Prostatic Urethral Lift (PUL) — A Modern Approach to BPH
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Taking medicines for prostate enlargement, but
still not getting enough relief?

Explore a modern, minimally invasive option for prostate enlargement.

Know more about Prostatic Urethral Lift

Understanding BPH

Benign Prostatic Hyperplasia (BPH) is a common age-related condition in men, where the prostate enlarges and presses on the urethra, affecting urine flow. It affects nearly 1 in 2 men over 50[1]. While not life-threatening, it can disrupt sleep and quality of life[2].

Medications may help initially, but if symptoms persist, it may be time to explore other options.

Doctor consulting patient

When Traditional Procedures May Not Be Enough

When Medications May Not Be Enough

Medications are often the first step in managing BPH symptoms. But in some cases:

  • Relief is only partial
  • Symptoms return over time
  • Side effects like sexual dysfunction (including erectile issues)[3] and postural hypotension become bothersome
  • Daily medication becomes a long-term burden
Medications

When Surgery Feels Like Too Big a Step

If symptoms worsen, persist, or lead to complications, procedures such as TURP (Transurethral Resection of the Prostate) or laser treatment may be recommended[3]. While effective, these procedures may involve:

  • Hospital stay and longer recovery time
  • Catheter use for a few days
  • Temporary activity restrictions
  • High risk of sexual side effects (retrograde ejaculation ~65%)[4]
  • Requires spinal or general anaesthesia, which may carry risks in some patients
  • Not always suitable for patients with comorbidities

While surgery remains an important option, it may not be the first choice for everyone.

Not sure how severe your symptoms are?
The International Prostate Symptom Score (IPSS) can help assess it.

Check Your IPSS Score

A Middle Path

Minimally Invasive Surgical Treatment (MIST)

Looking for something between medicines and surgery? MIST offers that balance. These procedures are designed to:

Reduce urinary obstruction Minimise tissue disruption Support Faster recovery Reduce hospital stay duration

MISTs may be considered when medications are not sufficient, but surgery is not immediately required[3]. MIST options may include implant-based treatments, steam ablation, targeted heat therapies, and advanced techniques that reduce or reshape prostate tissue.

A Modern Approach to BPH

Introducing Prostatic Urethral Lift (PUL)

Prostatic Urethral Lift (PUL) is one such minimally invasive procedure that relieves obstruction by lifting prostate tissue. It involves no cutting, no heating, or no removal of tissue.

It works by:

  • Placing small permanent implants
  • Gently lifting and holding the enlarged prostate tissue away
  • Opening the blocked urinary pathway
  • Improving urine flow
Prostatic Urethral Lift procedure stages

Why Choose Prostatic Urethral Lift (PUL)

Preserves Sexual Function[5]

  • Stable erectile function
  • Ejaculatory function preserved

Faster Recovery

  • Resume activities in a few days
  • Minimal downtime when compared to traditional surgery

Fast Symptom Relief

  • Improvement in urine flow and urgency[5]
  • Fewer nighttime bathroom visits
  • Relief often within days

Minimally Invasive

  • The procedure usually takes less than half an hour
  • Most patients go home the same day
  • Often, no catheter is required

Reliable Long-Term Outcomes

  • Low rate of retreatment over 5 years[5]
  • Lower complication risk vs surgery

Who Should Consider Prostatic Urethral Lift (PUL)?

Designed for men at different stages of BPH

Profile 1: Active Lifestyle / Early BPH

40–60 years, working, sexually active, frustrated with long-term medication

What matters most to you:

  • Minimal disruption to routine
  • Preserving sexual health
  • Avoiding lifelong medication dependence

How PUL may help :

  • No cutting or heating of prostate tissue
  • Symptom relief without affecting sexual function
  • Short hospital stay in most cases
  • Quick recovery
  • No catheter in many patients
Profile 2: Managing Other Health Conditions

60+, with diabetes, heart disease, or on multiple medications

What matters most to you:

  • Lower procedural risk
  • Less intensive anesthesia (often local instead of spinal or general)
  • Avoiding long hospital stays

How PUL may help :

  • Minimally invasive (no tissue removal)
  • Suitable for patients where major surgery is at higher risk
  • Reduced need for catheterisation
  • Can be considered even in patients on multiple medications

Don't let BPH symptoms dictate your daily life. If medications aren't giving you the relief you need, it may be time to explore other options. A urologist can help you understand what treatment may be right for your stage of BPH.

Talk to a Urologist Today
References
  1. Ng M, Leslie SW, Baradhi KM. Benign prostatic hyperplasia. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2026 [cited 2026 April 28]. Available from: https://www.ncbi.nlm.nih.gov/books/NBK558920/
  2. Zhao D, Han J, Lv C, Gao J. Poor sleep patterns are associated with the prevalence of benign prostatic hyperplasia in US aged 40 and older: A cross-sectional study based on NHANES. PLoS One. 2025;20(2):e0319434. doi:10.1371/journal.pone.0319434. Available from: https://pubmed.ncbi.nlm.nih.gov/39999047/
  3. American Urological Association. Management of benign prostatic hyperplasia (BPH): surgical management guideline [Internet]. 2023 [cited 2026 April 28]. Available from: https://www.auanet.org/documents/guidelines/pdf/bph%20surgical-mgmt.pdf
  4. Rieken M, Antunes-Lopes T, Geavlete B, et al. What is new with sexual side effects after transurethral male lower urinary tract symptom surgery? Eur Urol Focus. 2018 [cited 2026 May 6]. Available from: https://www.sciencedirect.com/science/article/abs/pii/S2405456918301184
  5. Roehrborn CG, Barkin J, Gange SN, et al. Five-year results of the prospective randomized controlled prostatic urethral L.I.F.T. study. Can J Urol. 2017;24(3):8802-8813. Available from: https://pubmed.ncbi.nlm.nih.gov/28646935/

Disclaimer: The content is intended for educational purposes only and is not a substitute for professional advice. Always seek the advice of your doctor or other qualified healthcare provider with any questions you may have regarding a medical condition or medical treatment.

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