REZUM--HAVE YOU HAD THIS DONE???????

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ChuckP
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I had a nice conversation today with the President of the "Urology Times". He was telling me that there is a "New Procedure" that has been approved called the "REZUM SYSTEM".  The company that makes the system is called "NXThera, Inc".  You can google them up and lots of stuff comes up.  I called them for a referral and they gave me a Doctor in Minnepolis that has done it over 50 times now.  I called his nurse and she said he would call me back and answer my questions on monday.  As you guys probably know Doctors are not very good at returning calls but we'll see what happens.  Iam not very good at explaining how the procedure works but basically they take the device and put it up the uretha and vaporize the prostate cells which kills them.  It works with high pressure "steam" that at a certain degree will kill the prostate tissue.  My question for you guys is there anybody out there that has had it done to them and how are you getting along and are there "side effects", etc etc?????

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  • Posted

    When you say vaporizes the cells. Does that mean it would take away the ablitiy to have semen during climax.?

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    • Posted

      I asked my doctor and he said it would not. I just had my procedure 6 days ago and I still have a catheter in, so I cannot speak from experience yet.
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    • Posted

      Jag Please let us know.  I hope it do not cause retro. Because the steam can destroy the ejaculatory duct because it is just tissue.  That is way a couple of men on here had it done and had the doctor do only the right side they did not want to take the chance.  They said only 5% but it more like 15%  Good luck  Ken 
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    • Posted

      Good morning! I started this group 12/15/16 when I had this Rezum surgery done! I had to be put out to have it done.  They tried to do it while I was awake but I couldn't stand the pain.......  So far I can't see any good results???  Other than peeing better.  I'm 58 and have to get up at least twice at night sometime more.  I have large amount of seam come out at sex and no problems with erections.  I had the cath for 2 days had it taken out and had to go to the er and have it put back in for another three days.   That was the WORST pain ever.  The only positive thing is now I have zero problems with pulling down my pants no matter where or what doctor or nurse has to do something to me.. I've been married for 33 years and have never been able to undress in front of people. LOL

      Wish you better luck than me. Dr said I will continue to get better, but I don't recmend this to anyone so far......................

      Have a good one and maybe all your dreams will come true.

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    • Posted

      Sorry that your still having a problem.  I to was like you.  I had a different procedure.  I had a urolift done in 2015 in 2016 my doctor was checking my stricture when he found one of the implant off the prostate.  He try to do put it back but it hurt so bad that I told him to stop.  I was bleeding the rest of the day and had the repair done 3 weeks later.    Was kinda shy when taking off my pants  Was married for 22 years.  With my wife it was no problem.  I remember when I was 47 and had to have a heart cath.  I was going in to the operation room the nurse yelled at men because I still had my underware on.  I have been in and out of the hospital a lot over the last couple of years now I don't care who looks now.  Been shaved by men and women  Even now at the gym if you want to look go ahead I don't have anyting different then anyone else.  I hope things will get better for you.  Sometime it does take some time to heal  Take care  Ken 

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    • Posted

      Leon I've commented before, I really don't understand you. You state you are peeing better and absolutely no issues with retro etc. All these procedures are aimed at enabling us to pee better. If you had not done something our BPH would have caused other problems eventually.

      I have friends who have no BPH and still get up 3 times a night - I believe that is part of aging, and anyone with BPH probably made that worse by stressing the bladder.

      I had a Foley catheter a few times - it's definitely unpleasant to have it put in but honestly there are many more painful things than that. I think it's partly psychological because it's happening to our most precious part :-)

      The good news is that your bladder has a good chance to recover somewhat - maybe you'll only need to get up once, or sleep through sometimes, give it time to readjust. It can take many months - this was told to me by a Urologist, depending on your age and health.

      hope it all gets better for you!

      Michael

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    • Posted

      Mike did you see my post about the probable cause of having to go several times in the middle of the night is really a sleep apnea problem? I was getting up no less than five times every night. After doing a sleep study they put me on a cpap machine and that night I stopped getting up. Now I usually don't get up at all, maybe once some nights.

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    • Posted

      Leon did you see my remark that having to get up to go at night is likely a sleep apnea problem? I was getting up no less than five times every night but it immediately stopped after I started using a cpap machine. Its a bit of a hassle but well worth it.
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    • Posted

      Hi seadiver - yes I did - but usually I am guessing people wake up because they feel the urge to go. Certainly that is what happens to me. I don't believe I have a sleep apnea issue. But thanks for alerting me.

      BTW I had PAE twice, didn't help at all nor did it cause a problem. Feb 14 I had FLA and that HAS helped, but thus far I still take Flomax (and self cath) and have had some ups and downs, a UTI and international travel haven't helped. I will write about it one day it's still early to make conclusions.

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    • Posted

      Right that they wake up because feeling the urge to go, but I believe with me it revealed some kind of brain mechanism that gives you the urge to go when you are not getting enough oxygen during sleep. It makes you get up and thus breathe better.
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    • Posted

      I think that's a great idea, and will surely help many.

      That said, some of us also have problems during the day, so there are obviously several conditions all causing similar symptoms. The urologists should be sorting this, but that doesn't seem to be the case.

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    • Posted

      Seadiver: but I believe with me it revealed some kind of brain mechanism that gives you the urge to go when you are not getting enough oxygen during sleep.

      ------------------------

      What you are describing sounds like Sleep Apnea which is one cause of Nocturia. You can request a sleep study to investigate, and if you have it there are treatments. That said, not everyone with Nocturia has Sleep Apnea.

      Jim

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    • Posted

      Jim I did have a sleep study, which revealed my apnea and (when I began using a cpap) then I stopped having to get up at night.
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    • Posted

      That's great. Was the sleep study done overnight at the hospital or did you do it at home? I had one scheduled last year but ended up cancelling. Probably should have it done one of these days. How is it wearing the cpap device? Do you have to use it every night?

      Jim

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    • Posted

      You know I was just thinking. Instead of going through the bother of a night at the hospital, etc, what if I just bought a Cpap device (they seem not that expensive) and tried it out? If it kept me from getting up during the night, then it's a keeper! Or, is it more complicated than that? Probably is but just a thought.

      Jim

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    • Posted

      It was over night at a clinic set up for that purpose, and I had to wear a lot of sensors. It wasn't unpleasant. The cpap took awhile to get used to (sometimes they have to adjust the air pressure so that you are able to exhale normally) but the results were so great (usually not getting up even once a night) that I didn't care. I use it every night.

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    • Posted

      I suppose you can get one without a prescription, and by carefully reading the instructions you could adjust it properly. But mine was expensive. I can't recall how much my insurance paid (and they didn't pay until I brought back the memory card that showed I'd been using it for a couple weeks) but I think they paid for it.

      Also you have to be fitted for a nose piece that feels comfortable. The harness that holds the nose piece is adjustable - if it is too tight it will leave pressure marks on your face, but if too loose it won't stay in place. I've taken to using a soft sock to cushion the tightest places, which works fine for me. You don't think of breathing as taking effort but the cpap makes it even easier than normal.

