# First Experience of Unlocking The "MIstery" in Benign Prostatic Obstruction in Nepal: A Case Report

**Authors:** Subodh Ghimire, Mahesh Bahadur Adhikari, Bipin Maharjan, Ravi Kiran Gautam, Ajit Khadga

PMC · DOI: 10.31729/jnma.v63i2091.9239 · 2025-11-30

## TL;DR

This case report details the first successful use of the UroLift® system in Nepal for treating benign prostatic obstruction.

## Contribution

The paper documents the first use of a minimally invasive UroLift® procedure in Nepal for benign prostatic obstruction.

## Key findings

- The UroLift® procedure was successfully performed on a 73-year-old patient in Nepal.
- The patient experienced significant symptom relief and rapid recovery post-procedure.
- The case demonstrates the feasibility of adopting advanced minimally invasive therapies in low-resource settings.

## Abstract

Benign prostatic obstruction is a prevalent cause of lower urinary tract symptoms in aging men, traditionally managed with medical therapy or invasive surgery. Minimally invasive surgical therapies like the UroLift® system have gained global recognition for their efficacy and safety, yet their adoption in low-resource settings has been limited. We present the first documented case of UroLift performed in Nepal on a 73 years old gentleman with persistent lower urinary tract symptoms unresponsive to dual therapy. The procedure was completed successfully without complications, resulting in significant symptom relief and rapid postoperative recovery. This milestone highlights the feasibility of introducing advanced minimally invasive surgical therapy option like UroLift in Nepal, offering a promising alternative to medicines or surgery for benign prostatic obstruction.

## Full-text entities

- **Diseases:** bleeding (MESH:D006470), Chronic obstructive pulmonary disease (MESH:D029424), luminal obstruction (MESH:D000402), nocturia (MESH:D053158), Benign Prostatic Obstruction (MESH:D011472), LUTS (MESH:D059411), MISTs (MESH:D016609), BPH (MESH:D011470)
- **Chemicals:** oxygen (MESH:D010100), BEP (MESH:C038328), lignocaine (MESH:D008012)
- **Species:** Homo sapiens (human, species) [taxon 9606]

## Figures

2 figures with captions in the complete paper: https://tomesphere.com/paper/PMC12906718/full.md

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Source: https://tomesphere.com/paper/PMC12906718