Videos

1 expert is featured in this series.

An expert discusses how he has integrated minimally invasive therapies into his practice workflow through a mutual evolution with his patients, noting that as these procedures became more amenable to office-based treatment, they lowered the bar for patient acceptance and allowed many who would have stayed on medications too long to undergo procedural intervention much earlier. The vast majority of his benign prostatic hyperplasia (BPH) work is now done in-office rather than in hospitals through advanced patient comfort techniques, including specialized lidocaine applications, bladder alkalinization with sodium bicarbonate, prostate nerve blocks, and nitrous oxide that allow about one-third of patients to fall asleep during procedures.

2 experts are featured in this series.

Panelists discuss how the promising approval of the gemcitabine intravesical system will likely drive future research into drug-device combinations for sustained drug delivery across various bladder cancer populations, including Bacillus Calmette-Guérin (BCG)-naive patients during shortages and muscle-invasive disease, potentially transforming localized bladder treatment approaches over the next decade.

2 experts are featured in this series.

Panelists discuss how practical implementation of the gemcitabine intravesical system requires integrating cystoscopic procedures into urology clinic workflows, training providers (including advanced practice providers) for device placement and removal, and developing effective patient counseling strategies for managing a 3-week indwelling device with proper tracking systems.

1 expert is featured in this series.

An expert discusses how comparing the durability and treatment effects of newer minimally invasive therapies to gold standard transurethral resection of the prostate (TURP) or holmium laser enucleation depends heavily on surgeon skill. He notes that while an excellent TURP taken to the capsule or excellent holmium laser enucleation would generally be more durable and potentially lifelong, the reality is that surgical quality varies significantly between practices, making direct comparisons difficult as outcomes are largely surgeon dependent.

1 expert is featured in this series.

An expert discusses how the most common complications with minimally invasive benign prostatic hyperplasia (BPH) therapies are extremely mild (typically irritative voiding symptoms for a few days and some blood in urine) and how he counsels patients about trade-offs by explaining that every procedure has re-treatment and complication rates. He asks patients which “flavor of risk” they prefer while emphasizing that minimally invasive procedures “burn no bridges” and allow stepwise treatment progression because you can try something less invasive first and escalate later if needed.