Who is a candidate for iTind?

iTind is one of several treatment options for an enlarged prostate. It tends to suit men who want a minimally invasive option that avoids long-term daily medication, permanent implants, or tissue resection. Whether it is right for you depends on your symptoms, flow studies, prostate anatomy and personal preferences.

Typical patient profile

  • Moderate to severe lower urinary tract symptoms from benign prostatic hyperplasia (BPH).
  • Prostate size is suitable for the device. Published studies describe iTind most often in prostates under approximately 60 cc, though it has been used in larger glands.1
  • A desire to preserve sexual and ejaculatory function.2, 3, 4
  • Preference to avoid, pause or step down from long-term BPH medication.
  • Preference to avoid a permanent implant in the prostate.
  • Preference for a procedure with no overnight hospital stay.

Situations where iTind is less likely to be appropriate

  • Very large prostates, particularly those with a prominent median lobe, may be better suited to other procedures.
  • Active urinary tract infection or untreated bladder pathology should be addressed first.
  • Men in urinary retention, depending on individual circumstances, may need a different approach.
  • Anatomy or comorbidities that make safe cystoscopic placement difficult.

These are general principles, not a checklist for self-assessment. Only a urologist who has reviewed your history, flow study, ultrasound and cystoscopy can judge eligibility.

How iTind sits next to other BPH options

The main BPH procedures offered by Dr Kooner also include UroLift, Rezum, Holmium laser enucleation and transurethral resection (TURP). They differ in mechanism, in whether anything is left behind in the prostate, and in how they are expected to affect sexual function.

Option Mechanism What is left behind Hospital stay (typical)
iTind Temporary nitinol struts reshape the urethra over 5-7 days. Nothing after removal. Day surgery; removal in a second short visit.
UroLift Small tethers hold the prostate lobes apart. Permanent implants. Day surgery.
Rezum Water vapour applied to prostate tissue. Treated tissue is reabsorbed by the body. Day surgery.
Holmium laser Laser enucleation of obstructing prostate tissue. Obstructing tissue removed through the bladder. Usually an overnight stay.
TURP Electrosurgical resection of obstructing tissue. Obstructing tissue resected. Usually an overnight stay.

A side-by-side comparison is only a guide. Your urologist will weigh flow studies, prostate size and shape, bladder function, sexual function goals and overall health before recommending an option.

General information only. This page is not a substitute for individual medical advice. See Second opinion for how to ask Dr Kooner's rooms to review your case.

Considering iTind for an enlarged prostate?

You can ask for a second opinion on your urinary symptoms, flow studies and treatment options before committing to a plan.