Can Urolift help men with Prostate Cancer who Experience Urinary Problems?

by Dr. Alex Shteynshlyuger

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. Shteynshlyuger is a board-certified urologist and specialist in the treatment of enlarged prostate and complex urinary problems using minimally invasive approaches.  He is the Director of Urology at New York Urology Specialists.  He is one of the first urologists in the US and in New York City to offer Urolift as a treatment for enlarged prostate. 

Can Urolift Procedure Help Men with Prostate Cancer who Have Problem with Urination?

Urolift procedure corrects anatomical obstruction caused by lateral lobes of the prostate.  For men with prostate cancer who have urinary tract obstruction caused primarily by the lateral lobes of the prostate, the Urolift procedure may be an appropriate treatment option for urinary tract obstruction.  

It is important to understand that Urolift is not a treatment for prostate cancer.  Urolift can be useful for some men with prostate cancer and urinary obstruction caused by an enlarged prostate who are not treated with radical prostatectomy.

Urolift is certainly an attractive option for men who are on Active Surveillance for prostate cancer.  It may also be useful for men who are undergoing or had undergone radiation therapy for prostate cancer.

Urinary tract obstruction happens more often in men with advanced prostate cancer. It is a challenging situation to treat.  Traditional management with Foley catheter is not very attractive long-term. The key to long-term management in this situation requires successful management of the underlying prostate cancer.  Urolift procedure can provide intermediate-term benefit and can potentially obviate the need for catheterization or more involved treatment options.  Men with more severe obstruction may benefit from laser enucleation of the prostate

The durability of Urolift effectiveness in this situation will be entirely dependent on the effectiveness of the prostate cancer treatment plan.  In patients with advanced prostate cancer, careful and thoughtful individualized evaluation is necessary to determine what is the best option for management of urinary problems short-term as well as long-term.

Treatment Options for Men with Urinary Problems after Prostate Cancer Treatment

Men treated with radiation therapy or on active surveillance protocol for prostate cancer often experience symptoms such as frequent urination, slow urine stream and difficulty emptying the bladder caused by prostate enlargement.

Many men with enlarged prostate symptoms after treatment for prostate cancer can find significant improvement in symptoms with medications such as Flomax, Rapaflo, Uroxatral. Many men for whom medications do not work or who have side effects from medications, may benefit from the Urolift procedure or Rezum procedure.

Men with more severe urinary problems such as urinary retention or large obstructive prostate are best served with surgical treatment such as prostate enucleation, Greenlight laser ablation, or TURP procedure.

While Urolift procedure does not treat prostate cancer, it can help with symptoms of urinary tract obstruction caused by prostate cancer.

If you have any questions about the treatment of enlarged prostate in men with prostate cancer, to schedule a consultation or if you need a second opinion for BPH, please contact us or call: (646) 663-4044

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