Concierge urology · London
iTind for BPH — a reversible outpatient treatment that preserves ejaculation.
A self-expanding nitinol device sits in the prostatic urethra for five to seven days, gently reshapes the tissue, and is removed. No thermal ablation, no permanent implant, and retrograde ejaculation is under one per cent.
Why patients choose us
- 01
A consultant urologist, in a proper theatre
iTind is minimally invasive but it is still a device inside the prostatic urethra. A named consultant does the case — not a trainee, not a general clinician.
- 02
All BPH options honestly on the table
iTind is one of several routes — Rezum, UroLift, HoLEP, GreenLight, Aquablation, TURP. We tell you which fits your prostate, not which the clinic prefers to sell.
- 03
Independent, and free
We are paid by no clinic, so the recommendation is impartial and costs you nothing.
Indicative pricing
What private iTind treatment costs in London.
Indicative ranges across our partner clinics. Send the details and we quote firm figures across two or three options.
In short
A full iTind package in our network: £4,000–£7,000, home the same day.
| Procedure | Indicative range | Typical duration | Recovery |
|---|---|---|---|
| iTind — device, placement and removal (package) | £4,000–£7,000 | 15–20 min placement · 5 min removal | Same-day home |
| iTind placement only (device included) | £3,200–£5,500 | 15–20 min | Same visit |
| iTind removal (outpatient, LA) | £600–£1,100 | 5 min | Same visit |
| Urology consultation and work-up | £250–£450 | 30–45 min | Same visit |
| Flexible cystoscopy (pre-op) | £450–£900 | 10–15 min | Same visit |
| Prostate MRI (if needed for sizing) | £450–£850 | 30–40 min | 24–48 h report |
Prices vary by clinic, by which consultant does the case, and by whether pre-op imaging or cystoscopy is included in the package. NHS commissioning for iTind is currently limited, so most UK patients pay privately or through insurance. We come back with a firm quote within one working day.
The problem
The right BPH treatment for your prostate — not the clinic’s preferred one.
BPH is where private urology gets confusing fastest. Six or seven procedures, each pitched hard by the clinics that own them, and ejaculatory function often left off the consent form. We fix all three.
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Worried about losing ejaculation?
It is a fair concern and often waved away. iTind, Rezum and UroLift preserve it well — TURP, HoLEP and GreenLight typically do not.
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Not ready for a permanent step?
iTind leaves nothing behind. If it is not enough later, every other option remains fully available.
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Want an honest comparison?
A named consultant urologist who does iTind, Rezum and laser cases — and tells you plainly which fits your anatomy.
The journey
From enquiry to removal — what happens, in order.
One consultant from first message to the final IPSS re-score.
Phase 1 · Before your procedure
Concierge, off-stage for you
Phase 2 · On the day
A few hours at the clinic
Phase 3 · After
Concierge, back on
- 01
Before
You tell us what is going on
IPSS score, flow symptoms, medication history, and whether ejaculatory function matters to you. A short, confidential form.
- 02
Before
We come back with a recommendation
Within one working day: whether iTind fits your prostate — size, shape, middle lobe — or whether Rezum, UroLift or a laser option is a better match. Indicative price too.
- 03
Before
Work-up and appointment
Uroflow, post-void residual, cystoscopy and prostate volume by ultrasound or MRI. Any anticoagulant is reviewed with the team and you are told exactly how to prepare.
- 04
On the day
Arrival at the clinic
Consent and a chat with the urologist. Local anaesthetic with light IV sedation if you prefer — some centres do it fully awake with LA alone.
- 05
On the day
Device placement
15 to 20 minutes. Cystoscopy, the iTind is advanced through an insertion sheath and self-expands in the prostatic urethra, creating three longitudinal indentations. Home the same day.
- 06
On the day
Five to seven days with the device
Mild urgency and frequency during the implant window is normal. You go about ordinary life; heavy exercise and long journeys wait until it is out.
- 07
After
Removal, then recovery
Outpatient removal under LA with a retrieval loop — around five minutes. Symptoms improve over four to eight weeks as the reshaped tissue settles.
Typical end-to-end: 2–3 weeks from enquiry to placement. Full symptomatic benefit: 4–8 weeks after removal.
When it fits
When iTind is the right BPH step.
The men we see most, plus the situations where iTind is the wrong tool and honesty about that matters more than a booking.
