What is a prostatic urethral lift?

A prostatic urethral lift (PUL) is a medical procedure to relieve the symptoms of benign prostatic hyperplasia (BPH), or enlarged prostate.

What is the prostate?

The prostate is a muscular, walnut-sized gland in men that surrounds part of the urethra, the tube that carries urine and sperm out of the body. The prostate produces fluid for semen, the milky liquid in which sperm swims. Sperm is produced in the testicles, which also make the main male hormone testosterone. During puberty (the physical changes leading to adulthood), testosterone stimulates the growth and function of the prostate, and helps with the production of fluid for semen.

What is benign prostatic hyperplasia (BPH)?

BPH, a noncancerous enlargement (growth) of the prostate, is the most common prostate problem in men. Almost all men will develop some enlargement of the prostate as they age.


The symptoms of BPH include:

  • Slow or dribbling urine stream
  • Difficulty starting to urinate
  • Frequent urination (having to go to the bathroom often)
  • Feeling of urgency (sudden need to urinate)
  • Need to get up at night to urinate

As BPH symptoms get worse, a man may develop:

  • Bladder stones
  • Bladder infection
  • Blood in the urine
  • Damage to the kidneys from back pressure caused by retaining large amounts of extra urine in the bladder
  • Sudden blockage of the urethra, making it impossible to urinate

Cleveland Clinic is a non-profit academic medical center. Advertising on our site helps support our mission. We do not endorse non-Cleveland Clinic products or services. Policy