Technical aspects of the use of prostatic urethral lift for the management of obstructive median lobe – A step-by-step guide

ABSTRACT This video uses a picture-in-picture demonstration of the procedural hand movements and the endoscopic view to illustrate a reproducible technique for using prostatic urethral lift to treat an obstructive median lobe (OML) in patients with benign prostatic hyperplasia. The challenge with this procedure is in safely manipulating the median lobe without injuring it. This technique was utilized for three patients who presented with worsening urinary symptoms despite adequate medical therapy. Postoperative recovery, in this series of patients, was uneventful with significant improvements in the quality of life (6 to 1), International Prostate Symptoms Score (28 to 7), and Qmax (9.7 ml/s to 12.7 ml/s) metrics.