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Moderate–severe LUTS on medication
IPSS in the moderate to severe range despite an alpha-blocker with or without a 5-ARI — symptoms are still limiting.
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Younger, sexually-active men
Retrograde ejaculation is <1% with iTind vs 60–90% after TURP or HoLEP. If ejaculatory function matters, it matters.
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Medium-sized prostate (25–75 mL)
iTind is designed for the medium gland with no dominant middle lobe. Larger prostates need HoLEP, GreenLight or Aquablation.
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No middle-lobe protrusion
Cystoscopy and imaging confirm anatomy suitable for the three-strut expansion pattern.
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Wants a non-permanent option
Nothing left in the body afterwards — no clips as with UroLift, no thermal ablation as with Rezum or GreenLight.
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Wants to avoid TURP-level downtime
Outpatient placement, LA with optional sedation, and a return to normal activity within days rather than weeks.
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Considering surgery but not ready to commit
iTind buys real symptom relief with a reversible footprint. If it is not enough later, other options remain fully on the table.
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Not for: retention, very large gland, stones
Urinary retention, prostate >75 mL, marked middle lobe, active UTI, bladder stones or tumour, urethral stricture, or previous prostate surgery — iTind is the wrong choice.
BPH options
iTind is not the only option.
What each BPH treatment actually involves — and where iTind sits in the landscape.
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iTind (this page)
Temporary nitinol device for 5–7 days that reshapes the prostatic urethra by controlled ischaemic remodelling. Reversible. Best ejaculatory preservation of any BPH intervention.
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Rezum (water-vapour ablation)
Injected steam ablates prostate tissue. Also preserves ejaculation well. Longer-lasting than iTind, but thermal and not reversible.
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UroLift (prostatic urethral lift)
Small permanent implants retract the lateral lobes mechanically. Similar ejaculatory preservation to iTind, but implants stay in place.
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HoLEP (holmium laser enucleation)
The gold-standard tissue-removing option for larger prostates. Very durable. Higher retrograde ejaculation and longer catheter/recovery than iTind.
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GreenLight laser vaporisation
Laser vaporises obstructing tissue. Good for medium-large glands, higher retrograde ejaculation rate than iTind.
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Aquablation
Robotic waterjet ablation, good for large prostates with reasonable ejaculatory preservation. Requires a specialist centre.
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TURP (transurethral resection)
The historical benchmark. Definitive tissue reduction but 60–90% retrograde ejaculation and a longer inpatient stay.
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Watchful waiting + medication
Alpha-blocker with or without a 5-ARI. Right first step for many men — iTind is for when this is no longer enough.
Our vetted London network
A small panel of urologists, we picked them.
Consultant urologists across central, north, west and south London who do iTind alongside Rezum, UroLift and laser prostate work. Introductions are made privately once we understand your case.
Selection criteria
How we choose every urologist in our network.
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Consultant urologists trained and proctored in iTind placement
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Cases done in a proper day-case theatre or endoscopy suite, not a bedside procedure
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All BPH options — iTind, Rezum, UroLift, HoLEP, GreenLight, Aquablation — discussed before you choose
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Sexual-function preservation taken seriously at consent, not as an afterthought
Safety and recovery
What to expect — honestly.
iTind is a well-tolerated day-case procedure (NICE IPG641, 2019). The things worth planning are the five to seven days with the device in situ, the small retreatment rate, and MRI timing.
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Ejaculatory function is genuinely preserved
Retrograde ejaculation is <1% with iTind. Compare with 60–90% after TURP or HoLEP, and 20–40% with UroLift.
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A device sits in place for 5–7 days
Mild urgency, frequency and a small amount of blood in the urine during that window is normal, not a complication.
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Urinary retention 5–10%
A small number of men need a temporary catheter during the implant window. It is inconvenient rather than dangerous, and settles once the device is removed.
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UTI risk 5–10%
A short course of antibiotics covers most cases. Fever, back pain or worsening symptoms should be flagged the same day.
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Transient dysuria after removal
Mild stinging on passing urine for a few days after removal is common. Full symptomatic benefit builds over 4–8 weeks.
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Retreatment 10–15% at five years
A minority of men eventually need a second procedure — usually a laser option or TURP. This is a genuine trade-off of a less-destructive first step.
