Thursday, September 22, 2022

Does Medicare Pay For Urolift

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Benefits Of The Urolift System

New breakthrough way to treat BPH, enlarged prostate
  • Rapid symptom relief and recovery
  • Significant improvement in quality of life

As with any medical procedure, individual results may vary. Speak with your urologist to see if the UroLift System treatment is right for you. Most common side effects are mild to moderate and include pain or burning with urination, blood in the urine, pelvic pain, urgent need to urinate and/or the inability to control the urge. Most of these side effects resolve within two to four weeks after the procedure.

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I Think I May Have Bph: What Are The Symptoms

The main symptom of BPH is the frequent need to urinate but some other symptoms include:

  • Feeling a full bladder even after urinating
  • Feeling the urgent and sudden need to urinate
  • Weak urine stream
  • Stopping and starting while urinating
  • Trouble beginning to urinate
  • Straining during urination

In an emergency situation, you may not be able to urinate at all and immediate action is required.

C Coverage For Urolift Procedure

Medicare Advantage plans also provide coverage for UroLift procedures. These plans mush cover everything Original Medicare covers. However, they offer additional benefits above and beyond that. Each Part C plan is different though so, what each covers and how much youll pay for the extra benefits will vary from plan to plan.

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Does Medicare Cover Urolift What Does Urolift Cost

Yes! The UroLift® System treatment is covered by Medicare and many private insurers. Contact your insurance provider for your specific coverage information.

Request an appointment with Dr. Toubin to discuss whether or not the UroLift®System is right for you. Dr. Toubin is the first in North Texas to help more than 300 patients with this successful treatment for BPH.

American Hospital Association Disclaimer

UroLift® System Commonly Billed Codes

The American Hospital Association has not reviewed, and is not responsible for, the completeness or accuracy of any information contained in this material, nor was the AHA or any of its affiliates, involved in the preparation of this material, or the analysis of information provided in the material. The views and/or positions presented in the material do not necessarily represent the views of the AHA. CMS and its products and services are not endorsed by the AHA or any of its affiliates.

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What Is An Enlarged Prostate

The prostate tends to get larger as men age. This enlargement often squeezes the urethra, which is the internal pathway tube that carries urine from the bladder to the outside the urethra passes right through the prostate.

The squeezing can create a blockage of the urine flow. The symptoms of BPH can include difficulty starting urination, a reduced stream, increased need to urinate, and the inability to completely empty the bladder.

If left untreated, BPH can develop into urinary retention or incontinence, bladder stones, and damage to the bladder and kidney.

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Where To Get Urolift Procedure In Nyc

At New York Urology Specialists, we offer specialized treatment for enlarged prostate for men. Same-day virtual video appointments and in-person appointments are available.

Call/text today: or make an appointment online.

We perform a cystoscopy, urodynamic testing, prostate and bladder ultrasound in our office. We offer Urolift procedure, Rezum water-vapor procedure in our office, and laser enucleation of the prostate in a hospital setting. We treat urinary and erection problems. We offer confidential appointments.

Our appointment costs are affordable with or without insurance. We offer free insurance verification.

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A Treatment Option For Men With Enlarged Prostates

Its a procedure that can improve urinary symptoms in men with enlarged prostates — without surgery or the removal of tissue. And it doesnt cause sexual side effects.

The UroLift is a new option for some men. The urologist pulls the sides of the prostate away from the urethra, using steel sutures to hold the prostate tissue back – like the tiebacks that keep window draperies open . This is meant to widen the urethra to allow for a better flow of urine.

What I usually tell my patients is that we are basically Moses opening the sea. We are creating a nice channel for urine to flow, says Hanan Goldberg, MD, an assistant professor of urology at Upstate.

The sutures remain for life. Goldberg says they meld into the prostate tissue within two or three weeks. Men who feel burning, frequency or urgency after the procedure usually see those side effects go away within two to four weeks. He says the procedure can improve a mans quality of life. Success rates after five years are about 87 percent.

Goldberg says UroLift does not affect a mans ability to have an erection or to ejaculate normally. Other treatments for benign prostatic hyperplasia might involve those sexual side effects.

Each treatment comes with side effects. Urologists can explain what each patient can expect.

Insurance Coverage For Urolift Procedure

Adult Pediatric Urology & Urogynecology, P.C. 7-30-15

Medicare and many other . If you are interested in the Urolift procedure, please schedule an evaluation. If you are a candidate for the Urolift procedure, we will request a coverage determination from your insurance company. Typically insurance companies require pre-authorization for a Urolift procedure. We cannot obtain preauthorization until the doctor has evaluated you and determined that you are a candidate for the Urolift procedure.

Did you know?Dr. Shteynshlyuger has performed over 1,000 surgeries and procedures for enlarged prostate, including Rezum, Urolift, prostate enucleation, laser ablation of the prostate, and TURP. He performs over 100 prostate procedures a year.