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    • Posted

      Most people can't adapt to a CPAP in one night. It often takes weeks before finally making it completely through the night. Some people, (and I'm guessing most,) never adapt. But once you master it, It's very good, and you sleep great.

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    • Posted

      Just had Rezum yesterday prostate block and rezum we're both incredibly painful should have had sedation was never offered that option Thursday when the catheter comes out my urologist will get an earful. It must cost them time and money to do it in a hospital

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    • Posted

      Mike-Am thinking about PAE and understand published reports state 98% positive and few complication. Considering you went twice you could maybe explain why you had no help. What was the drs explanation?
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    • Posted

      Hi Leon,

      Thanks for starting this forum. I have been following it religiously as I had Rezum exactly one year ago.

      At first it was great...I was knocked out, had the catheter for about 6 miserable days, but thereafter had good strong stream and few if any wake-ups, and no affect on ejaculate.

      Now after one year I have a weak stream again, and wake up sometimes three or more times. Worst...I feel the urge to go all the time. Sometimes more then once per hour.  

      I just turned 62 and am kinda worried about what to do.

      Thanks!

      Has anyone had this same experience? What did you do? 

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    • Posted

      Hi Busky99,

      Has any test been done to determine why this is happening? If it’s the prostate is there an infection or any organs crowding the prostate? I had the procedure but it’s still too early to determine results.

      Peter

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    • Posted

      Hi PeterMurphy,

      No...no tests yet...seeing doctor again on Feb 2nd. I didn't know to ask about an infection....I will now! Thanks so much. I was concerned that my prostrate simply grew again causing the same issues....not nearly as badly as before Rezum, but not the same as right after the procedure. Best, Busky

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    • Posted

      Hi Hank,

      No not as bad as before Rezum...but steadily my stream has gotten weaker, and recently the need to urinate often ....ugh. I wonder if I need another round of Rezum? 

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    • Posted

      PAE is not very effective on  smaller  prostate  within  50 cc  and especially when you have big median lobe .  Thats my experience.  Procedure on April  2017  ,  improving within September and again worse  and increasing  of urine retain .  Another solution ahead, probably REZUM .  Has anybody similar diagnosys treated by REZUM ?  Thanks a lot, Stan 
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    • Posted

      Okay it's been sometime since I had my procedure (11 months).  My doctor was very aggressive 10 bursts of steam , 5 each side. That is also why I had a catheter in for 6 days. I had a lot of ups and downs with this. After about 6 weeks I was doing great ( urinating and ejaculation) then all of a sudden things got worse. Frequent and painful urinating and retro ejaculations. Things gradually got better and as of today I'd say I am about 90% to where I was when in my thirties. I should mention I'm 65.  Would I do it again? Yes, but I would go to a hospital and go under anesthesia as it was very painful.  I am urinating freely with no medication and I get up only once during the night as compared to 4 or 5.  My prostate was 75 cubic centimeters before the procedure and was at 53 cubic centimeters when measured about 6 months ago. The other big question is retro ejaculations? Yes I am experiencing some retro, meaning very little semen comes out, but when taking the meds I was experiencing total dry ejaculations. So in my case this is somewhat of an improvement. It is my understanding that not everyone will have a problem with retro ejaculation. I have no problem getting an erection and my sex drive is as strong as ever. The more research I do I find that everyone is different and has different experiences, but I feel it helps most of us. I hope this gives you some insight and I am sorry it took so long for me to reply.

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    • Posted

      Good afternoon everyone.  I sent my urologist a e-mail about Rezum because of a man on here that I have been talking to for 2 month's Trying to help him.  He had the Rezum done 7 month's ago and has no improvement.  The only thing he got out of it was retro and at 52 he is not happy.  He was going to see a new urologist today to see if they can help him pee and if there was a way to fix the retro.  I did get a e-mail from him a few minutes ago.  I am going to write it just the way it wrote it to me.  My doctor said that a friend of his had the Rezum procedure. ( He said that he is skeptical of the Technology ) He did not do it.  He's friend had it done and it did not work and it caused him horrible bladder contracture.  To fix the problem he had to have a Turp.  My urologist partner did it for him and he assist.  He said that it is very hard to try to fix something when you are frying the prostate and destorying the ducts.  He said that the only way you can try to fix it is to resect the ducts to a place that was not affected but most of the time he said you have to resect the bladder neck and you will end up with retro anyway.   So whats done is done.  So when you pick a procedure be ready for anything  Take care  Ken        

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    • Posted

      Hi Ken, I am new to this forum. I just had the Rezum procedure about a month ago. To those considering this procedure, always request general anesthesia- makes the process way more smooth. Recovery is similar to what I've read here. Still have some blood in urine and in my semen. No issues with erections or volume of semen when ejaculating.

      That said, recovery hasn't been perfectly smooth- the urgency to pee is off the hook at times, and the pain associated with it in the early stages of it post Catheter is substantial. I'm able to urinate just ok, but I know the true results can take up to 3 months. What I'm most interested in is at what point do I become concerned with blood still being in my urine and semen. Blood in the urine is not significant- a few drops, but the amount in my semen was more alarming.

      Anyway, any guidance on this 1 month recovery and beyond would be helpful and appreciated.

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    • Posted

      Hi Rich;

      It is expected to have blood in the semen, as well as the urine. The blood in the semen can last months, but is not dangerous in any way; the semen in your body comes out of your prostate, so anything that effects your prostate (including a procedure such as the Rezum) can cause bleeding.

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    • Posted

      Rich,

            I fully agree about the general anesthesia. Mine was in January 2018, and that type of sedative made it so easy. Since I had been catheterizing regularly, I opted to forego the Foley catheter and self-cath instead. Those two things made it a simple painless procedure for me. 

             If you're still having discomfort and/or urgency, I would suggest a couple of ibuprofen. For me it made a huge difference, and it was the only medication that I took post-procedure. OK, my urologist did suggest that I continue to take my tamsulosin, but I stopped taking it a couple of weeks ago. 

             Best of luck for your continued recovery,

      Ken19524 (not kenneth1955)

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    • Posted

      Hi Rich,

       I had the procedure this past January 23, I continued to ‘see’ blood in my urine up to a month and a week.  A follow up urine analysis showed white cells present in my urine typical of the healing process ongoing of the prostate. My first post procedure semen was discolored and subsequent were absent of discoloration. 

       In my case 3 lobes of my prostate were enlarged and each lobe received 2 treatments. 

      Peter 

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    • Posted

      Welcome .  What Jersey is saying is true when you have any procedure dome on the prostate you do get blood in the ejaculation.  Let's just hope you have it after a few month's..  Good luck  Ken

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    • Posted

      Hey Peter, Curious what the verdict is on the treatment after 2 months. Are you peeing normal and on your own now?? Also. did you have any serious  retention before, or just urgency and frequency??  THX !~!   Scott
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    • Posted

      Jimjames,  You can buy an oxygen monitor that can be worn on your finger.  They can record data all night which can be loaded into a computer the next day. The software that comes with it will make graphs showing your blood oxygen level and pulse rate for the recorded period. Contec is a company that makes some good ones, for $39 to $120.  They are available on Amazon. Make sure you get one that records data and is not just a real time monitor.  During an apnea event you blood oxygen dips low.
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    • Posted

      That's a good first step, but there are a lot of false negatives with a finger monitor. If it comes up negative but you have classic sleep apnea symptoms, a sleep study might be a good idea.

