Prostatic Urethral Lift in Patients With Obstructive Median Lobes: A Single Surgeon Experience at an Academic Center

• Published in: Urology (Ridgewood, N.J.) N.J.), 2021-08, Vol.154, p.237-242
• Main Authors: Rabinowitz, Matthew J., Alam, Ridwan, Liu, James L., Kohn, Taylor P., Bhanji, Yasin, Peña, Vanessa N., Herati, Amin S.
• Format: Article
• Language: English
• Subjects: Aged; Humans; Lower Urinary Tract Symptoms - etiology; Lower Urinary Tract Symptoms - surgery; Male; Middle Aged; Prostatic Hyperplasia - complications; Quality of Life; Retrospective Studies; Time Factors; Treatment Outcome; Urethra - surgery
• ISSN: 0090-4295; 1527-9995
• DOI: 10.1016/j.urology.2021.01.025

To examine the long-term efficacy of prostatic urethral lift (PUL) for treating men, with or without an obstructive median lobe (OML), who suffer from lower urinary tract symptoms attributed to benign prostatic hyperplasia. A retrospective review was performed on all consecutive PUL cases with or without OML from October 2017 to November 2019 by a single academic surgeon. Outcomes were measured using the International Prostate Symptoms Survey (IPSS) with quality of life (QoL) scores. Comparative testing and mixed-effects linear regression analysis were utilized with significance set at α = 0.05 and performed with Stata (College Station, TX). A total of 110 PUL procedures were performed on 106 patients (4 repeat surgeries) with a median age of 66.5 (interquartile range: 60.4-73.7). Twenty-three patients (21.7%) had an OML. Following PUL, patients in both groups showed significant improvements in IPSS (P