REZUM--HAVE YOU HAD THIS DONE???????
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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?????
35 likes, 5645 replies
oldbuzzard ChuckP
Posted
Thomas had a really unfortunate but very atypical experience. If you have an enlarged media lobe, Rezum is usually the best choice. In an absolute sense, something like TURP or Greenlight might open things up slightly more, but for the overwhelming majority of men with simple BPH (with our without median lobe), that's a distinction without a difference in results, but a major difference with recovery and potential permanent problems. IMO, based on what you described, there is no other procedure that will combine low risk, quick recovery and small chance of permanent side effects (RE with Rezum is 5-10%).
If they don't twilight you, its usually quite painful, but its quick - each spray takes 9 seconds and most men get 5-7. If your doc offers the twilight option...take it. 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.
I STRONGLY recommend self cathing rather than the foley. I took much longer than most to be able to pee and I would have been beside myself if I had to wear a Foley all that time. Once you get the hang of it, self cathing is painless, easy and allows you a completely normal life. I was back in the gym, doing everything including squats in 5 days, even though I couldn't pee by myself at all. Even if its only for a week, Foley's suck, hurt and self cathing makes them unnecessary.
Good luck, I'd love to hear what other things your doc recommends for BPH with a median lobe...
ken19524 oldbuzzard
Posted
OB,
Very well said. Thomas' difficulties from the Rezum are not typical at all, and very unfortunate for him. I hope that he can get some relief eventually, maybe even from the Rezum procedure because, as you mentioned, it takes longer for some guys to feel the benefits than others.
For those guys contemplating which way to go to address their BPH problem, I would think that Rezum should be a first choice from the options available right now, until it is ruled out for a medical reason. Unfortunately, it seems that it is often ruled out by a urologist simply because he's been doing another procedure for years, and that's the procedure that he feels comfortable with. Instead, he should be thinking about what is best for the patient.
JerseyUrology ken19524
Posted
It has really revolutionized what we can offer our patients with prostate problems
thomas77847 JerseyUrology
Posted
It's been almost 11 weeks and I'm still peeing every 30 to 60 min. Some days it's every 15 min. It made me worse. Then before the surgery. Before surgery I was going 1hr to 2 hrs. And on week 9 I peed blood for 8 days straight. But I was xaroto. I'm off it now going on 10 days. And no blood. But I have to go back on my blood thinners in 4 days. If I start to bleed again I'm just going to stop taking my blood thinners reguardless. What the Dr says. I don't let doctors control me!!!!
davidaami thomas77847
Posted
Thomas are you taking some kind of a diuretic? Could that be part of the reason why you have to urinate a lot? Or do you think it was because the Rezum procedure didn't resolve the bladder dysfunction?
kenneth1955 JerseyUrology
Posted
changejobs JerseyUrology
Posted
On average in a rezum procedure, how many shots would be used on an 80g prostate ?
Tucsonjj oldbuzzard
Posted
Hi, Buzzard, hope you don't mind this question on an old thread... you have helped me before... is a hydrophilic cath more comfortable than a cath lubed with sterile ky-type jelly... or is it the other way around? Do you just smear the goop all over the cath, including the eyelets, etc/// or do you have to be careful not to get the goop into the eyelets? thanks!! JJ
Tucsonjj JerseyUrology
Posted
Thanks!
TKM Tucsonjj
Posted
For me the caths lubed with KY type jelly are more comfortable just because they are the red rubber type which are much more flexable and smooth. They take more time to lube before and wash afterwards though. I use the red rubber type in the daytime when I have more time and the hydrophilic disposable caths at night, or when I am in a hurry, or away from home. The Urologists office that trained me to cath squeezed some lube jell on a paper towel or gauze, then twirled the tip of the catheter in it to coat lube on the first four inches.
