Newer Techniques for Prostate Surgery - UroLift , Rezum , I-TIND and Prostate Artery Embolization

Urolift Procedure

How We Do It

  • Tiny permanent implants lift prostate tissue away from the urethra

  • No cutting, no removal of tissue

  • 15–20 minute minimally invasive procedure

Pre-Requisites

  • Best for 30–80 g prostates

  • Not suitable for large median lobe

  • Cystoscopy may be required beforehand

Expected Recovery

  • Most patients do not require a catheter

  • Return to work next day

  • Symptom improvement in 1–2 weeks

  • Sexual function fully preserved

5. REZUM Water Vapour Therapy

How We Do It

  • Uses controlled water vapor (steam) delivered into the prostate tissue

  • Steam causes cell death and shrinkage of the enlarged tissue over weeks

  • Entire procedure takes 10–15 minutes

  • No cutting, no implants

Pre-Requisites

  • Best for 30–80 g prostates

  • Suitable for patients wanting a non-surgical, office-based therapy

  • Pre-op tests: ultrasound, PSA, flow test

Expected Recovery

  • Catheter for 2–4 days

  • Return to light work in 2–3 days

  • Best results seen in 4–12 weeks

  • Symptom improvement continues for months

6. iTind Device Procedure

How We Do It

  • A temporary nitinol device is placed in the prostate for 5–7 days

  • It gently reshapes the urethral opening by applying controlled pressure

  • Device is removed later in the clinic

  • No thermal injury, no cutting

Pre-Requisites

  • Best for small–medium prostates (25–60 g)

  • Patients who want to preserve sexual function

  • Pre-procedure cystoscopy may be advised

Expected Recovery

  • Most patients return to routine in 24 hours

  • No catheter in most cases

  • Symptom relief begins in 1–2 weeks, continues to improve up to 3 months

  • Sexual function and ejaculation are preserved

7. Prostate Artery Embolization (PAE)

How We Do It

  • Performed by an interventional radiologist

  • A catheter is inserted through the wrist or groin

  • Small particles are injected to block blood supply to the prostate

  • Reduced blood flow causes gradual shrinkage

Pre-Requisites

  • Good option for patients unfit for surgery or anaesthesia

  • Prostate usually >60 g

  • CT angiography required to check arterial anatomy

Expected Recovery

  • Day-care procedure

  • Resume routine in 2–3 days

  • Improvement takes 4–12 weeks

  • Mild discomfort or burning may occur temporarily

Frequently asked questions

Q: What is the UroLift System and how does it work?

A: UroLift is a minimally invasive procedure for Benign Prostatic Hyperplasia (BPH). It uses small permanent implants (delivered via a delivery device passed through the urethra) to pull apart (lift) enlarged prostate tissue so it no longer compresses the urethra — without cutting, heating, or removing tissue

Q: Who is a good candidate for UroLift?

A: Typically, men with BPH symptoms (urinary frequency/urgency, weak flow, incomplete emptying, etc.), often 45 years or older, who want relief without major surgery, and desire to avoid lifelong BPH medications. Important to check for allergies to implant materials (e.g., nickel, titanium, stainless steel) before treatment

Q: What should I expect during and after the procedure? Is it painful? What about recovery and side-effects?

A: The procedure is minimally invasive, generally done under local or general anesthesia, and sometimes as an outpatient.

Common side effects: temporary discomfort or burning during urination, blood in urine, pelvic pain, urinary urgency or urge incontinence. Most of these resolve within 2–4 weeks. There is no cutting or tissue removal, so recovery tends to be quicker and less invasive than standard surgery.

Q: Will UroLift affect sexual function? And is the result permanent?

A: Clinical studies have shown that UroLift does not cause new, sustained erectile or ejaculatory dysfunction — a big advantage over some traditional BPH surgeries. The implants are intended as permanent. However, UroLift doesn’t rule out future BPH treatments if needed

Q: How can I contact you?

You can reach us by phone on +91-7703903478 and by email on ritesh.urology@gmail.com. We are always happy to answer your questions.

Q: What is the iTind procedure and how does it work?

A: iTind is a minimally invasive BPH treatment where a temporary nitinol device is placed via the urethra and left in place for 5–7 days. Over that time, it gently expands and reshapes (remodels) the prostatic urethra to widen the urine flow channel — without cutting, heating, or removing prostate tissue. After 5–7 days the device is removed; no permanent implant remains.

Q: Who is a suitable candidate for iTind?

A: Men with lower urinary tract symptoms (LUTS) due to BPH who want an alternative to daily medications or more invasive surgery. Often offered to men 50+ years who want to preserve sexual/ejaculatory function and avoid permanent implants or extensive surgery.

Q: What is Rezum Water Vapor Therapy and how does it treat BPH?

A: Rezum uses convective water-vapor thermal energy (steam) delivered via a needle into the prostate. The heat causes targeted prostate tissue destruction (cell death), which reduces the bulk of the prostate and relieves urethral compression.

Q: Who may benefit from Rezum therapy? (Who is a good candidate?)

A: Men with BPH (symptomatic) — often those ≥ 50 years and with a prostate volume within a certain range (e.g., 30 to ~80 cm³ per some data) — especially those wanting a minimally invasive option and aiming to avoid lifelong medications or more invasive surgery

Q: How long do the results last? Is Rezum a permanent solution?

A: Clinical studies report sustained symptom improvement for up to 5 years post-treatment in many men. As with other BPH treatments, results can vary and some men might need additional therapy or re-treatment, though retreatment rates appear relatively low in long-term follow-up

Q: Who is a suitable candidate for PAE? When is PAE considered?

A: PAE may be offered to men with symptomatic BPH who either cannot tolerate or prefer to avoid traditional invasive surgery (like TURP), or when medications are ineffective or not suitable. Patient’s overall health (kidney function, vascular access, absence of contraindications to contrast dye) and prostate anatomy are considered during evaluation.