Rezum

I am scheduled for Rezum 5/21. My prostate is about 30-35 cc. The doctor wants to do 4 injections. He said that was the minimum number of injections in the clinical trials for the procedure and if he does any less it may compromise the results. I spoke to another doctor who has done about 270 Rezums from Texas and he said he has deployed less than 4 injections depending on the anatomy. My doctor says sometimes the anatomy one sees during cystoscopy may not correspond to the physiology of obstruction. I have no median lobe. My current doctor has done more that 100 and he is a professor of urology. I am concerned because my prostate is not that large and 4 injections may cook too much of the the prostate leading to more complications like RE/ED. I cannot tolerate meds. I am 62 and wake up about 3 times a night. Stream is slow but no residual. I have urgency during the day. Any input will be appreciated.

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