Looking into rezum
Posted , 9 users are following.
can i please hear some results from men having the rezum procedure.
0 likes, 9 replies
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Notes on Looking into rezum
john98818 joe82842
Posted
Rezum...no good. I'm looking at button turp next. i think if you need something done.... don't screw around with Rezum .... just get the real deal. my Rezum did very little for me.
Lvscott john98818
Posted
I'm not wild about Rezum either.. We may find longer term studies (5 to 10 years) could see bad (PCa) prostate tissue grow-back. For a lesser invasive procedure, I'm leaning towards UroLift. Problems I've been reading about UroLift seem to be more related to infection, likely from a not-so well-trained URO engaging the procedure.
My opinion on the 2 best urethra based surgeries;
For prostates 90G and lower - Olympus Button Turp
Over 90G - Holep and over 200G - Simple Procastomy, Laparoscopic.
Non Urethral - FLA. However, FLA has more risks than some might think, including rectum wall perforation.
PAE - promising; as more IR's get hang of it, could become a 1st line treatment.
Gat-Goren - very similar to PAE but limited to Israel. Would like to see more IR's adopt this.
Experimental - Aquablation - costs a ton now from 50 to 70G, no ins coverage.
Green Light PVP - err, new laser showing better results.
My "2 cents."
john53959 Lvscott
Posted
I agree with Lvscott on the "PAE" just doing a search and found some good youtube video's on it. I see the risk is making sure blood supply to other nearby organs are disturbed causing unintended consequences! So many options. I have time mine is
not urgent yet but trying to educate before that day arrives. 61 and have had
urgency issues for 15 years thinking it was just a "overactive bladder" not likely now that I know more.
tgt111 john53959
Posted
The risk of a Dr embolizing a capillary that supplies an organ other than the prostate has been very over blow. The contrast dye is injected into the entire area and the DR can "see" exactly where he is embolizing . Maybe this happened in the early days of this procedure but I don't see how this could happen using the current technology with an experienced Dr. I really think PAE is the way to go first for most people.
timothy81571 john53959
Posted
John - just throwing this out - coffee caused my considerable urgency and I had to stop drinking it. In case you drink coffee, try cutting it out for a bit and see what happens.
john98818 timothy81571
Posted
will do. thanks!
ken19524 joe82842
Posted
Joe,
This website is potentially a good source of information for guys looking for help in making an important decision. However, it's very important to also look elsewhere, at actual statistical numbers. If you only read the input from guys on this forum, you will get a very slanted view of the procedure. There have been dozens of men who have reported here on this forum that they have not been satisfied with the results from their Rezum procedure. But you must keep in mind that there have been thousands of Rezum procedures done worldwide. Yes, it's very unfortunate for those guys, and I don't blame them for looking for alternatives. However, the vast majority of procedures have been successful. You have to read the actual medical reviews to get an accurate picture.
Rezum is a leap forward in the treatment of BPH symptoms. When you compare it to the so-called 'gold standard' that many urologists are trained in (TURP, etc.), it's quite an interesting concept. The urethra is left intact, and the prostate is actually reduced in size. All of this is accomplished without causing ED, incontinence or retrograde ejaculation.
It can be performed without a general anesthesia, but I would strongly recommend that a person insist on it, as most men report that the pain can be intense. Fortunately the procedure is very fast. My procedure took 10 injections of steam, but that took less than the 30 minutes that I was 'out'. When I woke up, I had no pain at all. I went home and had some slight discomfort when I urinated for the first couple of weeks, but a couple of ibuprofen took care of that.
Another recommendation is to learn to self-catheterize ahead of time. The Rezum procedure, like some other procedures, does cause temporary swelling of the prostate tissue. It takes several days (or more for some people) for the swelling to go down and allow urine to flow, so some type of catheter is almost always needed. The doctor can insert a Foley catheter, but most men report that it is uncomfortable. But when you consider that you're putting up with a week or two of discomfort in exchange for a better life without BPH, it's worth it. I had been self catheterizing for several months, so it was easy and painless for me to continue to self-cath for 3 or 4 weeks afterwards until the urine began to flow on its own. I actually noticed a difference with my 'natural voids' in the first week. My situation was, from what my urologist said, is fairly normal. Some men on this forum have reported a much longer recovery time. Obviously some of us are more fortunate than others.
changejobs ken19524
Posted
i was going to get my rezum locally but decided to go out of town because of the experience of the DR. i will keep you updated as the procedure is due for the end of this month.
andyr0 joe82842
Posted
Agree, for many procedures it really does depend a lot on the skill of the surgeon, so pick wisely. For the guys on here saying Rezum was bad for them there will be the same number or more saying it was great. Do your homework, read the research papers and pick your surgeon carefully.