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    • Posted

      Hi Thomas and OB,

      I just had a full sleep study (split) but didn't qualify for Cpap per guidelines as I had under 5 events per hour.  I wonder how accurate the study was given that I probably got no more than three hours of real sleep with all the gizmos on me. If I had to do it again, probably request a home study first which I assume would have the finger monitor plus more.

      OB, when you say "a lot of false negatives" can you expand a little? Does the sleep study use something other than the finger sensor to quantify apnea events as defined by a certain 02 drop more than 5x/hour? I know they have a lot more sensors but my understanding is that they are to measure other things such as sleep position, leg movements, sleep state, etc, but it's only the 02 sensor that actually measures the 02 drops that define sleep apnea.

      Jim

      Jim

      Jim

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    • Posted

      Just had the REZUME procedure done yesterday. Not very pleasant. Only had the oral Meds and the block painful but manageable. Had 3 treatments then the catheter couldn't get first one through went with a hooked one got thru but painful. Then went home had a leg bag filled up some with clots in it hard to drain because of clots. After about 2 hours little drainage with clots, then no drainage. Then urge to urinate with blood and urine seeping around the tube where it is inserted into penis with lots of pain. Figuring clots are clogging tube I call Doctors office they said it was normal and would clear up. It didn't, called a couple more time insured me it would get better. It didn't. Urge to urinate every 10 min. with immense pain and seepage around insertion. Call 24 hour service 3 times busy signal. Finally go to urgent care very nice doctor and staff. Doctor explains just plumbing. See's this all the time from prostate procedures. Plunges water in the tube then sucks out all my urine and blood and blood clots that clogged the tube and was held up in my bladder. What a relief. Much better today, I think I'm on the right track now. I'm commenting on your post Jag because I hope the rest of the process goes like yours. To urinate with no problems like my 30 

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    • Posted

      I wasn't done sorry. Just wanted to say to urinate like my thirties would be great. But when the procedures are finish they should not rush you out they should monitor for awhile, and give a better idea of possible complications when you get home. My doctor will get a earful come Tuesday. Sorry to drag this out just needed to vent it was awful 

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    • Posted

      JJ - your oxygenation can be in the normal range and you can still have sleep apnea - so a positive reading from the finger monitor usually means yo have it - but a normal reading isn't as conclusive. 

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    • Posted

      Are you saying that you can have sleep apnea even if you have less than 5 apnea events per hour? In any event, Medicare won't pay for a CPAP unless you have over 5 events per hour.

      Jim

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    • Posted

      They had to take my Cath out the same day. My body couldn't tolerate it. I kept peeing around the cath. My peeing went to 2 to 4 hrs. Which was better. But 8 days later I'm back to peeing 17 to 23 times aday. Waste of time.

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    • Posted

      I had steam surgery done on 6-18-2018. And it hasn't helped me yet it's been 2 weeks and I per like 15 to 20 times in 24hrs. It sucks. I only had the Cath in me for 5 hrs it had to be taken out my body kept rejecting it I got no relief from this surgery so far. If anything it made it worse. At least before I peed,every 2 to 4 hrs. I tell to my doctors nurse she said that was notmal. I don't believe that and I don't see the Dr for another 16days.

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    • Posted

      Hey Rich  Just checking on you.  I know it's about 4 month's.  As anything improved.  Do you still have blood in you urine and semen.  By the way how many injections did you have.  How are you doing now.  I hope well  Take care  Ken  

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    • Posted

      sorry for very late reply - they have no explanations,they said that the first time not enough "material" got to where it was supposed to go - I don't think they were being honest with me. I know for sure from MRI that it got to the wrong spot which does not block the urethra so it killed some tissue, just not the part that needed to go.

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    • Posted

      Hey John, I am shocked that they didn't explain that blood and clots/tissue would be normal, and in fact necessary . But more shocked that they didnt show you how to irrgate and flush and send you home with a syringe for that.  They AT LEAST  should have explained how to do it and have you go to the pharmacy to pick up the plunger after you called with the issues.  Easy fix to flush if there is a little clogging.  I already knew all of that since I was Cath dependent for  6 months prior to my procedure.   I already had  a SupraPubic  catheter.   So flushing, etc. was easy for me if I started to get a lot of blood build up, etc.  But they definitely should have explained to you how to take care of it once you called in. Very strange.  I actually wish I showed more tissue coming out with my urine in the first couple weeks!  It would at least be more tangible evidence that my  damn prostate was breaking down for sure!!  Lol.   Anyway, how are you doing now, 3 months later??? I am only a month out from my procedure. Not sure it's going to be enough for me for as a real solution. I can pee a bit on my own now, but so far not enough (and not confident enough)  to remove the catheter as insurance policy!!   We are doing a test over next two weeks , peeing only on my own and keeping  the catheter tube plugged (I have always used a plug). Will see if I deteriorate into severe retention, or if I can consistently empty enough to at least remove the cath!   Did you get enough improvement after the 3 months??

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    • Posted

      I had the Rezum procedure done on me on Monday, July 9, 2018 at 9:30 AM and was home by noon.  Tuesday morning the 10th I was peeing like a 16 year old without having to self cath!  Monday was the only day I passed some blood and clots.  I couldn't believe it because I was not expecting any significant results for 2 to 8 weeks.  It was incredible and I will share my theory as to why I came through it with little pain and speedy results.  1. the doctors need to improve their Rezum skills so that it can become the new golden standard for BPH treatment.  My doctor has been a urologist for 20 years and said that if the Rezum didn't work that I could still have the TURP.  I have fought off the TURP and struggled with BPH for over 15 years.  I have coped with serious urine retention problem by taking alfuzosin/uroxatral.   2.  I would suggest that anyone preparing for the Rezum procedure take alfuzosin because it relaxes the urinary sphincter and may reduce the pain before, during and after.  Also consider taking a low dose of Cialis 2.5 because I did and it didn't hurt my recovery.   3.  Much to the consternation of the medical team I refused to have a folley cath because I believe that folleys impede recovery!   Prior to the procedure I was having difficulty getting my urine flow started so I insisted on doing four self catherizations during the two months leading up to the procedure.  As it turned out the doctor drained my bladder at the end of the procedure.  I never had to self cath and I didn't need any strong pain medication but I did take two Tylenol just in case. 

      Here is something to think about.  There were four of us who had the Rezum procedure on the same day.  I had the largest prostate of the four but had the quickest recovery with the fewest side effects.  Could it have anything to do with the fact that we were probably following a different medication plan and they all went home with folleys and I didn't?

        

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    • Posted

      Andrew,

      That’s great to hear.

      How many shots did you have?

      How large was your prostate ?

      Did you have a large median lobe?

      Where did you have your procedure done?