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MRI considerations
iTind is metallic (nitinol). During the 5–7 days it is in situ, MRI is limited to 1.5T with radiologist sign-off. Once removed, no restrictions.
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Device migration is rare
Correct sizing and placement makes this uncommon. If it happens, the device is retrieved and options are re-discussed.
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Red flags
Inability to pass urine, heavy visible bleeding, fever with loin pain, or severe pelvic pain during the implant window — call the clinic or A&E the same day.
Reading your operation note
Your iTind note in four parts. Read the last one first.
The note the urologist sends you keeps to a consistent shape, whether the case is straightforward or has a wrinkle.
A quiet reminder
Urology language is precise and can read coldly — we translate it for you.
If you would like us to talk you through the note before your review, just ask.
- 01 Header
Indication and eligibility summary
Why iTind was chosen — IPSS, medication history, prostate volume, ejaculatory-function priority — and the anatomy that made it a fit.
- 02 Technique
Placement and device details
Anaesthetic used, cystoscopy findings, device size, position of the three struts, and any technical notes at deployment.
- 03 Findings
Interval symptoms and removal
How the 5–7 day window went, findings at removal, the state of the prostatic urethra, and any incidental findings.
- 04 Impression
Recovery, follow-up and re-scoring
Read this first: expected 4–8 week symptom improvement, when to repeat IPSS and uroflow, and what would trigger a further intervention.
Recognised by major UK insurers
Cover for iTind varies by insurer — some fund it as a recognised BPH treatment, others treat it as newer technology and require pre-authorisation. We confirm cover before booking.
Frequently asked
Everything we get asked about iTind for BPH.
Quick answers on how it works, how it compares to Rezum and UroLift, ejaculatory function, cost, and how long the benefit lasts.
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What is iTind and how does it work?
iTind (Temporary Implantable Nitinol Device, Medi-Tate/Olympus) is a self-expanding nitinol device placed in the prostatic urethra for 5 to 7 days. Its three struts press gently on the tissue at fixed points, causing controlled ischaemic remodelling. When it is removed, three durable longitudinal channels remain, easing the obstruction — with no thermal ablation and no permanent implant.
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How is iTind different from Rezum and UroLift?
All three preserve ejaculation better than TURP or HoLEP. iTind is reversible — nothing stays inside. UroLift leaves permanent clips. Rezum uses water vapour to thermally ablate tissue and tends to last longer than iTind. Which fits you depends on prostate size, middle-lobe anatomy and how you weigh reversibility against durability.
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Am I a good candidate for iTind?
Typically: symptomatic BPH with a moderate–severe IPSS despite an alpha-blocker with or without a 5-ARI, a prostate of roughly 25–75 mL, no significant middle-lobe protrusion, and a wish to preserve ejaculatory function. Not suitable in urinary retention, very large prostates, active infection, bladder stones or tumour, urethral stricture, or after previous prostate surgery.
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How well does iTind work, and how long does it last?
In the MT-05 study, IPSS dropped by roughly 10–12 points at three years, with Qmax improving by around 40–60%. Most men still benefit at five years. Around 10–15% of men need a further procedure by five years.
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How much does iTind cost privately in the UK?
A typical package — device, placement, removal and consultation — runs £4,000 to £7,000 in London. NHS availability is currently limited and variable by trust, so most patients pay privately or through insurance.
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Does iTind affect sexual function?
Retrograde ejaculation is under 1% — the best of any BPH intervention. Erectile function is not typically affected. This is the main reason younger, sexually-active men choose iTind over TURP, HoLEP or GreenLight.
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What is the recovery like?
Placement is outpatient, usually with local anaesthetic and optional light sedation, and you go home the same day. Expect mild urgency, frequency and a little blood in the urine while the device is in. After removal (five-minute outpatient), symptoms improve over four to eight weeks.
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Can I have an MRI while iTind is in place?
iTind is metallic (nitinol), so MRI during the 5–7 day implant window is limited to 1.5T scanners with radiologist sign-off. Once the device is removed there are no MRI restrictions.
Related tests
Looking for something else?
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HoLEP
Holmium laser enucleation of the prostate — for larger glands.
Learn more -
GreenLight laser prostatectomy
Laser vaporisation for BPH — medium to large prostates.
Learn more -
All tests & procedures
Every test and procedure we arrange.
Learn more -
Urology consultation
An honest first conversation about BPH options.
Learn more
Nearby in the library