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Related Concept Videos

Urodynamic Studies: Uroflowmetry01:19

Urodynamic Studies: Uroflowmetry

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Uroflowmetry is a non-invasive urodynamic test designed to measure various aspects of urination, including volume, flow rate, and the time to void. This test is crucial for diagnosing and assessing conditions such as bladder outlet obstruction, bladder dysfunction, incomplete bladder emptying, incontinence, and urinary tract blockages caused by benign prostatic hyperplasia (BPH) and urethral strictures.Pre-Test Instructions:Before a uroflowmetry test, patients are typically advised to drink...
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Urologic Endoscopic Procedure: Cystoscopic Examination01:28

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Meaning of Cystoscopic Examination:Cystoscopy is an essential diagnostic tool in urology that is used to assess the structure and function of the genitourinary system. It provides a direct view of the urethra, bladder, and, in some cases, the ureteral openings. This procedure helps detect structural abnormalities, infections, cancers, and blockages in the urinary tract. There are two types of cystoscopy:Flexible cystoscopy is commonly performed in outpatient settings due to its less invasive...
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Urinary Tract Calculi VI: Surgical Management01:25

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Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...
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Related Experiment Video

Updated: Oct 17, 2025

Enucleation of the Prostate for the Treatment of Benign Prostatic Hyperplasia Using a 980 nm Diode Laser
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[Prostatic Urethral Lift under local anesthesia: Single-centre retrospective observational study].

L Dupitout1, F Bladou1, J-C Bernhard1

  • 1Service d'urologie, transplantation rénale et andrologie, CHU de Bordeaux, place Amélie Rabat Leon, 33000 Bordeaux, France.

Progres En Urologie : Journal De L'Association Francaise D'Urologie Et De La Societe Francaise D'Urologie
|October 10, 2021
PubMed
Summary
This summary is machine-generated.

The UroLift implant procedure can be safely performed using local anesthesia, offering a minimally invasive option for benign prostatic hyperplasia (BPH) symptom relief. This approach enhances patient recovery and preserves sexual function, demonstrating feasibility and effectiveness.

Keywords:
Anesthésie LocaleChirurgie mini invasiveEjaculationEnhanced recovery after surgeryHyperplasie Bénigne de ProstateLocal anesthesiaMinimally Invasive surgery procedureProstatic benign hyperplasiaRécupération postopératoireÉjaculation

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Area of Science:

  • Urology
  • Minimally Invasive Surgery
  • Anesthesiology

Background:

  • UroLift implant placement offers advantages over conventional endoscopic surgery, particularly for patients prioritizing sexual function preservation and rapid recovery.
  • The absence of general anesthesia contributes to the minimally invasive nature and faster recovery associated with the UroLift procedure.

Purpose of the Study:

  • To evaluate the feasibility and outcomes of UroLift implant placement performed under local anesthesia.
  • To assess patient tolerance and procedural success rates when using local anesthesia for UroLift.

Main Methods:

  • A retrospective analysis of patients undergoing UroLift between 2017 and 2021.
  • Local anesthesia protocol involved intraurethral instillation of 2% Xylocaine gel prior to the procedure.
  • Primary endpoint: successful procedure completion without additional anesthesia or analgesia due to pain.

Main Results:

  • Twenty-seven patients were included (median age 65 years, prostate volume 46mL, baseline IPSS 23).
  • The UroLift procedure was successfully completed under local anesthesia in all cases after the initial three patients, with no need for additional anesthesia or analgesia.
  • Operating time averaged 10 minutes with minimal pain (VAS 1). At 3 months, International Prostate Symptom Score (IPSS) significantly improved to 9 (P=0.001).

Conclusions:

  • UroLift implant placement is feasible and safe under local anesthesia, with no procedural failures.
  • The observed improvement in IPSS scores is consistent with findings from previous clinical trials, supporting local anesthesia as a viable option.