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

Hi Steve and everybody else too;  I had a "second Urolift" back on May 19th.  I now pee like a Crazy Racehorse.  Baby does it flow!!!!!  BUT I still get up 3 to 4 times a night.  NOW, this next part is IMPORTANT.  My daughter who is a PT told me to call Methodist and get an appmt with a  "Bladder Retraining Physical Therapist".  I did not even know there was such a thing.  But there is!!!!!!   The problem is after getting up at night 3 to 4 times for over a "Decade" my brain has now got to be "retrained" to not send the message to me.  Anyway, my first appmt is on June 21st, so we'll see what happens.  Take Care.

I'm in my 7th week after Rezum.  Getting slightly better.  Hope to improve even more.  Since they gave me a lifetime guarantee on my heart surgery, maybe they'll give me some warranty work on my Rezum.

My urologist said I most of the impovement comes in weeks 6-12 and that's been my experience too. Was a real crap show til about week 5 or 6 for me, then things started to get better. Stream is now better than it was before, but my doc has me on an overactive bladder med that makes emptying a bit of a chore - not unbearable, but an extra 15 seconds or so each time. I'm at week 10, hopefully more improvement will come. Still have some random urge and probably best to stay on the med til thats gone. SO I guess I won't know the full outcome til then.

Hi Oldbuzzard;  May I ask what is the name of the med you are on for over active bladder.  Iam on one too and just want to compare notes with you.

Myrbetriq is the one I'm on. It's fairly new (3-4 years since FDA approval) and doesn't seem to have any side effects. Most of the others give constipation and dry mouth

Iam on "OxyButin Chloride 10mg." and it does give you terrible dry mouth when you get up in the morning.  Good Luck to You my Friend.

Hi Chuck,

I wonder if you can update us a little on both your bladder retraining and later sleep apnea diagnosis. 

Also, when you got up 3 or 4 times a night "pee(ing) like a Crazy Racehorse" did you measure your output to get an idea whether or not your bladder was full or not?

I would think bladder retraining would only make sense if your bladder wasn't full, ie only a small amount came out.

On the other hand, if your bladder was full three or four times a night then it sounds less like residual brain signals but more like nocturia which can be associated with sleep apnea but can also be associated with other issues. 

Jim

Tim I had the Uro-lift over a year ago and I am very happy with it.  It think that would be good for you.  Look into it.  You have no other problem.  just the one lobe.  It would open you up.  Take care  Ken

Thanks Ken. My primary issue is the time it takes to start the flow ( as much as 5 minutes at times). It feels like this is at the bladder neck but the cystoscopy did not show any issues around that area. As such I'm not sure any of these treatments will help but finding info on this has proven elusive.

I am on my 5th uro in 3 years and getting a reasonable explanation as to the cause has proven elusive to date.

Any info appreciated.

Before had it done my prostate lbes were touching and that why my doctor said the uroliwould be the best.  He did not say anything about a turp laer or Tuip  They cause re and I told him it was not for me.  I think all you need is thero-lift you open you up.  Don't let them talk you into any turp or laser even a tuip all will cause tro and don't know if you everd one there not a good orgasm  Before you do anything get theinformation on all of them please.  n 

You previously also mention a normal size prostate. Besides the long time it takes to start your flow, what other issues are you experiencing? Have you had your PVR (post void residual) checked. You don't have an operation because a doctor is "willing" to do it, you only have an operation if first you identify the problem and then convince yourself that the operation is the best solution to the problem. Sounds like you haven't done either at this point.

Jim

Well, I am in the 8th week after the Rezum procedure.  Flow and volume are increasing slowly week by week.  Right now, I feel like I'm slightly better off than before the procedure.  Jury will have the decision during the next 3 to 4 weeks.

Actually, I've been dealing with this for several years and have researched this issue and the treatments extensively. Simply because I did not give a full discourse of everything I have tried does not mean it has not taken place. I have tried a course of antibiotics, 4 different alpha blockers, and Finasteride, as well as bladder retraining. My latest 3T MRI revealed 'chronic inflammation', but not BPH. Prior to this MRI, doctors assumed it was just BPH and had estimated by prostate size as being 45 to 50cc. So varying data from different medical professionals has only added to the confusion.

Symptoms:

Slow to start, slow stream, incomplete voiding the traditional big 3 so I've been told. PVR ranges from 20 to 40cc. The longer I sit the longer it takes to start the stream. This makes travel more challenging as I can reach a point where voiding can take over an hour with multiple attempts. While stopping periodically in a car is easy enough, being stuck on a plane when they will not let you leave your seat (nor spend 15 minutes in the lavatory) has more than once proven problematic and as a result, I have been reticent to take flights longer than 3hrs.

Thanks Tony - please let us know how you progress and best of luck.

That was my experience at that point and my doc told me  that the vast majority of improvement came in weeks 6-12. My stream is definitley better, but I have some urgency still, so they have me on an overactive bladder med that makes fully voiding a bit harder, I'll know where I stand when I'm off that drug

oldbuzzard - have they mentioned bladder retraining to you? You can find info on the web, it is relatively easy to do and may help give you some relief.

Hi Tim;  Am I reading your post "correctly" that you have had "5 Urolifts" in the last 3 years???????????????   If that is true then I would say the urolift really doesn't work.  I have had 2 urolifts myself in the last 12 months.  The first one in Joliet, Illinois and 4 implants.  Then about 2 weeks ago my urologist who now does the Urolift put in 4 more implants for a "Total of 8 Implants".  But if this thing doesn't last then I say "whats the point"?????    I don't want "relief" for a year.  I want relief for 5 to 10 years.  Now you really have me thinking about this whole thing.

I think it's too early for that. I have real urgency the my doc said is normal at this point. When that goes away, if I'm still getting up I will definitely try it