Signal voids created by prostatic urethral lift implants - a reminder in the era of multiparametric MRIs of the prostate.

The prostatic urethral lift (Urolift ®) is a new and increasingly popular minimally invasive treatment for benign prostatic hyperplasia which is being offered in lieu of ablative or cavitating therapy. The procedure serves to pin aside the prostatic lobes to improve lower urinary tract symptoms. In this patient with a history of extensive implants, MRI was requested as part of his evaluation for a raised PSA. It became clear that the Urolift implant created a signal void which made it difficult to radiologically assess the entirety of the prostate gland. Patients who have had the procedure done and in whom an MRI is being sought, should be counselled on the potential limitations and radiologists should be made aware of the implants.