Placement
The iTind™ device is inserted in a folded configuration into the prostatic urethra during a brief outpatient cystoscopy.
Help your patients achieve effective, lasting relief
from BPH symptoms with the iTind™ procedure.
The iTind procedure is now covered by traditional Medicare and may be covered by other insurance companies in the USA when medical criteria is met. Category I CPT Codes: Insertion 53865 | Removal 53866
For patients seeking relief beyond BPH medications but are not yet ready to have surgery, the iTind procedure should be considered. Unlike thermal therapies or permanent implants, the iTind device is placed temporarily and then fully removed. This helps preserve sexual function1, 2 — helping you expand treatment possibilities for your patients, without compromising outcomes.
Reshapes the prostate without permanent implants
Preserve
sexual
function1, 2
Temporary implant, removed after only 5–7 days
Rapid symptom relief, rapid return to daily life2, 3
Straightforward procedure with no need for special equipment
Routinely
catheter-free
(~5%)1, 3
The iTind procedure may cause temporary urinary urgency, pelvic discomfort, dysuria, or hematuria. Rare complications include urinary tract infection or acute urinary retention.
The iTind procedure IQ Quiz is an interactive way to demonstrate what you know about the iTind procedure while also uncovering new insights about its mechanism of action and supporting clinical evidence.
Insertion
Treatment Period (5-7 Days)
Removal
The iTind™ device is inserted in a folded configuration into the prostatic urethra during a brief outpatient cystoscopy.
Once in place, the nitinol struts expand and exert pressure at the 12, 5, and 7 o’clock positions on the prostatic urethra and bladder neck.
Over 5–7 days, continuous ischemic pressure creates deep longitudinal channels in the prostatic tissue, improving urine flow.
The device is completely removed after 5–7 days during an in-office procedure, leaving no permanent implant.
The remodeled channels remain, providing long term symptom relief lasting beyond 4 years.3
The iTind procedure may cause temporary urinary urgency, pelvic discomfort, dysuria, or hematuria. Rare complications include urinary tract infection or acute urinary retention.
The iTind procedure has been evaluated across multicenter clinical trials with durable results lasting beyond 4 years.1, 2, 3
et al., 2023
Prospective, Multicenter Study with Long-Term Follow-Up
et al., 2023
Randomized Control Trial
in the U.S. and Canada
et al., 2023
Interim Results of a Prospective, Multicenter Study
The iTind procedure may be an ideal treatment option for men aged 50 and older who are unhappy with the relief they feel or the side effects of prescription BPH medications but are not ready for an invasive surgery.
*In published clinical studies, fewer than 5% of patients required temporary catheter placement post-procedure. Individual results may vary.
Hover over each square below to learn more
Low adherence to daily BPH medication often means patients stop using it within
12 months7
Plus,
many experience undesirable sexual side effects8
(~5%)
Post-procedure catheterization is rare9
No incidence
of de novo sexual dysfunction in
clinical studies10
32%
catheterization rate11
No incidence
of de novo sexual dysfunction in
clinical studies12
90%
catheterization rate13
No incidence
of de novo sexual dysfunction in
clinical studies13
46%
incidence of retrograde ejaculation14, 15
6%
incidence of erectile dysfunction14, 15
Olympus has dedicated Field Reimbursement Managers who can provide reimbursement insight and guidance, as well as a wide range of resources specific to the overall reimbursement process for the iTind procedure.
The reimbursement helpline offers the following services:
Experienced coding professionals are available to help customers navigate case-specific denials and prior authorizations. Our professionals can assist with documentation, payer communication and provide you with updates on case-specific decisions through a secure and encrypted provider portal. This is an opt-in program for all customers performing the iTind procedure.
*Olympus is partnered with a third-party administrator.
53865 Cystourethroscopy with insertion of temporary device for ischemic remodeling (i.e., pressure necrosis) of bladder neck and prostate.
53866 Catheterization with removal of temporary device for ischemic remodeling (i.e., pressure necrosis) of bladder neck and prostate.
The codes have a zero day global period.
For further details and clarification contact the FRM team and review HEMA resources available here (insert link to HEMA website).
Email: iTindFRM@olympus.com
Phone: (877) 205-1533
Hours: 8:30 am - 5:00 pm Eastern Time
Urologists used to keep patients as long as possible on BPH medications until surgery was an option for them but now the iTind procedure is a minimally invasive treatment option.”
