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Prostate Treatment Without Affecting Sexual Function in Young Men | iTind

Hear it directly from the doctor…

Speaker: Dr. Krishna Mohan R – Sr. Consultant Urologist, Robotic / Laser / Transplant Surgeon
Centres: Dr. H&K Urology Centre • METRO Hospital • BMH, Calicut

How should urinary problems in young and middle-aged men be evaluated? The importance of urinary tests, uroflowmetry, flexible cystoscopy, side effects of medications (including impact on ejaculation), and iTind (Nitinol Temporary Implant) treatment that preserves sexual function – who it’s suitable for, how it works, safety, recovery, and more – explained by Dr. Krishna Mohan R. The discussion also covers prostate cancer screening (PSA/DRE) and robotic surgery options.

00:00:00 – Urinary problems increasing in young men: seriousness of the issue
00:00:28 – Initial tests: urine, blood (kidney function), ultrasound, uroflow
00:00:56 – Flexible cystoscopy: 5–10 min office test, what it can detect
00:01:21 – Identifying the cause: stricture? prostate? high-riding bladder neck?
00:01:48 – Treatment plan: starting medication, next options if no improvement
00:02:13 – Alpha-blockers & side effects: reduced ejaculation / retrograde ejaculation, sexual issues
00:02:39 – What is iTind? A sexual-function-preserving option for young & middle-aged patients
00:03:10 – iTind introduction in Kerala; procedure: local / mild sedation, day-care basis
00:03:40 – Same-day discharge; implant removal after 5 days; Mercedes pattern remodeling
00:04:10 – Long-term benefits (literature): reduced need for medication, preserved antegrade ejaculation
00:04:41 – Ideal candidates: bladder neck obstruction (Grade 1–2), small prostate, high-riding neck
00:05:16 – Safety & contraindications: mild bleeding/discomfort; not for UTI/stricture/stone/large gland/median lobe
00:05:47 – Cystoscopy is not invasive: thin scope, jelly anesthesia, office-based
00:06:41 – Duration of effect; no implant after 5 days; sex & medication guidance; water/diet/red meat/exercise tips
00:08:10 – Myth-busting: “No exercise for prostate” is false; prostate is a normal organ
00:08:42 – Rising prostate cancer: risk groups & trends
00:09:16 – Screening from 35–40 onwards (PSA/DRE); don’t ignore symptoms
00:09:45 – Low-risk: active surveillance; high-risk: robotic surgery options
00:10:39 – Conclusion: For the right patient, iTind is a “blessing”; decision based on cystoscopy findings

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