Better Stream: The iTind Procedure for the Treatment of BPH

In this episode we discuss a novel treatment for BPH called iTind. Unlike some other treatment options for BPH, the iTind procedure is performed in the clinic setting. It involves inserting a tiny device through the penis with a flexible camera. The device is then removed in the clinic about a week later. iTind is one of the least invasive procedures with BPH, is rapidly performed, and requires minimal if any recovery time. But is the procedure safe? How effective is it? How does it compare with more traditional BPH procedures like TURP, HOLEP and minimally invasive treatments like Rezum and UroLift? In order to answer these questions, we turned to an expert on the treatment of BPH. Dr Dean Elterman is associate professor of urology at the University of Toronro. Dr. Elterman completed his medical degree followed by residency in urologic surgery at the University of Toronto. He became a fellow of the Royal College of Physicians and Surgeons of Canada in 2011. Dr. Elterman completed a two-year fellowship in Voiding Dysfunction, Neuro-Urology, Female Urology and Pelvic Reconstruction at Memorial Sloan-Kettering Cancer Center and New York Presbyterian Hospital/Weill Cornell Medical College in New York City. Dr. Elterman is a member of several professional societies including the Society of Urodynamics, Female Pelvic Medicine and Urogenital Reconstruction, the Society of Genitourinary Reconstructive Surgeons, the International Neuromodulation Society, and the International Society of Men’s Health.
#iTind #BPH #prostate

[@jordanford8545]

Fantastic info and spot on questions. Thanks for posting and now considering this procedure.

[@bettermanclinics8872]

Glad it was helpful!

[@JB-gw1wd]

Very informative and well done interview!!

[@bettermanclinics8872]

Thank you!

[@rtfark6414]

Very helpful and informative. Thank you.

[@bettermanclinics8872]

Thanks!

[@davidlundy5007]

Great info, thanks.

[@bettermanclinics8872]

Glad it was helpful!

[@user-jr9ly9nh8t]

Excellent, informative video. I have had complete urine retention for 3.5 years and rely totally on CISC despite a PAE procedure that was not successful. I would like to know whether I would be a suitable candidate for iTind given that I always need to use self-catherization?

[@swimfit57]

I had the Holep procedure done and developed a stricter and ended up having Urethroplasty, still have a slow stream! The stricture I had was in the bulbar area and that looked great a month later when they did an X-ray and I voided. I’m worried I’ve developed a stricture near the end of the penis, from the Foley catheter it was really tearing me up!

[@estebanloach362]

Wonderful, excellent, thorough and professional interview!! Covered every base but one: what are the criteria for 5 days in, 6 days in and 7 days in?

[@bettermanclinics8872]

Thank you!

[@estebanloach362]

@@bettermanclinics8872 Any chance Dr. Elterman could give us a guideline or two on the 5, 6, or 7 days when it is best to remove the ITIND?

[@secondthoughtsecondthought3187]

5，6 or 7 days in may not make meaningful difference since the progress of expanding the urethra by the device is very much exponential. I had the device stayed in for 5 1/2 days approximately.

[@youonlyliveonce6000]

Affect on PSA level ?

[@happysalesguy]

Please explain the significance of "12, 5, and 7 o’clock" incisions. Left and right lobes, and anterior prostatic commissure (anterior fibromuscular zone)?

[@scottjustscott127]

QUESTIONS, QUESTIONS!!! There was no mention of PAE (Prostate Artery Embolization) as a procedure comparison. I gather that this iTind can be done safely with someone who has prostate cancer for 15 years or longer. Yes, I have prostate cancer and other than knowing I have it I am not having any problems but I am with BPH.

[@runningfootdoc]

can itind be used after urolift failure ?

[@user-eg1sw7kd6g]

What keeps the urethra open once the itind is removed. Is the tissue semi ridged so it keeps the shape created by the itind? My engineerig mind is not seeing how the affect will last very long. Seems like the tissue would reform back to its natural shape.

[@YobazlarDevri]

I agree that I can't see that prostate would keep compressed shape for 2 or 3 years. Maybe a few weeks?

[@user-eg1sw7kd6g]

Any advantage to having the iTind procedure after a failed UroLift, or would the results ultimately be the same as the UroLift?

[@samkitty5894]

I can't see how this can be a permanent solution. Once the stent is removed prostate should collapse and urine flow will slow down. Now, if the stent of some type was left there, then it could work. I don't know. I am not a doctor, just a prostate sufferer.

[@jamesyoung1012]

I’m like you been doing my research considering this procedure I found an explanation how this could permanent once the 3 prong stent is taken out The 7 12 5 o’clock pressure struts create a circumferential force longitudinally Ischemic incisions or indentations called Ischemic necrosis scaring meaning stops blood flow and oxygen to this pressure points prohibiting it growing in essence To re model the prostate sides I hope this helps with some understating of this procedure

[@dannybryant6873]

No discussion on PAE. I'm hoping I'm eligible for PAE.

[@bettermanclinics8872]

Please check out our episode on PAE: kzbin.info/www/bejne/fYqQgqp5g5toY6M www.bettermanclinics.com/better-stream-prostate-artery-embolization-for-the-treatment-of-bph/

[@graficasholanda213]

Good Morning I am Carlos, I am 58 years old and I suffer from benign prostatic hyperplasia with a size of about 35 cm. The reason for my consultation is that I was interested in having surgery with Rezum (several urologists have recommended it to me) since it is the technique that produces the fewest side effects. Until I got information from i-tend, as a technique without side effects such as retrograde ejaculation and minimally invasive. A urologist from Hospital Quiron, an expert in this technique, offers me the operation, but I would like to confront some important doubts for me. 1) The doubt I have with this technique is whether expanding the prostatic urethra can cause some type of damage to the urethra or some problem when it narrows again in the future. 2) Is there any type of fibrosis or other effect that makes an operation with Rezum (water vapor therapy) difficult if I need it in the future? Thanks in advance for your information and interest.

[@glucosa-normal]

I imagine you have already had one procedure or the other done in the last 8 months. I have no experience with the REZUM, but I did have the Itind procedure done in 2022, in Louisiana, USA. HORRIBLY painful for about 3 months. Now about 9 months later, no pain and urine does flow more freely. Probably because it is a "new" procedure, the surgeons who did my procedure were unavailable immediately AFTER the surgery, though the pain was so severe that I would call every 2 days or so and NEVER got in touch or got a return call from ANY of the surgeons. So, the point is that you must trust your surgeon and have access to him or her AFTER the procedure. My prostate was size 32 cms, so probably I could have done nothing and still not suffered very much. None of the pain pills that I was given in any way "relieved" the pain. I just had to bear it for a good three months, not knowing if that was normal, if it was infected, or what the case might have been. Try to get a surgeon who has done it before and has a good bedside manner, as you will need it post-surgery. Should my prostate need some form of surgery in the future, I am not sure at this time if I would do the ITIND procedure AGAIN. When, after 5.25 days, the PULLED it out, the pain was unbearable because it had already bonded very well with the tissue, so it was TORN out...hence the pain, I imagine. Good luck. Please share your experience here. Dr. Stan De Loach, CDMX, México.

[@jameswatson5501]

This term “Roto Rooter” is disturbing and needs explanation.

[@SlobodanCukTESLAco]

There is no mention of aquablation procedure, which is also termed minimally invasive procedure?

[@bettermanclinics8872]

We are currently putting together an episode on Aquablation. Stay tuned!

[@bettermanclinics8872]

Here is the link to the episode: kzbin.info/www/bejne/hYLLfWWugJyZbqs