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What is iTIND?
iTIND is the second-generation version of the temporary nitinol implantable device (TIND), which has emerged over the past decade as one of the latest additions to the library of minimally invasive surgeries now available to treat bothersome lower urinary tract symptoms (LUTS) caused by benign prostate enlargement.
The iTIND device is a temporary implant that serves to re-model the bladder neck and the prostatic urethra to improve urinary flow.
The iTIND device is removed after 5-7 days of insertion.
Figure 1: Normal versus enlarged prostate.
How does iTIND work?
The iTIND will be inserted into the prostate by a physician.
The device will slowly expand over the course of 5-7 days.
During this time, the device will reshape the opening of the prostate to increase urine flow.
Upon removal of the device, the shape remains open to improve urinary flow.
Figure 2: Mechanism of iTIND. Image retrieved from iTIND.
Possible Risks and Complications?
Side effects are listed below. They are typically most prevalent during the 5-7 days post insertion. These symptoms typically resolve upon the removal of the device
Pain on burning with urination
Blood in the urine
Pelvic pain
Urgent need to urinate
Inability to control urination urges
Benefits of iTind
Improved quality of life
Rapid symptoms relief
Preservation of sexual function
Preservation of continence
Minimally invasive and straightforward procedure
Majority of men does not require placement of catheter post procedure
No permanent implant
No overnight hospital stay
Key anatomical structures preserved
Does not require ionizing radiation or thermal heating of anatomical structures.
No major complications recorded to date.
While this is a relatively safe procedure, there are no long-term data on efficacy or side effects.
When can I expect results?
Typically, patient experience the most improvement after 6-12 months if not sooner.
Alternatives to iTind
Preparing for iTind procedure
You should let your doctor know all the medications that you are taking, including over the counter medications. If you take blood thinning medications such as plavix, warfarin, aspirin, ibuprofen, or naproxen, ask your doctor how many days before the procedure you should stop these medications.
Let your doctor know if you are allergic to anything including medication, tape, or latex.
Also, inform your physician if you are currently having a bladder infection (symptoms include burning upon urination or frequent urination).
You should not eat or drink anything after midnight or at least 8 hours prior to the procedure. Usually you may take your regular medication with a few teaspoons of water.
You will need to arrange for someone to drive you home from the hospital as you can not operate heavy machinery for at least 24 hours after you were administered anesthesia. Be sure to dress comfortably for the procedure.
After iTind procedure
Follow the instructions given by the nurse in the hospital.
It is okay and relatively normal to see brownish or reddish urine with some small blood clots..
You may expect burning sensation upon urination or pain. You can contact your doctor's office to request pain medications (if not already prescribed).
You should drink plenty of water so that there will be more urine flow to keep the urine clearer.
For about 1 week, avoid any heavy lifting or straining
Schedule an appointment to remove the iTIND device.
Please notify your doctor if...
If you have thick or bright red blood in the urine.
If your urine is not draining into the bag and your bladder feels bloated.
If you feel persistent pain and cramping in your belly.
Please go to the emergency room if you..
Have a fever with a temperature of over 100.4 degrees Fahrenheit or shaking chills. This may be an indication of infection.
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