Videos

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.

2 experts are featured in this series.

Panelists discuss how the gemcitabine-releasing system fits into the non–muscle-invasive bladder cancer (NMIBC) treatment algorithm by offering patients a promising intravesical option with excellent response rates and durability, though sequencing decisions must consider patient logistics, treatment availability, and individual preferences while potentially reducing but not eliminating the need for radical cystectomy.

1 expert is featured in this series.

An expert discusses how the proposed Centers for Medicare & Medicaid Services (CMS) rule represents an unusual circumstance that benefits smaller private practices by reducing work relative value units (RVUs) while increasing practice expense and malpractice RVUs. This could potentially result in substantial reimbursement increases for prostatic urethral lift and water vapor therapy, which may enable earlier intervention in younger men who want to avoid more invasive surgeries and preserve bladder function long-term rather than relying on α-blockers that don’t prevent disease progression.

1 expert is featured in this series.

An expert discusses how the greatest unmet need in minimally invasive benign prostatic hyperplasia (BPH) treatments is achieving durability and retreatment rates that match those of surgical options such as transurethral resection of the prostate (TURP) while maintaining sexual function preservation. He also discusses how barriers to broader adoption include inadequate technical training in office-based procedures, ongoing reimbursement challenges, and poor patient awareness because many patients and even well-meaning primary care physicians are unaware of options beyond medications or TURP.