      Thanks

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    • Posted

      Andrew,

      Probably not. I took Alfusozin, self cathed after the procedure and couldn't even dribble a drop for 3 weeks - couldn't pee decently for 6. What you describe seems almost theoretically impossible as a direct result of Rezum - which kills tissue by spraying it with steam, The tissue has to die, then be absorbed by the body for flow to improve and I don't see how that can happen overnight. I'd be interested in Jersey Uro's take, but I would hazard a guess that you had something like a stone that was blocking your urethra and the procedure cleared it out.

      Great news about the results though - and it can only get better from here.

       

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    • Posted

      Good morning Andrew.  I am very happy for you.  I hope all continue's for you.  Some men heal faster then other's Please keep us informed.  Please let me know if you ended up with retro so I can add you to my file.  Good luck  ken

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    • Posted

      CG - my flow isn't perfect but its vastly improved and has stayed that way for 2+ years. I stopped taking meds once my flow improved and haven't looked back. Rezum was a life changer for me - the first month was rough but it was worth it. 

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    • Posted

      Ken....just found this site and registered.  I'm 70 and having difficulty peeing.  OK during the day but when I wake up in the middle of the night after sleeping for a few hours....very difficult to get it going. Sorry to direct this to you but it is really for the whole group.  Just wondering if anyone knows what it is about sleeping that brings this on and if it is a problem for anyone else.  My urologist isn't very talkative....but reading this forum has been most helpful.

      Jim

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    • Posted

      Jim no problem.  When we get older our body well do that,  Maybe it time to find a new urologist.  Has your doctor giving you any meds to help your bladder and prostate.  Do you drink a lot during the day.  You may have to watch what you drink.  You may have to stop drinking at 7 or 8. Before you go to bed.  Take a hot bath that may help you pee before you lay down.  Just try to relax.  Ken We are here for you  Ken
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    • Posted

      OG,    A urologist told me we produce more urine at night because, during the day liquids pool in our lower body and legs due to gravity.  I have also observed larger amounts at night while self cathing and keeping a log. Some people on this sight have said they have a difficult time getting started when they are very full.  Could it be because of a large median lobe acting like a ball valve, just a thought ?

      Thomas

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    • Posted

      OG,

      I’m 60 and have noticed the same for over a year.  At 2am, I usually always have slower stream than the rest of day. I have yet to find out way. Maybe the bladder is more relaxed?  Maybe the prostate expands a bit?

      Tim

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    • Posted

      thomas: A urologist told me we produce more urine at night because, during the day liquids pool in our lower body and legs due to gravity. 

      -------

      What he should have said is that "...we sometimes produce more urine...." Normally, one actually produces less urine at night, not more. When we produce more, it's called nocturia polyuria which has several causes and is more common as we get older.

      Jim

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    • Posted

      Gentlemen,

      This is to all who replied: thanks to all of you...sounds like I am in excellent company.  First, allow me to apologize for asking what might have appeared to be an off topic question. This thread was about REZUM and investigating that procedure is what got me here.  At 63 my doctor told me I had an enlarged prostate and high PSA.  He recommended a biopsy.  I have now had that procedure done twice with negative cancer results.  Over the subsequent years the pendulum seems to have swung a bit toward not doing biopsies unless you show a major spike in PSA as opposed to a more even increase as you get older.  The only reason I mention this is because if any of you have a biopsy recommended, watch the Dr. Bergman video on the prostrate on YouTube.  Aside from being very informative, it's pretty funny.

      So flash forward to present.  I see my urologist every year and he tells me the same thing....your prostate is enlarging normally for a man your age.  Unless you experience a problem, don't worry about it. Sex life is just fine...I just don't pee like I did when I was 16.

      About three years ago I noticed that I was developing a proclivity toward needing to urinate urgently when it was time to empty my bladder.  Used to be I could hold it for a while when I needed to pee but it is more difficult to do that now.  When I complained about it, my urologist smiled and told me it is common in men my age and is known as the "garage door effect".  He told me to do the Kagel exercises 10 times a day for 5 seconds and that would help a lot.  OK....life goes on.

      So two weeks ago....I go out and play 6 games of raquetball....great workout and I can hardly walk afterwards....totally exhausted....come home and have a dinner party with friends...two beers and three glasses of wine over about 4 hours.  I wake up in the middle of the night with a full bladder and absolutely cannot pee.  Try, try, try.  Painful.  Three hours later I head to the emergency room and arrive in considerable pain.  Fortunately the place is dead at 5 am (I live in a small town in California otherwise known as the left coast)  A wonderful (beautiful, young, sweet, knockout) nurse grabs me, takes me back to a room and quickly inserts a rubber tube up my wanger.  Ouch!  No one has ever done that to me!  Instant relief!  Now it has to stay in for three days until I see my urologist.  He puts me on Flomax.  It takes me a few days to get back to my normal after catheter removal....but still have the "slower" stream at night as opposed to the day....hence my original question for the group.  What happens at night that appears to make the prostate more "p****d off" than normal (Squeeze that little tube harder you SOB!).  Have not had alcohol since but did have greater difficulty again the evening after a strenuous workout so maybe the prostate doesn't like that.  Don't know.  Am doing some other life style changes including switching to foods that generally cause less body inflammation (no glutens) but got into this thread when researching REZUM as a possible future alternative as things may get worse anyway as I age.  After reading about your experiences with REZUM....I might rather have my fingernails pulled out with pliers.

      Thanks to all of you again for your replies and sorry to be so long winded....but I wanted to make sure I was being clear about my background...and I would imagine most of you have had similar experiences.

      Jim

       

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    • Posted

      Rezum was a real life changer for me - I had a lot of pain during the procedure, had to self cath for almost a month (not typical, most are at least able to function after a week or so) and still would do it again.

      As for the pain, many docs will twilight you now, so you don't feel a thing. I had occasional retention too, had my 3 days on a cath the first time and was taught how to self cath by my urologist. I had trouble in general and always traveled with a catheter in case I got in trouble - I did once travelling for business and having that catheter was a life saver.

      You will likely have more retention episodes and I strongly recommend learning how to self cath and getting set up with a script for Coloplast Speedicath 14 coude tip catheters. But I also suggest you take a serious look at Rezum. Everyone's tolerance is different, but I'm an active 63 year old, don't want to worry about the bathroom, retention, taking too long to pee at night, ect.. Its been 2 1/2 years for me and my quality of life is vastly improved. Many on this forum self cath all the time and are fine with it. I could do it and could learn to adjust - but I'd rather not worry about it and now I don't.

      I suggest you give serious consideration to Rezum. Its not so bad at its worst and its really nice not to worry about the bathroom anymore.

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    • Posted

      In my own experience, alcohol causes very weak stream, coffee causes urgency, walking (the more the better) helps the flow. Sex sometimes helps, other times irritates it. It’s a constant battle!  

      @JJ - volume at 2am is about the same as day. If my bladder gets too full, I have a really hard time going. 

      Report Reply
    • Posted

      Sounds interesting Andrew. Glad it worked well for you. I think it has a lot to do with the skills of the urologist. Can you recommend one?
      Report Reply
    • Posted

      I had resume done 10 weeks ago. I still pee every 1 to 1.5 hrs. Didn't help me at all. When I have to pee, it's right now. At least before I was able to hold it a bit. Now I cant. Sometimes it's every 20 min. And I was the first patient that had a Cath that had to be taken out in 6 hrs. My body don't tolerate caths. Even with the biggest Cath in me I pee right around them. In my 9th week. I peed blood for 8 days straight. Resume has REALY F**K ME UP!!!!

