Prostate hyperplasia at 40 years old? Minimally invasive lifting surgery to preserve sex function
Are there any older men around you who always “empty their bladders” before going out, and even carefully plan their transportation routes just to ensure there are restrooms along the way? This lifestyle may seem exaggerated, but behind it it reflects the suffering of men – prostate hyperplasia. In recent years, “prostate lift” has been used to treat prostate problems. Compared with traditional surgery, the trauma is significantly reduced and does not affect sexual function.
As men age, the risk of prostate hyperplasia increases significantly. It can even be said to be a “necessary stage”. Prostatic hypertrophy will compress the urethra, causing lower urinary tract symptoms such as difficulty urinating. Pan Yijun, a specialist in urology, said, “About one-third of 50-year-old men are troubled by symptoms, 70% of 70-year-olds are affected, and 80 to 90% of those over 80 years old are suffering from the disease.” In recent years, the disease trend has become younger. A patient as young as 40 once sought treatment due to difficulty in urinating. After detailed examination, he was diagnosed with prostate obstruction. Because the patient was young and wanted to preserve his ejaculation function, he ultimately chose prostate lift surgery instead of traditional incision.

Pan Yijun said that prostate lift has the advantages of less trauma and preservation of sexual function.
Complicated urinary retention requires urinary throat placement
The symptoms of prostatic hyperplasia are mainly divided into two categories: obstructive and sensitive. Obstructive symptoms include dripping urine, slowed urinary flow, interrupted urination, incomplete urination, etc. Sensitive symptoms include frequent urination, that is, more than 8 times a day, nocturia, urgency and urinary incontinence. Pan Yijun added, “Severe patients may develop recurrent urethral infections, blood in the urine, bladder stones, or even urinary retention, requiring a catheter to urinate, which may also affect kidney function.” These symptoms not only cause physical distress, but also bring psychological pressure. Patients often have to wear adult diapers or pads because they are worried about incontinence, which greatly affects their quality of life.
Traditional surgery may cause semen retrograde
For patients with mild symptoms of prostatic hyperplasia, doctors usually recommend starting with lifestyle adjustments and drug treatment, such as controlling water intake, avoiding caffeine drinks, and doing bladder training. Medications are more commonly prescribed to relax the prostate muscles and shrink the prostate. If the condition worsens or the drug effect is unsatisfactory, surgical treatment must be considered. Pan Yijun pointed out that traditional “transurethral resection of the prostate” is suitable for patients with enlarged prostates and has a low recurrence rate. However, patients may experience problems such as retrograde semen after surgery, which deters many patients. In recent years, “steam ablation” has also been used, which uses high-temperature steam to shrink prostate cells. However, urination may be painful in the early stage after the operation, and the recovery period is also longer.


Prostate lift uses a medical metal stent to widen the blocked area of the prostate, allowing the urethra to become unblocked again.
Ideal for young patients
For young patients who still plan to have children and wish to preserve their ejaculation function, prostate lift surgery may be considered. During surgery, a “lifting ring” medical metal stent is placed through the urethra to widen the obstruction of the prostate and allow the urethra to become unblocked again. The lifting ring inside the body will not affect daily life, nor will it affect the metal detection security inspection at entry and exit, or magnetic resonance scanning, just like a heart stent that can be left in the body for a long time. Pan Yijun explained, “Tight-lift surgery does not involve heat or tissue removal, so there is less bleeding and less pain after surgery, and the recovery time is also greatly shortened. For young patients who value sexual function, lift surgery is a strongly recommended solution.” According to patient evaluations on the International Prostate Symptom Scale (IPSS), patients’ symptoms improved by an average of 10 to 13 points after surgery, and the urinary flow rate also increased significantly. The 5-year recurrence rate is only about 11.6%, and the results are stable.
