Dr. Suntchai Wirotsaengthong

Reshaping BPH Treatment

Existing therapeutic strategies to treat LUTS due to BPH range from observation and medical treatment to a variety of surgical treatment modalities. TURP has been the treatment method of choice (even if is accompanied by a substantial perioperative morbidity rate and postoperative complications). More recently, transurethral enucleation techniques using different energy sources of laser have become the standard for larger gland sizes. There is significant interest in the development of minimally invasive surgical techniques (MISTs) for LUTS due to BPH that can be performed in an office or ambulatory setting under local anesthesia, ensure rapid and durable symptom relief, and provide a favorable safety profile (avoiding the risk of significant postoperative complications, including the development of anejaculation and/ or sexual dysfunction), as an alternative to traditional TURP or laser enucleation. In this interesting episode of AIS, we will discuss one of the most innovative and efficient MISTs available to treat LUTS due to BPH, the temporary implanted nitinol device, the so-called iTind. We will see how it works, how to properly select a patient, how and where to perform the procedure, and we will review the clinical data available.

With Olympus