In this episode of Pearls & Perspectives, host Amy Pearlman, MD, sits down with Utsav Bansal, MD, a Miami, Florida-based urologist who brings both surgical expertise and thoughtful pragmatism to the evolving field of benign prostatic hyperplasia (BPH) management. Drawing from his broad clinical experience, Bansal unpacks how to personalize treatment plans in a therapeutic landscape now filled with minimally invasive and surgical options. The conversation explores how to develop procedural versatility while maintaining focus on patient-centered decision-making. Bansal emphasizes shared decision-making as the foundation of BPH care—ensuring that lifestyle factors, prostate size, and patient priorities guide treatment choices, whether it’s medical therapy, UroLift, Rezūm, or more definitive procedures like Aquablation or enucleation. Key topics include: • How to match the right patient to the right BPH procedure without overpromising • The importance of investing in a select number of procedures—and doing them well • Lessons learned from high-volume centers, and how to translate them into community-based care • The future of BPH innovation and how newer technologies can improve quality of life without increasing provider burnout • Why managing patient expectations and setting clear follow-up protocols are critical for long-term success Whether you’re an early-career urologist or looking to expand your BPH offerings, Bansal delivers practical insights on how to build a sustainable, high-value BPH practice that adapts to both new tools and timeless patient needs. You can learn more about Bansal at www.bansalurology.com Chapters 0:00 Introducing Utsav Bansal, MD 1:04 What Bansal Offers Patients 4:34 Explaining Procedures To Patients 7:54 New Technologies 13:03 Developing a BPH Portfolio Early in Your Career 18:00 Demos for Patients 19:10 Having Your Own Website

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