Author Archive

UroLift® System Frequently Asked Questions

What is the UroLift® System?

The UroLift® System is a new minimally invasive treatment designed to treat lower urinary tract symptoms (LUTS) due to benign prostatic hyperplasia (BPH).

How does the UroLift System work?

The UroLift System consists of a delivery device and tiny permanent implants. FDA cleared in 2013, this unique technology works by directly opening the urethra with tiny implants that hold the enlarged tissue out of the way, like tiebacks on a window curtain. No cutting, heating, or ablating tissue is involved, making the UroLift System the first and only BPH treatment that does not remove prostate tissue and does not negatively impact a man’s sexual function.

How do I know if the UroLift System treatment is right for me?

The UroLift System is a proven treatment option for BPH patients who are looking for an alternative to drugs or major surgery. You may be considering or scheduled for a TURP/Laser treatment, or are unhappy with or have stopped taking medications. The UroLift System is appropriate for patients seeking a minimally invasive treatment and are concerned about preserving their sexual function and their quality of life.

What should I expect during the UroLift System treatment?

If you and your doctor decide that the UroLift System treatment is right for you, your doctor will provide the specific, detailed information relating to your condition. In general, the UroLift System is a minimally invasive treatment that entails minimal downtime. Your doctor will use the UroLift delivery device to deploy permanent implants to relieve obstruction caused by the enlarged prostate that is pressing on your urethra. The procedure may be performed under local or general anesthesia and you may be given medication to feel comfortable during the treatment. Typically, no catheter and no overnight stay is required post-treatment.

What happens post-treatment, during the recovery period?

After the treatment, almost all patients go home the same day without a catheter. There is minimal downtime post-treatment and many patients experience symptom relief in as early as 2 weeks. Patients may experience some urinary discomfort during the recovery period. The most common side effects may include light blood in the urine, some pain or discomfort when urinating, some increased urge to go and discomfort in the pelvis that typically resolve within two to four weeks after the procedure.

Will having the UroLift System treatment affect my sexual function?

Sexual function has been preserved among the hundreds of patients treated in our clinical studies.1,2,3,4 This is a unique benefit of the UroLift System treatment compared with other BPH therapies such as TURP, laser, and even medication.

  1. Roehrborn 2016 Urology Clinics
  2. Roehrborn, 2015 Canadian Journal of Urology, 3-Year Results L.I.F.T. Study
  3. Roehrborn, 2013 Journal of Urology, L.I.F.T Study
  4. McVary, 2014 Journal of Sexual Medicine, Preservation of sexual function with the prostatic urethral lift

Is the treatment permanent?

The UroLift Implant is a permanent implant, and the treatment is intended to be permanent. Durability has been shown to at least 4 years in U.S. clinical data,1 and results will continue to be published as follow-ups continue. One unique aspect of the UroLift System is that it does not preclude retreatment or other BPH treatments, should that be needed and desired in the future.

  1. Roehrborn 2016 Urology Clinics

What happens if the implants need to be removed?

The implant is made up of standard surgical implantable materials: a nitinol capsular tab, a stainless steel urethral tab, and polyester suture that holds the two tabs together. Your doctor can simply remove the implant, if needed. The suture can be cut and the urethral endpiece can be retrieved with a standard grasper. The capsular tab will remain outside the prostate capsule in place.

Are there any contraindications?

The primary contraindications are an obstructive or protruding median lobe of the prostate and a prostate with a volume of >80cc.

Will the implants interfere with having an MRI?

Non-clinical testing has demonstrated that the UroLift Implant is MR Conditional. That means that you can be safely scanned in an MR system meeting the following conditions:

  • Static magnetic field of 3 Tesla or less
  • Maximum spatial gradient magnetic field of 1500 Gauss/cm (15 T/m) or less
  • Maximum MR system reported, whole body averaged specific absorption rate (SAR) of 4 W/kg (First Level Controlled Mode)

Under the scan conditions defined above, the UroLift implant is expected to produce a maximum temperature rise of 2.4°C after 15 minutes of continuous scanning.

