Urolift limitations in urinary retention !!!

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This is something I just found out today.

Phew !!! 😨 I almost had a Urolift done last year, when my 2nd uro recommended it. My only problem was urinary bladder retention, that many of us have. The only thing that stopped me was my request to know before hand my prostate size and whether or not I have large median lobe. My uro declined that, saying "We'll find that out when I do Urolift."

Now looking at the study results posted above, which compares Urolift, TURP, and HolEp respectively, indicates that Urolift does practically nothing for retention, my Urolift would have ended in a failure. My uro was either ignorant or in great need to pay for his yatch.

Hope this helps others with retention and are planning to have Urolift. Hank

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  • Posted

    Another study that confirms Urolift limitations

    "Careful patient selection is paramount for surgical success and certainly it is not suitable for all patients with bladder outflow obstruction (see Table 1). Overall, there are three key factors, which potentially exclude a patient from receiving this surgical option. Firstly, men with obstructing median lobes are contraindicated and therefore should undergo preoperative cystoscopy to determine prostate anatomy and size. Secondly, it is not recommended for those patients with large prostate burdens (>100 ml). Finally, it is not suitable for patients with a history of urinary retention."

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  • Posted

    Thanks Hank.

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  • Posted

    Agree, I went for a urolift having been diagnosed as suffering from chronic retention under the advice of my urologist and surgeon (an esteemed professor no less) at a cost of $10k and it failed. I was then talked into an 'ejaculate preserving' bladder neck resection and have had nothing but trouble since (and still have to CIC). Caveat emptor.

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