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What Is A Urolift Procedure

A UroLift procedure is an FDA-approved minimally invasive treatment in which implants are used to hold the enlarged prostate out of the way, treating symptoms of BPH.

Note: Medicare coverage changes all the time. And your specific coverage may vary from plan to plan for Medicare Advantage and Medigap plans. Always be sure to double check with your health care provider and/or Medicare insurance provider about what your plan covers and what it does not.

How Can Treatment For Enlarged Prostate Be Made More Affordable

The least expensive option for treatment for enlarged prostate is taking medication such as Flomax and finasteride, which can cost less than $200-300 per year. When these medications do not work well, office procedures such as Rezum and Urolift as well as laser prostate enucleation, Greenlight laser and bipolar TURP are also very effective in treating symptoms of an enlarged prostate. Some patients have intolerable side effects to medications and require medication-free options.

Procedures such as the Rezum procedure and Urolift procedure for enlarged prostate can improve the slow urine stream, incomplete bladder emptying, urge to pee and wake up at night to urinate. The choice of which procedure is best for you is usually decided between you and your urologist after consultation at New York Urology Specialists.

For patients who cannot afford the cost of treatment for enlarged prostate and urinary retention, affordable financing options are available including no interest or low-interest rate credit cards, CareCredit, and installment payments.

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What Are The Benefits Of Urolift

Many men with BPH use medicines to control symptoms. However, these medicines can cause side effects like dizziness, nasal congestion and sexual dysfunction. These medicines also stop working when the man stops taking them, which means many men must choose between unpleasant side effects or BPH symptoms.With the UroLift®, patients dont experience these unpleasant side effects, and most men notice BPH symptoms go away within 30 days. Studies have also shown that the UroLift® has fewer side effects compared to transurethral resection of the prostate , which is a surgical procedure used to treat BPH. TURP can cause side effects like sexual dysfunction and incontinence. Because of where the UroLift® implants are placed on the prostate, they are less likely to damage nerves and cause these problems.The UroLift® procedure also has a faster recovery time compared to TURP and usually doesnt require a catheter .

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What Other Treatment Methods Are Available

UroLift® System Commonly Billed Codes

If youre diagnosed with BPH, there are a number of options your urologist may discuss with you.

Because men are affected by BPH in varying degrees and some approaches work better for particular men than others, the treatment decision is not always straightforward. Your urologist can help sift through the pluses and minuses of each option, including UroLift and others, to identify the one likeliest to achieve a good outcome for you. Here are other available treatments for BPH:

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Where To Get Rezum Water Vapor Therapy For Enlarged Prostate In Nyc

At New York Urology Specialists, we offer specialized treatment with Rezum for enlarged prostate for men. Same-day appointments are available.

Call/text today: or make an appointment online.

We perform a cystoscopy, urodynamic testing, prostate and bladder ultrasound in our office. We offer Urolift procedure, Rezum water-vapor procedure in our office, and laser enucleation of the prostate in a hospital setting. We treat urinary and erection problems. We offer confidential appointments.

Our appointment costs are affordable with or without insurance. We offer free insurance verification.

Cost Of Urolift Procedure: Considerations

There are two parts to consider when discussing the cost of the Urolift procedure.

The overall cost of the Urolift procedure is made up of a few components. The first part is a professional fee charged by the urologist performing the procedure. If the Urolift procedure is performed in the office settings, this charge will typically include facility costs, nursing costs, and supply costs used to perform the procedure.

If the procedure is performed in the hospital or surgical center, a is typically charged by the hospital or surgical center for facility use. In addition, another fee will be billed by the anesthesiologist for anesthesia.

It is obviously less expensive to have the procedure performed in the office under local anesthesia. You save on hospital facility fees, which can be anywhere from $3,000-$15,000. You also save on the anesthesiologist fee.

The other cost consideration is the actual cost of Urolift implants. A typical patient will need anywhere from 6-8 Urolift implants. Some patients may require more than 6 Urolift implants to be placed during the procedure to obtain the maximum benefit. These implants are fairly costly, with an overall cost close to $1000 for each implant.

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Are There Any Side Effects

The most common side effects reported in clinical studies were mild to moderate and include pain or burning with urination, blood in the urine, pelvic pain, urgent need to urinate, and/or the inability to control the urge to urinate. Most symptoms resolved within two to four weeks after having the procedure. 1

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Are There Any Urolift Treatment Side Effects

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The most common side effects reported in clinical studies were mild to moderate and include pain or burning with urination, blood in the urine, pelvic pain, urgent need to urinate, and/or the inability to control the urge to urinate. Most symptoms did resolve within two to four weeks after having a UroLift® procedure.4

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What Are The Risks Involved With Pae

PAE has been shown to have fewer side effects than other widely used treatments for BPH such as transurethral resection of the prostate surgery, which is associated with incontinence, impotence, retrograde ejaculation and erectile dysfunction issues in men. When the procedure is performed by an experienced physician, the complication rate is extremely low and the procedure is incredibly safe and effective. According to the World Journal of Urology, the following side effects can occur following PAE: transient blood in urine , rectal bleeding, and acute urinary retention. In fact, with PAE, some men may actually experience improved sexual function following the procedure.