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    • Posted

      Just wondering... did you consider the Green Light/PVP procedure at all... sounds much less problematic... very short time if any on a cath afterward... less pain... fewer side effects (supposedly)...

      I have a PVP scheduled late this month, just tried self cath, not bad at all... I could live with it if necessary...

      Report Reply
    • Posted

      Hi, glad to hear someone had a successful result!  Hey, did you consider the Green Light/PVP procedure when you were deciding on the Rezum?  IF so, why did you choose Rezum over the PVP?
      Report Reply
    • Posted

      Hello,  I watched the Bergman vid too... interesting guy... my cousin, 74 had a biopsy, came back with a few cancer cells, I read this is VERY typical and should NOT lead anyone to chemo/radiation, etc!!  He was in 'Nam, got soaked with Agent Orange several times... anywho... the Rezum reviews here are scary, I would recommend that you look into the Green Light/PVP procedure... mine is scheduled for late this month... worried, but have had BPH symptoms since my mid-late 20's (unusual)... perhaps a tight bladder neck more than a BPH thing back then... I am now 62.  I just tried self cathing... much less uncomfortable than I thought it would be!  So I could probably live with that if necessary...

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    • Posted

      Greenlight is just another way to do a TURP. It works well for many. I started doing them in 2003.

      Rezum is a newer procedure of the Minimally Invasive variety.

      Report Reply
    • Posted

      Greenlight is a form of TURP. Rezum is a minimally invasive procedure; takes about 5 minutes, and most men do very well. (I've done many of both.)

      Report Reply
    • Posted

      @Tucsonjj: Just wondering... did you consider the Green Light/PVP procedure at all...

      ---

      The one person that I know who had a Greenlight Laser TURP ended you with the standard undesirable side-effects/complications of TURP and once the damage is done, it is done.  If you do decide on TURP, Greenlight Laser is your best choice as it "seals as it slices" and the post-op bleeding does not last as long.  He took about 3 months to recover from a Greenlight Laser TURP.

      The deal with TURP is that the percentages on the undesirable side-effects/complications are well known and urologists know this.  Hopefully, your urologist told you this.  So far, the Rezum results show significantly lower percentages on the undesirable side-effects/complications.  Personally, any TURP would not be my first choice unless I was not a candidate for Rezum.

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    • Posted

      Grennlight is newer and better than TURP. It uses pulses of light with nearly no bleeding, less catheterization, and a greatly reduced recovery time. Hank
      Report Reply
    • Posted

      Grennlight is newer and better than TURP. It uses pulses of light with nearly no bleeding, less catheterization, and a greatly reduced recovery time. Rezum is relatively newer, and the results on this forum have been mixed. Hank
      Report Reply
    • Posted

      I would hesitate to call Greenlight "better". It is just a different way to perform a TURP. I've been doing them since 2003, and now have moved my TURPS mainly to the Button (which I feel works better than Greenlight.)

      Rezum results have been great with our first several hundred patients; literature supports that.

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    • Posted

      I was told by my Urologist that after he did a Green Light procedure "there was so much blood" Since then he switched to what he described as less bloody and painful, I think it's called "button turp" and he also does Rezum. His PA told me he still prefers the button turp, presumably he gets better results - from his point of view of course. Where do you get "nearly no bleeding" from I find that hard to believe.

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    • Posted

      It's a direct quote from one Urology website. The others described it as "minimal" or "little" bleeding. No where have I seen too much blood. You can Google it yourself. Either you misunderstood your urologist or you need to find another one. Hank

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    • Posted

      Hank thanks for the information, I never looked in to Green Light for myself, I was only relating what he told me directly coming from surgery so I always assumed that it was more "bloody". I did not misunderstand his exact words were "there was a lot of blood" he was running late for my appointment to do a scope and was apologizing because that procedure took a lot longer than he expected.  I did google and I believe what you say, it could be that in this particular case due to the shape or for whatever reason there was a lot of blood. This is a top notch well respected Urologist and surgeon. I'm not using him for surgery because I don't want to do Button Turp his latest favorite, and if Rezum which he also started doing recently I'd pick one of his associates who has been doing it a lot longer. That same guy also pioneered aquablation but I don't know what the holdup is there.

      The web site I saw advertising green light states RE "less likely" than TURP - I thought it was highly likely, I suppose 100% of Turp folks have it, so anything less than that counts as "less likely"

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    • Posted

      The greenlight procedure is a perfectly reasonable approach to a turp-like procedure if someone doesn’t want a rezum or other minimally invasive procedure. It’s been around for 15 years now, and is well established.
      Report Reply
    • Posted

      I had resume done 11 weeks ago. Waste of time I still . every 30 min to 2 hrs, when I sleep at night on my back i mite get 2.5hrs. On my side it's like 1 to 1.5 hrs. It did ks. It was like that before resume surgery. And still the San after surgery.i did bleed for 8 days straight. But while I was on xazalto. So I stop taking it for 2 weeks. I go back on it in 2 days. If I start to bleed again I'm going to stop taking it. Regardless what my heart Dr says. It's my choice!!! Not there's.

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    • Posted

      VERY strange they let you stay on Xarelto prior to any surgery... that is VERY unusual and dangerous (obviously)... did they just not mention it... Just miss it completely?  IF so... maybe time for a new Doc!  Best of luck to you...
      Report Reply
    • Posted

      I don't think the green Light has too much blood, BUT... I read that it is not that effective, takes many weeks to heal, leakage is usual... as is pain. 

      I am reconsidering my Green light scheduled for late this month... I will see another uro Doc for second opinion... who is noted for his skill at HoLEP... (and I have read lots of positive reviews of the HoLEP procedure...) IF I can get insurance to cover it, otherwise a stiff $20,000 or so...  I just sent to self cathing... not that bad at all...

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    • Posted

      I was off xarelto 1 week before surgery. But after surgery I went back on it. My heart Dr said only to be off it for 1 week. But I've been off it for 2 weeks now. And going to start it tommorow. Again. After a few days of being on it again. If I start to bleed I'm going off it compketrly. Regardless what my heart Drsays. It's my body. And I'm the kind of guy that don't let any Dr control me!!°

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    • Posted

      Lots of bad reviews of the Rezum here... not that many great reviews of the green Light either...  long mend times, pain, leakage, etc... from what I read, the HoLEP is superior... if done by an experienced Doc... but very expensive... do you do this procedure?

      Do you do an MRI on patient prior to all procedures?

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    • Posted

      Yes, I have a Gren Light scheduled this month late... but will likely cancel it...  several bad reviews here on ALL procedures, but rezum seems to have very few good reviews... I think HoLEP has the most favorable reviews, but doubt my cheapo insurance will cover it and $20,000 is a LOT.

      I am getting a second opinion soon, will ask about Rezum and possibly, just a BNI (I think the bladder neck may be the main problem, have had bad retention.difficult urination since my mid-20's... I am 62 now...