The hydrophilic type that use a packet of sterile water/lube, that you break open inside the package, do not lube well. The Bard Magic3 is that type, but it has a plastic sleeve which is useful, and the tube is made from silicone, which is very flexable. The best lubed of the hydrophilic type is Coloplast Speedicath. The lube is very slippery and does not even wash off with soap and water.
Thomas
Tucsonjj TKM
Posted
Thanks, Thomas... I just now tried a Speedicath... and was impressed... very comfortable... I tried a KY lubed "GentleCath" and didn't like it much... my "Cure" caths work fine... but I think I'll change to the Coloplast Speedicath... lucky my insurance covers them.
I guess that the Red rubber caths are good if you are re-using...??
Tucsonjj TKM
Posted
Hi, Thomas... another question, if you don't mind... I had a coupld of failures in using the 16 caths... I finally realize, I am too tight in urethra and prostate areas to use the 16's... even had a little blood last try... even the 14's I use successfully seem a little tight... should I try a 12?
I assume the smallest diameter cath is the best... IF it does not leak... and with my tight bladder neck... I doubt if it would. thanks for your help!
TKM Tucsonjj
Posted
What type of size 16 catheter failed ? Was it Speedicath, Cure, Magic3, or Red Rubber ? If it was one of the stiff ones like Speedicath or Cure, try the Red Rubber with lube . They are much more flexible and can bend around corners without scraping. In the Speedicath, Magic3, or Cure I prefer size 12, they go in easier. I did have a problem with leakage around a size 12 Magic3 once, but it was when I was overly full. In the Red Rubber type I have had a leakage problems with size 12, and prefer size 14, but I can use 16.
Thomas
Tucsonjj TKM
Posted
Hi, Thomas... I had a failure with the Bard Magic3 16 and the Coloplast Speedicath 16... No fails with the Cure 16, but lots of resistance... and I had my only leak with a Cure 16 when VERY full... but kept trying anyway and it went in... I wish I was given at least 3 different size samples... I think I will be in the same place as you... in that a 12 should be more comfy (with plastic), and yes, may leak if overly full... will stick with 14's if full I think... but 12's may become my go to... I tried a self-lube "GentleCath"... felt very rough, both the 16 and 14... uncomfortable enough that I felt the eyelets and to the touch they felt rough... could feel the edges... I'll have to try that on my Cure caths next time... I will try to get a sample of the red rubber 14...
BTW, I have signed up with Byram for insurance-paid caths, they are very nice, but screwed up my first order, sent bard magic3's instead of Speedicaths... then sent TWO orders (Speedi and Cure) to replace instead of one... but I think they respond fast, correct errors and should be fine... Thanks, Thomas!
john98818 Tucsonjj
Posted
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ken19524 Tucsonjj
Posted
Coloplast Speedicath prelubricated FR16 coude tips worked great for me, but as you guys have noted, we're all different, and what works for one guy may not work for the next guy.
One thing that I noticed is that I had to try to urinate first, before using a catheter. For some reason, it helped me relax a bit for the insertion through the bladder sphincter if I peed a little bit first. Typically I would be able to go about 50ml before and about averaged about 250ml with a catheter. Usually about 4 to 5 times a day.
I live out in the country, and it's such a nice feeling to be able to go outside and let loose with a unobstructed stream. Sometimes I have to smile because it feels like such a relief to not have an enlarged prostate restricting the flow. I wish for everyone reading this forum to be able to get to that point too.
john98818 ken19524
Posted
When you say unobstructed stream you're talking about with a catheter right? My hope is to be able to void like that some day without a catheter.
Tucsonjj ken19524
Posted
that is great... but I think some guys like me have a much tighter urethra... or bladder neck... or something... all different like you said... I am so tight, I think a 12 o even a 10 will be much more comfortable and if I get leaking... I'll just move up one size... thanks!
BTW: did you have a procedure done? Which one? I think maybe Holep is the best bet, IF insurance will cover... or I might just have a BNI for now... my new UroDoc thinks the TURP is a good thing too... maybe they have new techniques...??