Post Rezum: Week 5

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I had my 5 week post Rezum appointment yesterday with the Uro Doc who did the procedure. After two earlier previous unsuccessful attempts to remove the Foley, I have been peeing the old fashioned way for 11 days now. Although I am prepared to CIC I haven't felt the need to. I now have a follow up appointment in two months for further evaluation and a PVR. I think that means "post void retention" but I'm not sure. Has anyone had the PVR test and if so, how is it done? The Rezum treatment report shows that "8 sites were treated including median lobe". Not sure what that means and I'm curious if anyone in here can relate to or explain the medical language.

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  • Posted

    PVR - post void residual. It is the amount left in the bladder after you urinate normally. I believe it is now commonly measured using an ultrasound bladder scanner (a painless, non-invasive scan). Another way to measure PVR is to use a catheter very soon after urinating in order to empty the bladder. The urine that flows through the catheter is saved in a graduated beaker that provides a measurement of the amount of urine.

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    • Posted

      Thanks for your explanation. I found a website that my clinic uses to post patient information regarding treatment plans, office visits, health history, etc. Interesting information, but I found it after my last office visit. My Doc explained stuff to me, but my questions came up after the visit. He also prescribed a sample of 20 mg. of SILDENAFIL for my ED issue, saying to take three pills an hour prior to sex. I am still on FLOMAX and hope this doesn't result in increased risk for side effects. Anyone have experience with SILDENAFIL?

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  • Posted

    8 Sites treated means you had 8 sprays of steam to various parts of your prostate.

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  • Posted

    the PRV test is very benign. you simply pee as much as possible and then usually a technician will use an ultrasound device to measure the residual urine in your bladder. in my case after 3 months the residual was reduced from 130 ML to 35 ML. i still have to pee alot but the doc said that may be a result of my bladder spasming which should subside in a couple months. if not they have medication to control the spasms.

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    • Posted

      After having the Foley in for three months peeing a lot sounds like the better option. After two weeks of peeing the old fashioned way now, I don't mind the inconvenient frequency. I actually slept four hours uninterrupted by the urge last night.

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  • Posted

    In addition to the ultrasound to check for PVR they might get you to pee into a device that measures your flow dynamics. Time taken, flow rate, peak flow etc. Useful for providing a base line to measure your progress.

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  • Posted

    SILDENAFIL is the same as Viagra as far as I know. Side effects are possible indigestion and stuffy nose. Try just one 20mg tablet and see if that is enough at first.

    Median lobe is a central extension of the prostate which can press up on the urethra and/or bladder neck. More difficult to treat than a large prostate without a median lobe.

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