PROSTIVA^® RF Therapy

Have you been diagnosed with symptomatic enlarged prostate, also known as (BPH)? *

• Yes
• No

Where did you hear about PROSTIVA RF Therapy?

• Friend
• Family
• Doctor
• Urologist
• Television
• Radio
• Newspaper
• Magazine
• Poster
• Seminar/Event
• Other

You can expect to receive the information in about 5 business days.

By completing and submitting this form, you are granting Medtronic permission to add your contact information to its database for PROSTIVA RF Therapy and consent to receiving future materials about Medtronic's products and services.

Important: Medtronic respects the confidentiality of personal information. We assure you that we will not share your responses or personal information, except as otherwise noted in our Privacy Policy.

To remove your name from Medtronic's PROSTIVA RF Therapy mailing list at any time, e-mail or send a request in writing to:

Medtronic Inc.
PROSTIVA RF Therapy
710 Medtronic Parkway, X-184
Minneapolis, MN 55432