2 months after my surgery, as I'm sure they'd already started being sued, which is what I'm probably going to do. It's been 2 years, and though it's not as painful day to day or during ejaculation, semen quantity is about 1/10 was it was before and it's still not the wonderful experience it used to be, AND I still need all the same meds I used before just to be able to urinate semi-normally.
Does having an abscess that has been drained have some lasting impact on Urolift success?
What procedure is recommended for a large prostate with a median lobe?
Thank you. This was very helpful in my decision regarding which procedure I should have.
Thank you for the information. I'm interested in long term. How long has this been around. Do you have to do it again. Do you end up having the rotor rooter anyways. Does that foreign object cause increased infections or mucus plugs. I was surprized how the body reacts to a catheter. I have been dealing w/ a blocked cathater, 4 UTI's w/ 4 courses of antibiotic treatments.
You should read my post then. If you can get by "just okay" on medication, I would advise you to stick with that.
Interesting. Can men with prostate cancer after radiation get Urolift??
My question is this I lift weights, and I lift really heavy. I strain really hard. Will this be an issue if I get this procedure?
I lift really hard too. Back lifting heavy 10 days after. No issues. No limits.
I have my urologist consultation today. In his email he recommended this procedure. Let’s see what he says.
My Doctor's office is telling me that most of the patients receive a catheter. Is this actually the case?
What software was used for the text graphics on your video? It looks great.
Are men who've had a prior TURP ineligible for Urolift?
Thank you in the comments section. Very helpful comments.
Good. Some questions: How many procedures should a surgeon have done to be considered an expert? Has painful ejaculation been reported as an adverse outcome? Is there a risk that the prostate may become distorted and out of shape as it is squeezed by these retractors, thereby in fact aggravating the problem it is intended to ameliorate? Thank you.
4:23 - "Men with prostates much larger than 100 cm in size ... probably not going to get a good benefit"
What do you mean 100 cm in size?
Did you mean to say cubic centimeters?
You were just talking about width and length and general volume, but what metric do you mean by centimeters?
I think he said cubic cms
@@donerickson7305
That may be what he meant, but it is not what he said. I was just hoping to get clarification on how they measure these things.
Dude thank you for making your videos
I ONCE HAD BLOOD CLOT IN MY LEG AFTER A umbilical hernia repair.WILL THIS PROCEDURE HAVE A RISK OF BLOOD CLOT?
Hi Dr , what’s your opinion of the rezume procedure.
Can Urolift be performed post radiation?
Very satisfiying,simple information!Thank you very much
I have been on finasteride for a few years now. It has relieved my urinary issues and, I assume, the perineal pain I was having. I would like to get off the drug as it seems to be affecting my "libido" or perhaps being 72 is the cause. If I get the urolift procedure, will my prostate enlarge to the point where I have perineal pain again?
What if you have already had a TURP?
Do euro lift Stapels dislodge?
Thanks, Daniel, Very helpful to know where I am going and how best to get there, in one piece.
Thank you Dr.!!! Very informative since I’m on the verge of doing this.
I had the surgery done 2 years ago and I'm still having problems
no, nobody trust fake medicine or big gov duh! :(
Will the urolift be effective with sleep urination? I also urinate 30 to forty times in a 24 hour period. I believed that the urolift would make the urination during sleep worse.
Would the urolift procedure be appropriate for a man who has had the prostate HDR Implant procedure.
Many urologists would rather do a urolift first for patients with radiation to the prostate before trying a TURP. Procedures that remove tissue and require healing and after radiation treatment healing is very difficult and can have a higher complication rate.
I peed blood for 3 weeks after the Urolift. Apparently it also removes tissue. @@pnus
Thank you for your video. I learned much about urolift and I'm intersted in the procedure. I want to preserve my ejaculatory functino and my prostate size is within range. I do have a medium lobe and would like to discuss this with an expert who would be able to treat me. Would you have any recommendations for me?
What is best alternative to urolift which is safe in future
Thanks for putting this on. Great info.
Appropriate if patient has low grade prostate cancer ?
Doc - what about use with a prostate that was radiated for PCa? My BPH symptoms have been slowly coming back since I finished ADT and testosterone has been recovering. PSA remains undetectable (has been for 2 years.)
We have done a number of patients post radiation. Urolift is a much safer option than a transurethral resection of the prostate after radiation and so far have had good results.
@@pnus - thanks much for the response. It reassures me on having this done. Just back from a Urodynamics Study where the nurse couldn't get a catheter past the prostate (she tried 3 different diameters). The study was successful in identifying where the restriction is - hopefully a Urolift might be of help. At least I can still urinate, even if it takes a while.
Thanks again!
My name is Malcolm Sheehan and I had this procedure several years ago. The original Urolift video whilst showing the methodology also said if results were a failure the coils could be removed. I would like to have some advice as how to procede on this.
Oh This is gonna be good if you get an answer
My doctor allowed me to believe that removal is easy. NOW, after the procedure, he tells me they have to roto-rooter it out. I have to find a 2nd op.
how often do u see patients with an average size prostate suffer from urinary symptoms that we typically relate to BPH? i'm 55 and for unrelated reasons (trying to hold onto my hair) am already taking propecia & saw palmetto daily. symptoms started about a year ago. i can void 100% (3 separate tests confirmed this), no have "urgency" symptoms, have an average size prostate, don't feel like i struggle to urinate...... but my bladder aches all the time which gets worse with any volume. from all the research i've done, my very unprofessional opinion is that it falls more into the IC category than BPH. the local urologists are quick to offer rezum/urolift but none have made a convincing argument as to why those procedures would help my bladder stop aching all the time. any thoughts much appreciated.
P
Please help! I got the urolift procedure done over a month ago but I was still unable to urinate I was put on the pee bag for over 2 weeks. I go every week but still am not able to urinate. They took the bag off but not I rely on disposable pipes for me to be able to do my business. What do you recommend me to do? Anyone know any great doctors in san diego??
Were you able to urinate before the procedure? Sometimes you may need to proceed to a more invasive procedure such as a TURP which is better at treating urinary retention. I would see another urologist for another medical opinion.
@@pnus Yes I was able to urinate before the procedure. I went to my doctor, and he said that he would perform a laser operation on me in a month. Is it possible for it to be done when I already have the UroLift implant?
@@minimonimoon3510 he should be able to do the laser procedure, just have to remove the urethral end-pieces first.
@@pnus my doctor said that he will do the laser without removing the implants is that possible? If not, what should I do?
Thanks for this detailed explanation.
#Urolift completely and permanently destroyed my life !!!! Now I am faced with my new urologist wanting to do another surgery (greenlight) to correct to the botched UROLIFT procedure.
I am told I would have to self catheterize everyday possible for the rest of my life. My symptoms now are WORSE than before Urolift. Please be advised and don't say I didn't warn you if you get this procedure !!!!!
I am in the evaluation process with full urine retention and catheter for 7 weeks and two failed trials. US showed a 80cm prostate which is 30cm larger than the rectal exam suggested - during which the urologist recommended the urolift.
I had already decided against Urolift due to the overwhelming negative reviews about it and the multiple of positive reviews of Aquablation which I am favoring at the moment.
Your warning is very much appreciated, thank you
Daniel, thanks for the video, great stuff!! I am on blood thinners, as long as I am off them prior to the procedure, you feel that may be OK? I have always had my cardiologist get me off them about 4-5 days prior to any procedure/surgery.
Yes, coordinate with your cardiologist and urologist to make sure they are both on the same page
Cost?, Covered by Insurance. Can you have one if you’ve had a TURP?.
Amazing presentation and thank you