In non-clinical testing, the image artifact caused by the device extends approximately 15 mm from the UroLift Implant when imaged with a gradient echo pulse sequence and a 3 Tesla MRI system.

Patient implant cards are provided to inform the patient that the UroLift implant is MR Conditional and can safely be scanned only under specific MR conditions.

If you have any questions about MRI safety, please consult your doctor.

Will the UroLift implants affect a digital rectal exam (DRE)?

No. The implants are placed on the anterior (front) side of the prostate, and a DRE is conducted on the posterior (back) side of the prostate. The implants are not expected to interfere in a DRE.

What clinical data is available for the UroLift System?

Over 950 patient-years of clinical data has been presented in peer-reviewed publications to date demonstrating that the UroLift System is safe and effective. Clinical studies have been conducted in the United States, Canada, Europe and Australia.

How do I find out if my health plan covers the UroLift System treatment?

The first step is to make an appointment with your urologist to determine if you are an appropriate candidate for the treatment. Your physician’s office staff can work with you and your health plan to learn more about your healthcare benefits specific to the UroLift implant procedure.

Does Medicare cover the UroLift System?

Yes, all Medicare arriers provide benefits for the UroLift System when medically necessary. Discuss the UroLift System with your physician to determine if the UroLift treatment is an option for you.

Who performs the UroLift System treatment?

A urologist, a doctor who specializes in the treatment of diseases of the urinary system and sex organs, uses the UroLift System to treat urinary symptoms due to BPH. The urologist completes comprehensive training prior to using the UroLift System. Find a UroLift System doctor.

Where is the UroLift System available?

The UroLift System is available for sale in the United States, Europe, Canada and Australia.

Who manufactures the UroLift System?

NeoTract, Inc. manufactures the UroLift System. The company is based in Pleasanton, California.

I strongly and sincerely recommend that anyone with any kind of urology needs contact Gulfstream Urology Inc.

patienttestimonialsMy name is Jose Antonio. I am 56 years old and a good christian catholic. Since November 4, 2008, after a routine PSA screening, I have been going to Gulfstream Urology Inc. to address my high PSA levels. I can truly attest that I am very pleased with the services I have been receiving under the professional and caring medical advice of Dr. Adam Ball addressing my urological needs. In may of 2013 Dr. Ball was able to diagnose me as having an early stage of prostate cancer. Dr. Adam Ball performed an excellent job with surgery and I am now recovering well.

The surgery was a huge success

ClarenceClark-1“My name is Clarence Clarke. I am a retired 70 year old IT professional. I believe in a higher power, God. My faith is solid, for God is my strength, my understanding, and my constant companion. The presence of God is more powerful than any temporary life condition. God moves in, through, and as every person. I trust the wisdom of God to help and protect me.

I was referred to Dr Adam J. Ball, M.D., of Gulfstream Urology Associates in May, 2009.

Between May, 2009 and May, 2012 I had no known prostate issues. PSA and DRE tests yielded normal results. However, in May, the 2012 PSA result went to 4.0. Dr. Ball explained what that result meant and reviewed my options with me. I decided to wait and have another PSA test before having a biopsy. It was during this time that I began to experience frequent urination, especially at night. I had another PSA test in November, 2012. My PSA had increased to 4.6. I elected to have a biopsy and was diagnosed with prostate cancer. I had a Gleason score of 7. My entire prostate was affected.

Dr. Ball is well-educated, experienced, patient friendly, and a truly professional surgeon.

