Evaluation of Clinical Outcomes of Prostatic Urethral Lift for Benign Prostatic Hyperplasia: An Asian Population Study

Purpose: This study aimed to assess the clinical outcomes of prostatic urethral lift in Korean patients with bothersome lower urinary tract symptoms due to benign prostatic hyperplasia (BPH). Materials and Methods: Thirty-two men with symptomatic BPH were consecutively treated in a tertiary care c...

Full description

Bibliographic Details
Main Authors: Jeong Ho Kim, Ki Soo Lee, Tae Hyo Kim
Format: Article
Language:English
Published: Korean Society for Sexual Medicine and Andrology 2020-07-01
Series:The World Journal of Men's Health
Subjects:
_version_ 1818151120973856768
author Jeong Ho Kim
Ki Soo Lee
Tae Hyo Kim
author_facet Jeong Ho Kim
Ki Soo Lee
Tae Hyo Kim
author_sort Jeong Ho Kim
collection DOAJ
description Purpose: This study aimed to assess the clinical outcomes of prostatic urethral lift in Korean patients with bothersome lower urinary tract symptoms due to benign prostatic hyperplasia (BPH). Materials and Methods: Thirty-two men with symptomatic BPH were consecutively treated in a tertiary care center in Korea. To be included in the present analysis, patients had to meet the following criteria: age ≥50 years, International Prostatic Symptom Score (IPSS) >12, and prostate volume between 30 mL and 80 mL. Patients were evaluated up to a median followup period of 1 year post-procedure. The primary outcomes included symptom relief, improvement of quality of life (QOL), and preservation of sexual function. Results: All procedures were finished with a mean of 2.2 implants without any serious complication. The numbers of patients diagnosed with diabetes mellitus, hypertension, and ischemic heart disease were 16 (50.0%), 24 (75.0%), and 9 (28.1%), respectively. Patients experienced symptom relief by 1 week that was sustained for 12 months. The mean IPSS, QOL, and maximum flow rate improved to 43%, 70%, and 25% by 1 week, and to 41%, 60%, and 32% by 12 months (p<0.001), respectively. There were no occurrences of early urge incontinence, retrograde ejaculation, or erectile dysfunction. Patient-reported adverse events were mild and transient. Conclusions: Prostatic urethral lift is a safe and effective treatment for BPH in the Asian population. This treatment is minimally invasive, can be performed under local anesthesia, and may be an appropriate method for fragile patients.
first_indexed 2024-12-11T13:33:47Z
format Article
id doaj.art-81a8a5da308c43e7b31d77db4e88ba02
institution Directory Open Access Journal
issn 2287-4208
2287-4690
language English
last_indexed 2024-12-11T13:33:47Z
publishDate 2020-07-01
publisher Korean Society for Sexual Medicine and Andrology
record_format Article
series The World Journal of Men's Health
spelling doaj.art-81a8a5da308c43e7b31d77db4e88ba022022-12-22T01:05:09ZengKorean Society for Sexual Medicine and AndrologyThe World Journal of Men's Health2287-42082287-46902020-07-0138333834410.5534/wjmh.190015Evaluation of Clinical Outcomes of Prostatic Urethral Lift for Benign Prostatic Hyperplasia: An Asian Population StudyJeong Ho Kim0https://orcid.org/0000-0003-4491-0308Ki Soo Lee1https://orcid.org/0000-0003-0825-3996Tae Hyo Kim2https://orcid.org/0000-0002-5994-7878Dongnam Institute of Radiological and Medical SciencesDong-A University College of MedicineDong-A University College of MedicinePurpose: This study aimed to assess the clinical outcomes of prostatic urethral lift in Korean patients with bothersome lower urinary tract symptoms due to benign prostatic hyperplasia (BPH). Materials and Methods: Thirty-two men with symptomatic BPH were consecutively treated in a tertiary care center in Korea. To be included in the present analysis, patients had to meet the following criteria: age ≥50 years, International Prostatic Symptom Score (IPSS) >12, and prostate volume between 30 mL and 80 mL. Patients were evaluated up to a median followup period of 1 year post-procedure. The primary outcomes included symptom relief, improvement of quality of life (QOL), and preservation of sexual function. Results: All procedures were finished with a mean of 2.2 implants without any serious complication. The numbers of patients diagnosed with diabetes mellitus, hypertension, and ischemic heart disease were 16 (50.0%), 24 (75.0%), and 9 (28.1%), respectively. Patients experienced symptom relief by 1 week that was sustained for 12 months. The mean IPSS, QOL, and maximum flow rate improved to 43%, 70%, and 25% by 1 week, and to 41%, 60%, and 32% by 12 months (p<0.001), respectively. There were no occurrences of early urge incontinence, retrograde ejaculation, or erectile dysfunction. Patient-reported adverse events were mild and transient. Conclusions: Prostatic urethral lift is a safe and effective treatment for BPH in the Asian population. This treatment is minimally invasive, can be performed under local anesthesia, and may be an appropriate method for fragile patients.benign prostatic hyperplasialower urinary tract symptomsminimally invasive surgical proceduresprostatic urethral lifturolift
spellingShingle Jeong Ho Kim
Ki Soo Lee
Tae Hyo Kim
Evaluation of Clinical Outcomes of Prostatic Urethral Lift for Benign Prostatic Hyperplasia: An Asian Population Study
The World Journal of Men's Health
benign prostatic hyperplasia
lower urinary tract symptoms
minimally invasive surgical procedures
prostatic urethral lift
urolift
title Evaluation of Clinical Outcomes of Prostatic Urethral Lift for Benign Prostatic Hyperplasia: An Asian Population Study
title_full Evaluation of Clinical Outcomes of Prostatic Urethral Lift for Benign Prostatic Hyperplasia: An Asian Population Study
title_fullStr Evaluation of Clinical Outcomes of Prostatic Urethral Lift for Benign Prostatic Hyperplasia: An Asian Population Study
title_full_unstemmed Evaluation of Clinical Outcomes of Prostatic Urethral Lift for Benign Prostatic Hyperplasia: An Asian Population Study
title_short Evaluation of Clinical Outcomes of Prostatic Urethral Lift for Benign Prostatic Hyperplasia: An Asian Population Study
title_sort evaluation of clinical outcomes of prostatic urethral lift for benign prostatic hyperplasia an asian population study
topic benign prostatic hyperplasia
lower urinary tract symptoms
minimally invasive surgical procedures
prostatic urethral lift
urolift
work_keys_str_mv AT jeonghokim evaluationofclinicaloutcomesofprostaticurethralliftforbenignprostatichyperplasiaanasianpopulationstudy
AT kisoolee evaluationofclinicaloutcomesofprostaticurethralliftforbenignprostatichyperplasiaanasianpopulationstudy
AT taehyokim evaluationofclinicaloutcomesofprostaticurethralliftforbenignprostatichyperplasiaanasianpopulationstudy