Urolift | Fairbanks Urology | Dr Tony Nimeh Urologist

Urolift | Fairbanks Urology | Dr Tony Nimeh Urologist


In another video, I alluded to Urolift as a treatment modality for intermediate symptoms with very specific prostate size for men who are having bothersome symptoms but who qualify for the procedure by virtually the size of their prostate as well as the severity of symptoms So why is it important to know who is a good candidate? Well, the reason is because the Urolift procedure will not help someone who has a, let’s say 120 gram prostate That’s a huge prostate. Can you imagine? If the prostate is this big and those poor tiny little clips are this big Now there is no amount of Urolifting anything that is going to open that channel because the distance between the urethra and the capsule could be this big and the clips are this big so you can’t really be effectively opening the urethra so that’s one reason. The second reason is if someone has complete urinary retention, Now their symptoms are so bad that they can’t even pee So that’s also not a good idea to do a Urolift because a Urolift is good for prostates that are less than 80 grams, who have an intermediate level of bother and for a patient to have that procedure. So how do we make sure that someone is a candidate for Urolift?? Well, there’s a couple of things that we do. The first one is we do an ultrasound and with the ultrasound we can measure the prostate, we can measure the distance between the urethra and and the capsule, we can measure the volume of the prostate, so we know the trials that have been made have shown the Urolift to be the most effective within a specific range of prostate size, that’s what we do The second thing we do is a cystoscopy. The cystoscopy is important because it rules out any other obstructive reasons to have urination problems for example, you can have a scar on the urethra, and if there’s a scar on the urethra you’re not going pee out, not because the prostate is blocking but because there’s a scar that’s actually blocking the urine from coming out of the urethra so doing a cystoscopy is important because if the scar on the urethra is the cause of the problem there’s no amount of Urolifting anything that’s actually going to open that scar up what you really need is the opening of the scar which is an urethrotomy. So cutting the scar will relieve your symptoms, you don’t need to do an Urolift for that So the cystoscopy precludes any other reasons to have urinary symptoms We do that, and also the ultrasound to measure the prostate size, and measure the distance between the urethra and the outside of the capsule of the prostate and that will help to know if you benefit from the Urolift procedure


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