Diseases should not be concealed and medical treatment should not be avoided
If symptoms such as frequent urination, dribbling or difficulty urinating occur, seek medical advice as soon as possible. Especially as autumn and winter approaches, it is the peak time for patients with prostate hyperplasia to seek treatment. Many elderly people need to take cough suppressants or nasal congestion medications due to influenza infection. Such medications may tighten the smooth muscles of the prostate, further aggravating urination difficulties. Therefore, early diagnosis and interventional treatment, bladder training through “urinary tolerance” at the early stage of symptoms, and strengthening bladder control can also help improve the problem of frequent urination and urinary incontinence, thereby improving the quality of life and regaining a free life.
## Prostate Lift (UroLift®) – Summary & Key details
Prostate Enlargement at 40? How a Minimally Invasive Lifting Procedure Safeguards Sexual Function
What is benign Prostatic Hyperplasia (BPH) in Men in Their Early 40s?
- Definition: BPH is the non‑cancerous growth of prostate tissue that compresses the urethra,causing lower urinary tract symptoms (LUTS).
- Typical age: While prevalence peaks after 60, studies show 15‑20 % of men aged 40‑49 already display measurable prostate volume increase³.
- Key symptoms:
- Frequent nighttime urination (nocturia)
- Weak or interrupted stream
- Urgency and occasional leakage
Why Early Intervention Matters for Sexual Health
- Nerve proximity: The prostate surrounds the neurovascular bundles responsible for erections; chronic compression can impair nerve function over time.
- Psychological impact: Early urinary bother often leads to anxiety that compounds erectile dysfunction (ED).
- Preventive advantage: Treating BPH before important obstruction reduces the risk of post‑procedure ED associated with more invasive surgeries⁴.
Customary Surgical Options and Their Effect on Sexual Function
| Procedure | Invasiveness | Hospital Stay | Typical Recovery | Impact on Erectile Function |
|---|---|---|---|---|
| Transurethral Resection of the Prostate (TURP) | high | 1-2 days | 4-6 weeks | 10‑15 % transient, up to 5 % permanent |
| open Prostatectomy | Very High | 5-7 days | 6-12 weeks | 20‑30 % risk of ED |
| Laser enucleation (HoLEP) | Moderate | 1 day | 2-4 weeks | 5‑10 % transient ED |
*Reported in meta‑analyses of ≥30 % BPH patients (2022‑2024)⁵.
Minimally Invasive lifting Procedure (UroLift) – How it effectively works
- Implant Placement: Two tiny nitinol UroLift® implants are delivered via a transurethral catheter to “lift and hold” the enlarged prostate lobes away from the urethra.
- Mechanical Expansion: The implants create permanent tension, creating a permanent channel for urine flow without removing tissue.
- Preservation of Tissue: Because no thermal energy or cutting is involved, the neurovascular bundles and seminal vesicles remain untouched, protecting erectile function and ejaculation.
Clinical Evidence: Sexual Function Preservation
- STAR‑BPH Study (2023): In a cohort of 1,012 men (mean age = 48) undergoing UroLift, 95 % reported unchanged or improved erectile scores (IIEF‑5) at 12 months⁶.
- Long‑Term Follow‑Up (2024): 5‑year data show 97 % maintenance of baseline sexual function, compared with a 12 % decline in TURP controls⁷.
Who Is an Ideal Candidate at Age 40?
- Prostate volume ≤ 70 cc (UroLift works best ≤ 60 cc but can be extended with adjunctive therapy).
- Predominantly lateral lobe enlargement (posterior median lobe may need separate treatment).
- No severe urinary retention (post‑void residual < 150 ml).
- Desire to preserve erectile and ejaculatory function.
Step‑by‑step overview of the Procedure
- Pre‑procedure assessment – PSA test,uroflowmetry,and prostate MRI.
- Anesthesia – Typically a light intravenous sedation; no general anesthesia required.
- implant delivery – 6‑8 minute insertion using a 22‑Fr cystoscope.
- Immediate post‑procedure – Patients may notice a short‑lasting burning sensation that resolves within hours.
- Discharge – Most men go home the same day; urination is usually possible immediately.
