%0 Journal Article 
%T IS THERE A MINIMALLY INVASIVE DAY CASE OPERATION TO TREAT LUTS SECONDARY TO BPH AND AVOID SEXUAL DYSFUNCTION? UROLIFT A CASE REPORTUrolift as a Day Case Operation to Treat LUTS and Sexual Dysfunction; A Case Report
%A Antonio D. Bardoli
%A Will St. J. Taylor
%A Jon Cobley
%A Wasim Mahmalji
%D 2018
%J Journal of Men's Health
%R 10.22374/1875-6859.14.1.3
%P 16-18
%V 14
%N 1
%U {https://www.jomh.org/articles/10.22374/1875-6859.14.1.3}
%8 2018-01-01
%X <p class="ql-align-justify">A 75-year-old Caucasian male with a prolonged history of lower urinary tract symptoms and sexual dysfunction was referred to the urology department. Assessment revealed a diagnosis of benign prostatic hypertrophy (BPH) and the patient was reassessed by flexible cystoscopy revealing a large occlusive 80 cc prostate. Baseline symptoms of BPH were measured using the International Prostate Symptom Score (IPSS), urinary function was quantified by measuring post-void residual (PVR) volume and QMAX flow rates were also recorded. The patient underwent the UroLift procedure and urological parameters were reassessed at&nbsp;4 months post-operatively. There was an improvement in the patients IPSS by 14 points (IPSS Before = 22, at 4 months = 8), with a reduction in quality of life by 3 points (QoL before = 5, at 4 months = 2). PVR volume&nbsp;decreased by almost a third (29.4 %) (Before = 390 mL, at 4 months = 275 mL) and QMAX improved by&nbsp;8 mL/s (Before = 14 mL/s, at 4 months = 22 mL/s). The patient reported a slight improvement in sexual function (IIEF-5 Before = 14, at 4 months = 15) and was very satisfied with the result. The improvement in IPSS, PVR volume and QMAX show Urolift is an appropriate treatment for symptomatic BPH.</p>