UroLift for the Treatment of Lower Urinary Tract Symptoms in a Patient with AMS 700 Penile Prosthesis: The First Reported Case

The UroLift system (Teleflex Inc.) is a minimally-invasive and non-ablative technique used for the treatment of male lower urinary tract symptoms (LUTS) caused by benign prostatic hyperplasia. It has been introduced as an alternative to transurethral resection of the prostate (TURP)  to avoid any unwanted side affects such as erectile dysfunction, hospital stay and catheterisation. A 68-year old patient with bothersome LUTS and significant co-morbidities presented for consideration of UroLift to avoid the risks associated with more invasive TURP surgery. The patient had previously had an AMS 700 MS implanted penile prosthesis (IPP) inserted for erectile dysfunction refractory to medical therapy. To the authors best knowledge, there have been no reports or published literature on the use of the UroLift device to treat male LUTS in the presence of an IPP. This case report aims to present  this unique case and discuss operative technique for use of the UroLift device in the presence of an IPP.