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. 2018 Dec 12;22(3):411–419. doi: 10.1038/s41391-018-0118-x

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© The Author(s) 2018

Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons license, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons license and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/.

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Fig. 1 — Middle lobe deployment of UroLift system implants. a after addressing the lateral lobes, obstructive middle lobe visualized on cystoscopy, b UroLift implant is deployed in mostly lateral and slightly posterior direction to secure the middle lobe tissue to the side of the prostatic urethra, c bladder neck opening is achieved. d It is important to deploy the implant away from the neurovascular bundles, so operators should maintain deployment trajectory anterior to the 4 and 8 o’clock position when viewing the transverse plane of the urethra as a clock face. Photos courtsey of Dr. Gregg Eure.