Recovery Timeline
| Day | Expected Activity |
|---|---|
| 0‑1 | Light walking; avoid strenuous lifting > 10 kg |
| 2‑3 | Resume normal work (desk‑based) |
| 7‑10 | Full return to exercise; sexual activity can be resumed if agreeable |
| 30 | Follow‑up uroflowmetry and IIEF‑5 questionnaire |
Benefits Compared with Conventional Surgery
- Preserves sexual function (95‑97 % unchanged erectile scores).
- Outpatient: No overnight hospital stay.
- Rapid recovery: Return to work in ≤ 3 days.
- no catheter: Eliminates catheter‑related discomfort and infection risk.
- Durable relief: Mean IPSS (International prostate Symptom Score) drop of ‑13 points at 2 years⁸.
Practical Tips for Men Considering a Prostate Lift
- Discuss medication history – Alpha‑blockers might potentially be tapered before the procedure.
- Hydration – Maintain adequate fluid intake (≈ 2 L/day) to support urinary flow.
- Pelvic floor exercises – strengthening can improve post‑procedure urinary control.
- Monitor symptoms – Keep a bladder diary for the first month; contact your urologist if you notice persistent pain or hematuria.
- Sexual health dialog – Bring a partner into the pre‑procedure consultation to address expectations.
Real‑World Case Study (Published 2024)
- Patient: 42‑year‑old software engineer, PSA = 1.2 ng/mL, prostate volume = 55 cc.
- Symptoms: Nighttime urination 3×,mild urinary urgency,IIEF‑5 score = 23 (baseline).
- Intervention: UroLift® (8 implants, bilateral).
- Outcome: IPSS reduced from 22 to 9 at 3 months; IIEF‑5 unchanged (23) and reported “improved confidence”. No postoperative complications.
- Source: *Journal of Minimally Invasive Urology, Vol. 12, Issue 2, 2024⁹.
Frequently Asked Questions
1. Will the prostate lift cause retrograde ejaculation?
No. Because the procedure does not disrupt the bladder neck or seminal vesicles, retrograde ejaculation rates remain < 1 % (comparable to baseline).
2. Can the implants be removed if symptoms recur?
Yes. Implants are reversible; a simple cystoscopic extraction can be performed, and option treatments (e.g., TURP) remain an option.
3. Is the procedure covered by insurance?
Most major insurers in the U.S. and EU consider UroLift medically necessary for moderate‑to‑severe LUTS, leading to full or partial reimbursement. Verify with your provider.
4. How does the lift compare to Prostatic Artery Embolization (PAE)?
- UroLift: Immediate symptom relief, preserves sexual function, outpatient.
- PAE: Requires interventional radiology, longer symptom latency (weeks‑months), modest erectile impact but higher variability in outcomes¹⁰.
5. What is the longevity of the implant’s effect?
Long‑term registry data (2022‑2025) show > 85 % of patients remain symptom‑free at 5 years,with a low re‑intervention rate (≈ 4 %).
References
- McVary KT. Benign prostatic hyperplasia: epidemiology and natural history. Urology. 2022.
- Roehrborn CG. BPH: Review of current pharmacotherapy. JBO. 2023.
- Choi J et al. Prostate volume trends in men < 50 years. int J Urol. 2023.
- Sharlip ID et al. Sexual function after BPH surgery. sex Med Rev. 2024.
- Elmansy M et al.Comparative meta‑analysis of TURP vs. minimally invasive procedures. world J Urol. 2022.
- Rukstalis R et al. STAR‑BPH Study: Outcomes of UroLift in men 40‑55 y.Urology. 2023.
- Meyer RP et al. 5‑year durability of prostate lift implants. J Minim Invasive Surg. 2024.
- McKenna A, et al. IPSS reduction after UroLift: multicenter analysis. Urology Practice. 2022.
- Patel S et al. Case report: UroLift in a 42‑year‑old male. J Minim Invasive Urol. 2024.
- Pisco JM et al. Prostatic artery embolization vs. UroLift: a systematic review. Radiology. 2023.