      Report Reply
    • Posted

      Lots of great reviews, lots of bad reviews of just about any procedure you can think of on an anonymous forum;

      Would speak with your urologist (and maybe get a second or third opinion) before choosing what might be best for you. Someone who practices "evidence based medicine" is a must in 2018.

      HOLEP is a different animal entirely- it's basically a suprapubic prostatectomy without an incision.

      As far as minimally invasive procedures go, Rezum is likely the most promising currently.

      MRI's are very rarely needed (if ever) for a non-cancer prostate procedure.

      Report Reply
    • Posted

      What did your urodynamics demonstrate? The prostate may not be your issue; it may be a bladder or a nerve issue, in which case a prostate procedure won't help you.

      Report Reply
    • Posted

      A few REALLY important things:

      1) Don't use reviews on this, or any site as a measure of success/failure of a given procedure. Most people come here either for info, or to complain/share regarding a bad outcome. Few men who have a procedure, recover as their doc/the literature say and do well come to this site to report that, yet most fall into that category.

      2) Jersey Uro has to be diplomatic and not promote one procedure over another without seeing the patient first. I'm not a doctor, but have done a lot of research and can tell you this. For someone with simple BPH (remember as JerseyUro said, this only applies if the prostate is your issue and it may not be), its almost always advisable to try Rezum before anything that requires anesthesia and/or cutting. For the overwhelming majority of men, it does the job nicely, without the risk of anesthesia and much much lower risk of any permanent problems or side effects. Also, if you're OK self cathing, you can go back to normal living and a couple of days.

      I would cancel the greenlight, go see some doctors that perform Rezum and the others and see what they say. Greenlight, even if it works really well, gives a 50% chance of dry ejaculations for life (Rezum is 5-10%), often requires a diaper for 3-6 weeks and adds all of the anesthesia risks. And if Rezum doesn't work out, it you can still do Greenlight or any of the other more invasive procedures. This should be presented as a no brainer IMO.

      Report Reply
    • Posted

      Thanks, Buzzard, appreciate it... I will ask about the Rezum (pronounced "resume"?) procedure... hope my new Uro-Doc does it, he should, as he does the far more complex HoLEP...  BTW, do you know, does Rezum address a tight bladder neck as part of the procedure?

      My current Uro-Doc mentioned nothing of the stats you quote, which makes me boiling mad... guy is after the $$$ only, seems like.

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    • Posted

      What Oldbuzzard is telling you is true.  Check into a less evasive procedure get all the information.  You can. Why have your prostate cut out if you don;t have to .  Take control of your body.  Your the one that will have to live with the side effects  Have a good day  Ken 
      Report Reply
    • Posted

      Good advice, thanks... and my cathing is really no biggie... a bit of an inconvenience, but compared to leaking all over or months of recovery with little gains... yes, a no brainer.  I'm getting very used to it, after only a few days...

      Report Reply
    • Posted

      I just wear depends all day long. So I don't have to worry about a cath. Or any leaking. 98% of the time I don't even wet my depends.

      Report Reply
    • Posted

      None of my beeswax, but you sound like you need to see a different urologist... lots of Hacks out there, why not try to go to the Mayo Clinic? Or read lots of reviews on Healthgrades.com or Vitals.com

      If no cath can stop you leaking, you must have some serious problems that need to be addressed.  And if you don't cath, and don't wet your depends... how to you void your bladder?

      Report Reply
    • Posted

      Thanks for your post. I'm only 3 1/2 weeks after rezum. Can't i ask how long the recovery really took. Doctors tend to underestimate. 

      Report Reply
    • Posted

      63 year old with BPH since 2011, sysmptoms getting worse. Getting up 3-4 times a night. Learned a lot from your posts and currently doing research to decide between Rezum and euro lift as they seem to be the least invasive.

      any advise to help decide?

      Report Reply
    • Posted

      @mark5750: any advise to help decide?

      Mark,

      Before any surgery, always get a second opinion. See doctors that do both Rezum and Urolift. Ask these doctors what procedures that they do BEFORE any surgery such as TRUS and/or cystoscopy to see if you qualify as a candidate for the surgery. If they do not do this, then find another urologist.

      Steve

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    • Posted

      I am a newbie here myself... but the Urolift is a lot less "invasive", in terms of destroying prostate tissue... so I am leaning that way...

      Have you tried Flowmax or Terazosin (Hytrin)? For many, these drugs can work well to increase flow... I had serious negative side effects from the Terazosin... but that doesn't mean YOU will... extra magnesium sometimes really helps... so do Stinging nettle root and pygeum... any of the above can possibly give you a lot more time to consider which procedure is right for you...

      You might even consider self catheterization... short or long term... especially if you only need to do once a day before bed... GL to you!

      Report Reply
    • Posted

      Hi Eddie -

      Since Buzz seems to be taking a nap, this is from one of his posts a while back:

      Recovery can vary - most men take 7-10 days before they can function without a catheter and its 30 days before the procedure starts to work. Most benefits come weeks 6-12, maximum benefits at 6 months. There is often some urgency and bleeding weeks 3-5. The bleeding goes away as does the urgency. If the urgency is bad, a short course of Myrbetriq will help a lot and reduce it to a nuisance.

      Me, I'm about a week ahead of you. I had Rezum done 9/4/18, five weeks ago today. I had some minor bleeding and occasional urgency up until about a week ago, and I've started seeing symptom improvements over the past week. Stream is improved, hesitancy is gone, and my PVR has dropped from about 500 ml to about 150.

      George

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    • Posted

      extra magnesium sometimes really helps... so do Stinging nettle root and pygeum

      Can you explain how these help? Do these relax the urethra or the muscles around the prostate ? I know what stinging nettle is but usually it's the leaf that is used as an herb to make a tea. What is pygeum?

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    • Posted

      Mark Rezum and Urolift are the least invasive procedures. Please do your research on both of them. I had Urolift done 3 1/2 years ago. Still wide open. But it is you that has to pick Ken.

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    • Posted

      Mark, You should determine some things about your prostate first:

      1. How large is your prostate?

        -Determined by TRUS, DRE, or 3T-MRI

      2. Do you have an enlarged median lobe and is it obstructing flow ?

        -Determined by TRUS, 3T- MRI, or Cystoscopy

      3. Do you have any strictures or blockages in the urethra?

        -Determined by Cystoscopy

      4. Have you eliminated cancer?

        -Determined by PSA, DRE, or 3T-MRI

      The cutoff prostate size for Uro Lift (not euro lift) is 80g

      If you have enlarged median lobe Rezum may work better.

      There is a new median lobe procedure for Uro Lift, Look up information about it. If you try median lobe procedure for Uro Lift find a doctor who has done some, with good results.

      PAE, Prostate Artey Embolization is the least invasive of all the procedures but does not work well for enlarged median lobe, although I have heard they can block the median lobe artery, but you need to find a doctor who has done it, and ask about his results.

      Hope this helps,

      Thomas

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    • Posted

      I believe that magnesium relaxes the muscles, much like Hytrin (terazosin) and Flowmax do, of course not as strong...

