Experience with Urolift: Potential Problems, Complications and Side Effects.

by Alex Shteynshlyuger MD


If you have any questions, to schedule a consultation for treatment of Urolift complications or if you need a second opinion, please contact us or call: (646) 663-4044

We offer affordable, highest-quality urology care with or without insurance.   Find out our office hours or directions to our office. We offer weekday, weekend and evening office hours.



Urolift is an innovative, minimally invasive treatment for symptoms of enlarged prostate in men.  As with any medical procedure the benefits of treatment must outweigh potential side effects and risks of treatment.

pee-like-fire-hoseUrolift is a Safe Procedure for Enlarged Prostate

All treatments involve some risks and side effects. In general, Urolift is considered to be a fairly safe minimally invasive procedure.

In a study of Urolift patients, after 3 years, about 8% of patients developed side effects such as Urolift protrusion into the bladder which requires removal of Urolift stents and 1% require removal due to infection (urosepsis).

Treatment of Problems and Complications after Urolift

If you experience a problem after the Urolift procedure, schedule an appointment – we have extensive experience helping men with side effects and complications after the Urolift procedure.   

Side Effects of Urolift Implant Insertion in the Prostate

Transient side effects lasting 1-2 weeks can occur after cystoscopy and Urolift insertion. These side effects include a small amount of blood in urine, frequent urination, mild burning with urination, pelvic pain, urinary urgency and urge incontinence.  Symptoms typically resolve within 7-14 days after the procedure.  About 1% of patients experience each of the following: burning with urination, blood in urine and pelvic pain/discomfort, urinary urgency, bladder spasms and urge incontinence 1 year after the procedure.

Problems After Urolift Implant for BPH

Few long-term problems have been reported in patients who underwent the Urolift procedure.   There appears to be no increased risk of bladder or urethral stone formation after treatment with a transprostatic Urolift implant for BPH as long as the implants do not protrude into the bladder. However, in about 10% of patients removal of implants that protrude into the bladder is required as they can lead to stone formation (encrustation).

There is no increased risk of bladder or prostate cancer.

Small risk of urethral stricture (<2%) exists after cystoscopy procedures associated with Urolift insertion.  This risk is common to all procedures for treatment of prostate that are performed through the urethra and is not unique to Urolift (TURP, Greenlight laser, other lasers, HOLEP, etc).

Complications of Treatment with Urolift

A small risk of UTI related to cystoscopy procedure exists after the Urolift procedure, which is treatable with antibiotics. Prophylactic antibiotics are administered to minimize the risk of the procedure. <1% of patients may develop urosepsis.

Lack of Efficacy

Urolift is effective to 60-90% of patients. However, 10% of patients require a different surgical procedure within 3 years of treatment with Urolift.  Another 30% of patients either resume or start medications for enlarged prostate after treatment with Urolift.

If you did not experience adequate benefit from Urolift, schedule an appointment with Dr. Alex Shteynshlyuger who is experienced in treating men for whom Urolift did not provide adequate benefit.

Conclusion: Risks vs Benefits of Urolift Procedure

As with any technology, there are pros and cons to every treatment.   Side effects from Urolift procedure tend to be minimal and transient, typically lasting less than 1-2 weeks.  However, it is important for men to be aware of them and know what to expect before embarking on treatment with Urolift for BPH.  Urolift is associated with improvement in sexual function which is unique among treatments for enlarged prostate.

Overall, Urolift has a favorable risk-benefit ratio and advised as an excellent treatment option for men with an enlarged prostate. It is an optimal treatment option for men with mild to moderate symptoms of BPH who wish to preserve ejaculatory function.

While Urolift has minimal sexual side effects, it tends to be less effective than surgical treatment with laser enucleation or TURP or laser ablation of the prostate when it comes to improvement in the urinary flow stream and post-void residual urine in the bladder.


If you have any questions, to schedule a consultation or if you need a second opinion, please contact us or call: (646) 663-4044

Dr. Alex Shteynshlyuger is an experienced urologist who has treated hundreds of men with enlarged prostate.  He is one of the few urologists who offers a full range of treatment options for enlarged prostate including Urolift procedure.

We offer affordable, highest-quality urology care with or without insurance.   Find out our office hours or directions to our office. We offer weekday, weekend and evening office hours.



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