Urolift for raised bladder neck
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I had a urolift performed approx 6 weeks ago which I thought was for an enlarged prostate. However having now received a copy of the letter from my urologist to my GP it seems that the problem was not prostate but a 'raised bladder neck'. I am not sure if this condition is linked to a median lobe on the prostate. The letter refers to 5 urolift implants to pull the bladder neck in various directions.
My flow has improved and frequency decreased. I still have some pain around the prostate/behind the right testicle which I am not sure of whether it is operation trauma of an insert pulling. I must say it was rather a shock to find that my prostate was OK (I had been considering PAE but my prostate was too small) and that the bladder neck had been treated instead using Urolift which I thought was only designed to treat prostate enlargement.
Has anyone else had Urolift for this condition or can comment on its use around the bladder neck or to move a median lobe?
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andrew23481
Posted
Actually looking at the MedLift trial, it seems you are right, just one device to hold the median lobe off.
Well I'll see what I can find out in January though the follow-up appointment is not with the urologist just a specialist nurse.
andrew23481
Posted
3.5 month update.
My IPSS score has improved from 28 pre-urolift to 15 now and flow and feeling like I still need to go have also improved. I still get up twice in the night and have to pass urine about every 1.5 hours during the day.
I had a 3 month follow-up with the urology nurse (didn't get to see the specialist). My flow was measured and had improved from 5.8 to 11 however unfortunately there is still a 260ml residual of urine in the bladder after going. The nurse consulted with the specialist and they have come back with starting me on self-cath to fully empty the bladder. I am not too keen to start on that so we agreed to defer for two months and see if there is any improvement.
On the continuing pain, the nurse said it can take months for it to go away completely. He couldn't say if it was the inserts hurting or just general trauma from the opp.
On the procedure itself , which was complicated by a median lobe, he said all their consultants perform this procedure where there is a median lobe.
So overall urolift has been of some benefit and apart from the continuing pain discomfort, my bph symptoms have improved by a reasonable amount. I think it has been worthwhile though not to the extent that some others claim.