      Nettle root works for uro problems, leaf doesn't, though that too has lots of benefits... pygeum is just another herb... combining them works well for some guys... saw palmetto never gave me any relief... and now, nothing works anymore so I had to go to self cathing... hope YOU get some great relief... I read that 80% of people are deficient in magnesium... so it might really help... did help me for awhile... but I have had BPH type symptoms since my mid-20's (now 62)... so lucky I lasted that long before having to go to the cath...

      Report Reply
    • Posted

      Thanks. My problem was more an overactive bladder issue in which I have to be careful about what I eat and drink. My post void residuals were all normal, and a urine flow test showed I had normal urine flow during that test. Although other times I dribble. I also have to do physical therapy exercises for the transversus abdominis to help me. But these herbs could be useful.

      My prostate is 40 grams. Enlarged but not believed to be restricting my flow, not sure if it contributed to the overactive bladder issues.

      Report Reply
    • Posted

      John 98818,,Kenneth1955,TucsonJJ ,Steven05114 ;

      Thank you so much for your responses.

      Thomas also thank you for your questions and the leads you have provided.

      1. I will have it checked but I was told it was not too large (!)
      2. Median Lobe- I have not been told.
      3. Nothing in the Urethra that I know of
      4. eliminated cancer by 2 biopsies and 1 recent MRI

        PSA 7.22 in 2011 to 17.1 in 2018 june

      Again Thank you for the education and guidance.

      Report Reply
    • Posted

      Mark,

      17.1 is getting high on the PSA scale, unless you have prostatitis, or you were doing sexual activity witin a day of the PSA test. Has your Urologist checked for prostatitis ? Irritation of the prostate by something like bike riding can also cause the PSA to go high.

      Thomas

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    • Posted

      You bet, GL to you!!

      BTW: Look into taking a teaspoon to one tablespoon of baking soda 2-3X daily... need to cycle it, 14 days on, 1 week off... discuss with your Doc... but your PSA will drop like a rock... add a little maple syrup or molasses if you wish... Skoal!!

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    • Posted

      Just to 2nd that a 17.1 PSA is kind of high. How recent were the biopsies to check for cancer? Again, irritating the prostate by something like bike riding can also cause your PSA to go up. When I had prostatitus it was in the 5's though.

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    • Posted

      More important than the PSA number is whether the PSA number has jumped up a lot in one year. If your PSA number has been steady and only gradually rising than it is not an indicator of a cancer.

      Report Reply
    • Posted

      I'd be a bit concerned about the 17.1 representing an increased potentiality for cancer... even if stable... but certainly a topic to discuss with your UroDoc... I'd look into baking soda and/or organic unsweetened pomegranate juice (do some research online) to maybe drop it down to a more "reasonable" number... AND slow down the increase... all just IMO.

      Report Reply
    • Posted

      Again, all of you; thank you for your comments and guidance

      I also think 17.1 is high but over the years it also went down and up. MRI with Endorectal coil was done April 6 2016 biopsies 2011 and 2014

      After your earlier notes and guidance ; further checking with my urologist revealed:

      He still thinks it is BHP not cancerous.

      Prostate: 5.7 x 5.2 x 4.6 cm = 71 ml.

      "Prominent median lobe extending into the inferior aspect of the urinary bladder"

      My current Urologist does not practice Rezum or Urolift so I have made appointments with 2 different urologists this month each practicing Urolift and Rezum and will consult with them as well about the PSA level.

      thank you

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    • mark5750
      2

      Posted

      Also forgot to mention :

      Sex before PSA , possible ..embarrassed but I did not know no sex rule before PSA or did not pay attention.

      and Chronic inflammation was found on both biopsies as well the MRI.

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    • Posted

      Mark,

      Make sure the Urlogist you talk to has done the new Urolift procedure for enlarged median lobe. In the past enlarged median lobe was excluded from the Urolift procedure, but in May of 2018 an new Urolift procedure for enlarged median lobe was FDA approved. They pin the median lobe to one side with a clip. Not many doctors have done the new procedure yet though. They need to go through training from Urolift before they can do the procedure.

      Thomas

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    • Posted

      I think your math is off - 5.7 x 5.2 x 4.6 cm = about 136 cubic cm which i think is the same as 136 ml. Not 71 ml.

      Report Reply
    • Posted

      Thank you Nisvan , I should have checked it but took it directly from the report !

      in any event 136 ml=136 grms ; is that considered large, medium or small?

      Report Reply
    • Posted

      Mark,

      Prostates aren't rectangular, so the above calculation, while mathematically accurate, does not reflect the true size of your prostate. The dimensions likely indicate the overall dimensions, but not the volume. For the volume, I think that his estimate of 71ml = 71cc is correct. As such, that is a larger than normal prostate, but pretty average for those of us who have BPH. For that size prostate, and for the enlarged median lobe, you would likely be a good candidate for Rezum. Thousands of Rezums have been done to date, and the vast majority of the men who have had this procedure have had good results.

      My Rezum procedure reduced the volume of my prostate from around 70cc to about half that (my urologist's estimate based on his experience). More importantly, it reduced the size of the median lobe, which had reduced my flow to such an extent that I had to use catheters.

      Report Reply
    • Posted

      John,

      Your last message was almost two weeks ago. Now that you're closer to 5 weeks post-Rezum, how are you doing?

      Report Reply
    • Posted

      better. off intermittent catheter

      stream still not fantastic. but better.

      only getting up once at night.

      i want more improvement... so still waiting.

      Report Reply
    • Posted

      Ken,

      thank you for your comments; sounds logical and has been confirmed by a Rezum specialist this afternoon. I live in Wisconsin west of Milwaukee and the closest specialist I could find (from Rezum website) was In Highland Park Illinois whom I have seen this afternoon. He pretty much quoted the same statistics as what I have been reading here and gave the same explanation and confirmed being a good candidate under 80 ml with a large median lobe. He said he has done about 100 Rezum procedures and had one that was totally unsuccessful and had to have some sort of TURP afterwards for him to pee. Than quoted the same statistics about retro, etc the same as has been quoted here.

      I am leaning towards Rezum , based on my evaluation of what I read and heard.

      I will have it done in Surgery center as many suggested here and he can do it but I was surprised that he never has done it but in office . All his 100 Rezums in the office, with Valium and novacaine gel and shots and he said 5 minutes of uncomfort and very slight pain. Similar recovery periods. Foley for 3 -4 days and 4-5 stings depending on what he sees once he is there.

      He said I should expect better but not perfect flow, normal start - stop, no sexual side effects and off the pills and that would be success; approximately 85% . They don't know how long it would last and so far some still going strong and some are weakening.

      I am going to get into the costs and what they cover with the insurance company next and see what the cost difference is between office and surgery center.

      I don't have a date as of yet but thinking end of Nov.

      Report Reply
    • Posted

      Hello Mark

      He sound like a very good and caring doctor. 4 or 5 injections would work for you. So you don't have a median lobe which is good. If he only does 2 and 2 that would give you enough relief.

      Which will be good and no pills. I wish you luck and I hope all goes well. If you get a chance I would ask him the one that failed how big was his prostate and how many injections did he do on him. And yes they have to do a Turp if it fails because of the damage to the tissue inside of the prostate.