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Treatment Option For Bph: The Urolift System

Urologists at UCLA Urology are now offering UroLift, a new treatment option for benign prostatic hyperplasia .

UroLift Offers Relief for BPH

When Jeff Brenner first began experiencing bothersome urinary symptoms in his 40s, he attributed it to middle age and figured it was something he could live with.

An enlarged prostate compresses on the urethra, making it difficult for urine to flow.The UroLift Device is placed through the obstructed urethra to access the enlarged prostate.The device compresses the tissue and delivers tiny implants to lift and hold prostate tissue out of the way, thus opening the urethra. The permanent implants keep the tissue in place, like tiebacks on a window curtain.The UroLift Device is removed, leaving an open urethra for urine to flow.

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How Does It Work The Science Behind Urolift

UroLift® System Commonly Billed Codes

The UroLift System treatment is accomplished at a doctors office using implants to open the obstruction and create a normal urine flow.

The UroLift Device is placed in the urethra to access the enlarged prostate. UroLift Implants lift and hold the enlarged prostate tissue and increase the opening of the urethra.

In a study by European Urology, men who received the UroLift responded significantly better than those who had a TURP, a transurethral resection of the prostate.

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What Happens During The Pae Procedure

It works by placing a tiny catheter into the arteries that feed the prostate gland. A solution containing thousands of microscopic plastic beads is injected these block the blood supply by shutting down blood flow to the gland. All of this is accomplished through a tiny quarter-inch hole in the skin. General anesthesia is not needed because the procedure is not all that painful. Most patients go home the same day with just a small bandage, requiring only a few days of recovery at home before returning to normal life. Over time, the prostate gland is starved of its blood supply, and it shrivels up, like a grape shrinking into a raisin, says Dr. Ayyagari. This allows the urethra to open up and urine to flow more normally. Amazingly, shrinking the prostate does not have any negative impact on sexual function, and indeed a small number of patients actually experience an improvement in their sexual function after the procedure.

Who Is A Good Candidate For The Urolift System Treatment

You may be a good candidate if you are a male, 45 years of age or older, and have symptoms relating to BPH. Speak with your urologist to see if the UroLift® System treatment is right for you. If you have a known allergy to nickel, titanium or stainless steel, talk to your doctor about your allergy before getting a UroLift System treatment.

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Q: Can My Prostate Be Too Large For Urolift

A: In a Q& A with Dr. Daniel Rukstalis told Harvard Health: Its FDA-approved for men 45 and older with prostates up to 80 grams in size . But my view is that UroLift works best in prostates ranging from 25 to 60 grams. About a third of men with BPH also have whats called a median lobe, or a bit of prostate tissue that protrudes up into the bladder. We just completed a clinical trial showing that UroLift works well for these men too. On the basis of that study, the FDA approved UroLift for men with median lobes in early 2018. Well typically evaluate potential candidates with a pelvic ultrasound, which provides a lot of information about the health of the bladder and the size and shape of the prostate.

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Who Is A Candidate For Pae

What to Expect With The UroLift Procedure

All men whove been diagnosed with BPH, who experience symptoms that are not controlled well by medications and who are not able to or do not want to undergo invasive surgical treatments, are candidates for PAE. Patients must have reasonable kidney function and not be allergic to the contrast dye used during the procedure.

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Urolift Patient Reviews & Results

A review of 7 studies of 440 patients who had the UroLift procedure resulted in these findings:

All patients were over 50 with moderate symptoms. The procedure takes 50 minutes and half of the patients used local anesthesia.

Patients experienced a modest improvement in symptoms over 12 months of follow-up. The sexual function did not change. The results indicate the procedure is safe.

However, it was noted that those with very large glands and severe symptoms should consider using alternative therapies.

*All individuals are unique. Your results can and will vary.

One review says, The day of the procedure was the worst day of my life and I have had some doozies. The UroLift procedure was done in a hospital surgery possibly because I am 81yo. It is now four days later and I hope it gets better someday. My suggestion is if you are my age and can still pee, dont do this. ~ by Harold Parks

Overall Cost Of Urolift Procedure

The overall cost of the Urolift procedure should also include the cost of the evaluation. All patients interested in the Urolift procedure will need to have, at the very least, cystoscopy to evaluate whether they are a candidate for the Urolift procedure. Cystoscopy performed elsewhere will need to be repeated as it is a visual evaluation, and this 3-dimensional perspective cannot be obtained from a report of a cystoscopy performed elsewhere. A urodynamic test may also be necessary.

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