Surgical Treatment of Benign Prostatic Hyperplasia-Lift or Laser?

We review modern office based therapies for the management of lower urinary tract symptoms secondary to benign prostatic hyperplasia.

A search was performed for the literature between 2005 and 2014 on office based therapies for benign prostatic hyperplasia focusing on prostatic urethral lift and office based laser therapies.

Prostatic urethral lift is a novel technology that functions on mechanical compression alone. Initial trials have demonstrated improvement in symptom scores by 42% and in maximum flow by 30% at 2 years of followup.

The prostatic urethral lift device represents a novel approach in the array of office based technologies to treat benign prostatic hyperplasia, although additional information on ease of insertion, reproducibility and durability is needed.