      Relax and good luck Best Wishes Ken

      Report Reply
    • Posted

      Mark I had Resume surgery done June 18 2018 I'm worse off. Now than I was before surgery. I pee 8 times in a 12 hr period. If ilau on my back and sleep I can get sometimes 4 hrs before I have to pee. I had a Very lare prostate. And got poked 6 times. And had to have the Cath taken out 7 hrs after surgery in a ER Room. My bladder hole was so large that when the biggest cat wouldn't work. I kept peeing around it. I think they used a 18 at the end and it still didn't work. I'm the first patient that didn't have to have a Cath left in for a week. Acording to my dr. I'm the first in his entire career. All together it was a BIG WASTE OF TIME!!!!! There was2 week period. I peed blood. And then a another 1 week to.. Tom

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    • Posted

      I am 71 and had the Rezum done in office on July 9, 2018 in Phx AZ by Dr Robert Lipson. I am thrilled with the results. I had been taking Alfuzosin/Uroxatrol for at least 10 years and it was no longer effective for normal urine flow. Of the patients he did that day I may have had the largest prostate with an enlarged medium lobe. The unique things that I did in preparation for the procedure that I believe contributed to my quick recovery are as follows:

      1. I insisted on learning how to and doing some self caths in the months prior to getting the procedure done.
      2. Following the procedure I REFUSED the standard of care of a foley catheter and was prepared to self cath and return to office or ER if foley was actually needed. It turned out that I never needed a cath which I believe expedited my recovery! I passed a little blood and some clots the day of the procedure but by the next morning I was painlessly peeing clearly with the volume and force of a 16 year old.

        Even now every time I go I can't believe my good fortune.

      3. I continued taking 2.5 mg of Cialis daily (for improved blood flow) and alfuzosin before, during and for one week after the procedure.

      Sexual function continues to normalize and improve. My only side effective that I happily put up with has been a burning sensation in the prostate after I pee but as my prostate continues to heal the burning is getting less and less.

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    • Posted

      I peed about 8 to 12 times a hr for the first 5 days and blessed. Could get no sleep. Was very tired alot from peeing so much. The Dr gave me pills for muscle spasms to slow the peeing down but then I ran out if them

      And he wouldn't give me any morr. They helped. But right back to peeing air per hr

      Just seen him like 3 weeks ago and he asked why did I stop taking them. I said becauseyour nurse wouldn't give me anymore. He said that wasn't righting her. I said oh well she works for u. I'm not happy with my dr. I'm going in nov. 5 for a scope to see why I still per so much threw the nighy. I'm down to 4 times a night now. I was peeing at least 8 ti.mti.mes a night. It's starting to get better. But I stopped drinking beer. So that helped ALOT!!! I WAS WEARING A DEPENDS EVERYDAY. I HAVEN'T WORE ONE IN 5 DAYS. I'M SEEING To be able to hold my peeing longer before I have to go. It soon as I go back to drinking again. I know I will start peeing alot per. Hr.. And drinking beer is my fun thing without it it's not worth worry about if I'm going to be alive from day to day

      Luck

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    • Posted

      @thomas77847 : It soon as I go back to drinking again. I know I will start peeing alot per. Hr

      Thomas,

      Just to second what David had to say about the beer drinking. I like beer too, but consuming alcohol after prostate surgery is on the short list of bad things to do. I assume that your doctor told you that.

      Steve

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    • Posted

      Tom,

      Have you checked for a possible urinary tract infection? I got one after a cystoscope in Feb and was peeing several times per hour. Once the UTI was cured with antibiotics I was OK. Got a mild UTI recently and instead of antibiotics I used high dose vitamin C to clear it up.

      Tom

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    • Posted

      Great urin flow from day 2 to the present. After the procedure the strongest pain medication that I took was tyenal. I have never had to cath. I can't believe my good fortune. Sometimes I have had a low grade burning sensation when I pee but it's mild and getting better all the time. It's probably from where the steam killed the cells inside the prostate. I fear that a lot of guys are seeing the wrong doctors.

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    • Posted

      I don't have any good info. regarding coffee, except that I can't drink it because it irritates my bladder which has a tendency to being overactive. Not sure how I developed an overactive bladder, my prostate is mildly enlarged, and it may have contributed to it. But my post void residual volumes were always measured normal.

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    • Posted

      Hey Ant

      It is not a good idea to have coffee or tea. Not good for the bladder even if you didn't have a procedure

      Ken

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    • Posted

      I havent had Rezum yet, but I had to stop coffee because of the urgency and frequency it caused in general. Took me a while to figure that out.

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    • Posted

      Ant,

      I've been addicted to coffee since my Army days back around 1972 or so. I did pretty much eliminate caffeinated coffee for a few months when I was in partial retention, thinking that the caffeine made my bladder too active. But actually it made no perceptible difference, at least to me. Since we're all a little different, I can't say that my experience applies to you or anyone else, but I didn't find that drinking coffee, caffeinated or not, made a difference before or after Rezum. Right now the 'experts' say that we should all be drinking some coffee every day because it will make us live longer. I really doubt that is true for everyone, but it does illustrate that there are going to be conflicting opinions about things like this. To answer your specific question, I haven't read or been told anything from any authoritative source that drinking coffee should be reduced or eliminated after Rezum.

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    • Posted

      If my memory serves me correctly I believe I didn't drink my two cups of morning coffee for the first 5 to 7 days. I tried tea which was a huge mistake because it will raise your urgency to go to panic level.

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    • Posted

      I just read something that says that tea and coffee can be a diuretic and therefore would cause that urgency. Good point.

      I guess I was just lucky there because it didn't seem to affect me noticeably.

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    • Posted

      Mark,

      The original volume of your prostate you quoted, 71, was correct. The prostate is more like an ellipsoid than a cube, so the equation for volume of an ellipsoid applies, V= L x W x H x π/6 or V=LxWxHx0.523. So instead of :

      V= 5.7x5.2x4.6= 136 It is:

      V=5.7x5.2x4.6x0.523=71

      Thomas

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    • Posted

      nisvan, The prostate is more like an ellipsoid than a square, so you have to use the equation for an ellipsoid.

      V=LxWxHx0.532

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    • Posted

      Thomas,

      Interesting stuff. So when they do a TRUS, they get the volume of the prostate and from that they calculate the mass of the prostate so they need to know the density of the prostate tissue or the mass of a given volume of prostate tissue. Sounds like something to look up...

      Steve

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    • Posted

      Hey Tom

      Could you say that the normal prostate is egg shape. Does it keep that shape when it get bigger.

      If you have a infection and you set up straight you can feel it. I know for me it feel like I'm sitting on a ball

      Ain't life grand.........Be safe...........Ken

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    • Posted

      The TRUS machine seems to be automatic. I think it assumes all prostate tissue is around 1cc = 1gram so it gets an answer that is close enough. If if calculates within 10% it is doing good.

      The equations are useful for calculating from images either MRI or TRUS.

      Thomas

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    • Posted

      Thanks Thomas; good news then; mine's like almost half of what i thought it was then; lwh had come out to 112; so the new math puts me under 60; i'll take it!

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