Surgery for enlarged prostate

A new procedure is available in Edinburgh for sufferers of enlarged prostates. Spire Murrayfield Hospital is the only hospital in Scotland to offer Urolift®. The treatment:

25% of men in their 50’s and 50% of men over 60 suffer from enlarged prostates*
  • requires no overnight stay
  • is the only surgical procedure for BPH to preserve sexual function
  • allows you to return to normal daily activities soon after treatment
  • allows you to experience meaningful symptoms relief
  • is less invasive than certain established methods

The prostatic urethral lift (PUL) procedure, led by consultant urologist Professor Alan McNeill uses a minimally invasive device which opens up the blocked urethra by lifting the enlarged prostate tissue out of the way. There is no cutting, heating or removal of prostate tissue. Known as ‘The Urolift’, this procedure is now available at Spire Edinburgh Hospitals.

Who is it suitable for?

The Urolift® may be suitable for you is you suffer from the following symptoms:

  • Frequent need to urinate during the day and night
  • Weak or slow urinary stream
  • A sense that you cannot completely empty your bladder
  • Difficulty or delay in starting urination
  • Urgent feeling of needing to urinate
  • A urinary stream that stops and starts

These symptoms are common is those suffering from benign prostatic hyperplasia (BHP), a condition that over 500 million men in the world suffer from. Benign Prostatic Hyperplasia (BPH) is a non-cancerous growth of the prostate which causes it to enlarge and can lead to urinary problems.

The prostate is a gland that surrounds the urethra, the tube that drains urine from the body. BPH is a non-cancerous (benign) growth of the prostate. When the enlarged prostate presses on the urethra, it can cause these urinary symptoms. For some, the symptoms may be mild and not require treatment, however for others the symptoms may have a significant impact on their quality of life.

 Diagram of prostate

The procedure

The Urolift® system is inserted into the urethra through the tip of the penis, using endoscopic guidance. A fine needle is then passed up the urethra and through the prostate. Small implants like those below are then attached to each side of the prostate tissue to pull back the prostate gland, preventing it from pushing on the urethra.

This allows urine to pass through freely. The prostate gland is comprised of a series of ducts, which make it compressible – an essential feature for this treatment to be possible.

Typically, four implants are placed in the prostate; two on each side to adequately pull the glad back but this is dependent on the size of the prostate and the location of the enlargement.

The procedure is quick, usually taking less than 30 minutes under sedation or a light general anaesthetic. Patients are normally able to leave the hospital within a few hours of the operation and can return to normal activity as soon as they feel confident to do so. Patients can experienced relief from around two weeks post-operation. The implants are made from surgical stainless steel which resists corrosion and allows them to be permanent.

Step by step guide:

Step 1)

 Urolift step one

Step 2)

 Urolift step two

Step 3)

 Urolift step 3

Step 4)

 Urolift step four

Step 5)

 Urolift step 5

Step 6)

 Urolift step 6


How much does the UroLift® procedure cost?

The Urolift® procedure costs £4,900. Before having the Urolift® procedure patients are required to have a cystoscopy which costs £1,150.

How can I find out more?

If you would like further information about the UroLift® procedure please contact us on 0131 316 2507, alternatively you can email us at



*Barry M, Roehrborn C. Management of benign prostatic hyperplasia. Annu Rev Med. 1997;48:177-189

*Carter HB. Prostate Disorders: The Johns Hopkins White Papers. Baltimore, MD: John Hopkins Medicine, 2010: 1-24

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