Dr. Naveen Kella
Urologist
Recorded in February, 2022
Literally within a day of having the iTind procedure device removed, I texted my urologist and said I never knew it could be this good.”
Dan
Actual Patient
Recorded in February, 2022
The iTind procedure is a perfect fit for patients that do not want to be on continued prescription BPH medication, do not want a permanent device implanted or are not yet ready for surgery.”
Dr. Kenneth Kernen
Urologist
Recorded in November, 2021
Patients treated with the iTind procedure are unpaid speakers. As with any product, results may vary. Dr. Naveen Kella and Dr. Kenneth Kernen are paid consultants to Olympus Corporation of the Americas. The iTind procedure may cause temporary urinary urgency, pelvic discomfort, dysuria, or hematuria. Rare complications include urinary tract infection or acute urinary retention.
The iTind™ device is a temporary nitinol implant placed for 5–7 days to remodel prostate tissue, improving urine flow3 without heat, cutting, or permanent implants.
It’s done via outpatient or in-office cystoscopy, using standard urology equipment. The device is placed in a folded configuration and removed after 5–7 days.
The device exerts pressure at 12, 5, and 7 o’clock positions, reshaping the prostatic urethra through ischemic pressure, which remains post-removal.
It depends on the patient and practice preference. In many cases, local anesthesia is sufficient for both procedures, but some providers may opt for conscious sedation. It is considered an outpatient or office-based procedure.1,2
The radial and longitudinal pressure applied by the device leads to ischemic compression of the prostatic tissue. This creates three longitudinal channels that reshape the prostatic urethra, resulting in improved urinary flow.3
Removal is typically done in the office or outpatient setting. The device is retrieved in one piece, with no fragments left behind.
Yes. While the iTind™ procedure aims for long-term symptom relief (studies demonstrate durability beyond 4 years3), it does not preclude repeat treatment or future interventions, including surgical procedures, if the condition progresses.
No. The entire device is removed after 5–7 days. No stent, implant, scaffold or chemicals remain in the body.
Prospective, multicenter trials with results lasting beyond 4 years show durable symptom relief with rapid return to daily life.2,3
Studies show preservation of urinary continence and sexual function, including ejaculation, unlike more invasive options.1,2,6
Temporary urgency, discomfort, dysuria, or hematuria may occur. Rare risks include UTI and urinary retention.
Durability is supported by follow-up data beyond 48 months.3 Many patients remain off medication and do not require retreatment within that time window.1,3
Based on the AUA guidelines published in 2023, the iTind procedure is best suited for prostates between 25 and 75g without an obstructive median lobe.
Men 50+ with moderate BPH symptoms who want a drug-free, less invasive option and prefer to avoid long-term medication or surgery.
Contraindications for treatment with the iTind procedure include: active urinary tract infection or prostatitis, artificial urinary sphincter or any implant within the urethra, prostate cancer, bladder cancer, bladder atonia, neurogenic bladder disorder, and urinary obstruction due to causes other than BPH, including urethral stricture.5
Yes, it may be a viable option for patients who are not surgical candidates but still seek symptom relief, provided their anatomy is suitable and they can tolerate outpatient cystoscopy.
Previous placement of a penile prosthesis is not a contraindication for the iTind procedure.5
Olympus provides a reimbursement guide with CPT/HCPCS codes, billing workflows, and place-of-service guidance for office, ASC, or hospital outpatient settings. Coverage may vary by payer, so it's recommended to confirm patient-specific benefits.
Leverage existing cystoscopy tools already in your practice, identify scheduling blocks for the two visits (insertion and removal), train staff on patient education, and coordinate benefits verification with billing teams.
The iTind procedure may be reimbursed when performed in a physician’s office, ASC, or hospital outpatient setting. The specific coding and payment structure may vary depending on medical policy and provider contracts.
Refer to Olympus’s reimbursement guide or contact your Field Reimbursement Manager.
Yes. Olympus provides reimbursement resources including the Field Reimbursement Management Team, the Olympus UNITE Patient Access Program, the reimbursement helpline, and additional resources available here: https://medical.olympusamerica.com/reimbursement-resources.
The iTind procedure may cause temporary urinary urgency, pelvic discomfort, dysuria, or hematuria. Rare complications include urinary tract infection or acute urinary retention.
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