Yeaw“I am a retired Navy (SEAL) Captain who spent 30 years in the Naval Special Warfare community, including 3 combat tours to Vietnam with the SEALs and command of SEAL Team SIX from 1990-1992. During my career I received a Master of Arts Degree from the Naval Postgraduate School, graduated from the Navy War College Command and Staff College, and was president of the National War College Class of 1993. Following my retirement from the Navy, I joined a professional services firm in Virginia and filled such positions as Director of Marketing and Division Vice President. Following the sale of the company and my relocation to Florida, I have spent the past 10.5 years with the Wackenhut/G4S armed security services company and have served as the Site Manager of the guard force at two large upscale residential communities near my home in Port St. Lucie.

My thanks to you Dr. Ball and April, a job well done.

rich-choice“I would like to introduce myself, I’m Rich Dector. I am 61, soon to be 62. I have a family history of prostate cancer, my Dad, thus I was closely watching my PSA. At the age of 60 my PSA elevated from 2.35 to 5.35. At that time I had a biopsy of my prostate. I had no symptoms other that the elevating PSA. My biopsy came back 4 on the Gleason scale. In conjunction with my urologist, I chose to “wait & watch”. My PSA remained the same a year later but I felt that I should have another biopsy. My urologist agreed and this time it was a 6 on the Gleason scale. I decided upon surgery, and my urologist recommended that the da Vinci prostatectomy would be the most appropriate approach. I had been spending the summer in NJ when all this occurred but I knew I wanted the surgery to be done in Florida. Recovering in sun and warmth seemed like a very good idea.

I am able to go on with my life knowing that Dr. Ball will be there if I need him.

“In July of 2009, (at age 63 and 9 months prior to this testimonial), Dr. Ball performed da Vinci robotic surgery on me and removed my enlarged prostate, along with the cancer contained therein. Due to the minimally-invasive robotic surgery, I was able to go home the day after the surgery with relatively little pain or discomfort. During the entire procedure, Dr. Ball and his staff were helpful and instructive. After the surgery, if questions arose, I would call the office and get answers and advice quickly. Dr Ball’s professional fees were very reasonable and there was never an unreasonable wait at his office. I am happy to say that the post-surgery PSA’s confirm that the cancer has been removed and I am able to go on with my life knowing that Dr. Ball will be there if I need him.”

– Mr. Bruce Shaffner

I made the right choice

Messina“Doctors, Doctors, Doctors! How do you pick the right doctor when you have been diagnosed with prostate cancer. I met Dr. Ball and Dr. Van Appledorn when they were treating my mother-in-law. For 30 years, I owned a medical supply business in Ft. Lauderdale. We sold equipment to doctors and hospitals. So why did I pick these doctors? I think with my experience, I knew doctors who truly cared about their patients and were interested in the latest medical technology and were not stuck using the same procedures on all their patients. I knew what treatment methods were available, and I wanted the da Vinci operating procedure even before I saw Dr. Ball. I checked out both doctors, their credentials, and the da Vinci procedure.

I made the right choice and highly recommend Dr. Ball and Dr. Van Appledorn.”

– Frank J. Messina, C. O. C. Ped.

I am grateful to Dr. Ball, who gave me top of the line care.

three“Kudos to Dr. Adam Ball for his early detection of my prostate cancer and for performing the robotic prostatectomy with the da Vinci Surgical System. I am grateful to Dr. Ball, who gave me top of the line care. I was out of the hospital in only two days and had very little, if any, discomfort from the surgery. I returned to my daily activities in no time at all. I urge all men who have prostate cancer to investigate this da Vinci Surgical System – it is truly a remarkable procedure.”

– John F. Jolley
Retired Professor of History

OUR PATIENTS

  • "I am able to go on with my life knowing that Dr. Ball will be there if I need him."

    – Mr. Bruce Shaffner

    Read more

  • " I was amazed by the procedure, at how little pain I had and how quickly I recovered."

    – Edward Marrone

    Read more

  • "I am grateful to Dr. Ball, who gave me top of the line care."

    – John F. Jolley

    Read more

  • "The surgery was a huge success."

    – Clarence Clarke

    Read more

  • "Dr. Ball is well-educated, experienced, patient friendly, and a truly professional surgeon."

    – Ronald E. Yeaw