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

Rkrft,

Sometimes the infection is in the prostate (prostatitis) and does not show up in the urine. I had a prostate infection when I was 22 (1972), the urologist did a prostate massage and collected the discharge on a microscope slide. He looked at it with a microscope and determined what kind of bacteria it was and what antibiotic to use for it. The point is that they may have to look at the semen instead of the urine. When the bacteria show up in the urine I think it means the infection is in the bladder or kidneys. I am not a urologist so you should probably get a second and third opinion from urologists.

Thomas

I have heard that the bacteria might not show up with the urine before and am going to bring it up to my primary urologist, when I see him in a couple of weeks.

I just messaged my Urologist to see if I can get the prostate fluid (semen) checked for bugs and will let you know what he says.

painful urination at 6 weeks isnt from the injections or swelling which have long since subsided. pain however is an indication of some type of infection or prostatitus which if inflamed is causing problems. at 9 months i caught a bladder infection, was unable to urinate, er visit. took 10 days for the infection to ease and the pain went from bladder down the urethra. Now have catheters just in case and a supply of antibiodics. my urologist didnt want to do rezum on my 150 prostate but this is what I wanted to do. I couldnt be happier with my results and recovery, now at just over a year

Are you still taking antibiotics? And the antibiotics provided no improvement to the painful urination nor the urinary frequency?

I was having pain right away and they had my urine checked and found nothing. Then when it got worse a general practice Dr. friend gave me a prescription for Cypro. Then when things got worse, he referred me to the ER, where they gave me a stronger antibiotic, which I used until it ws finished. I messaged my doctor yesterday about doing a check of my seminal fluid and they just came back and said my symptoms are from BPH and having had the Rezume procedure done, so don't want to check the prostate fluid.

Time for a new doctor

Rkraft,

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Just to 2nd Motto that it is time to move on to a new urologist.

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I saw 3 urologist until I chose the one that did my successful Rezum. The 1st only did TURP and put down other procedure. The 2nd was a newbie with limited experience.

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The 3rd (who did my Rezum), had been practicing for over 25 years, had done Rezums for over 2 years and was highly recommended to me on this forum.

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When it comes to choosing a doctor, do so carefully. Much more so than for a plumber or car mechanic. You can always replace pipes or brakes. Body parts, not so easy...

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Steve

One of the most experienced urologist Richard Levin who helped with the clinical trials of Rezum stated that he now does 95 percent BPH treatments with rezum. Even the most experienced cant guarantee success. But for a urologist who used to do TURP as the gold medal procedure to now do mostly all prostate reductions with rezum speaks highly of the procedure and its effectiveness. Protocol is injections starting from 1/2 cm from the bladder neck, and every 1/2 cm left and right moving outward. Extra injections for medium lobe. size of the prostate dictates number of injections. Just before my procedure I asked my female urologist if she was starting at the back. she said I think ill start from the front which alerted me that she wasnt the most experienced. By starting in the front you have the extra water from the rezum machine to cool the urethra after each injection. This created urgency to go and we had to twice remove the tool and reinsert. 15 injections for a 150 prostate. She was very aware of staying away from retro and in the end and after 1 year results are very good. Foley 3.5 days, and was happy to go on my own although very slow at first. Was on flomax prior, she added finesteride 2 weeks prior to the procedure which helps with bleeding. I has none, I didnt like not seeing her for 3 months, but fortunately I had not infection or pain and healed just like the literature on rezum predicted. There is a lot of good information on the procedure on the internet and I trusted testimonials produced by Nextera and Boston Scientific the least. Most important to me was fixing leaking and urgency which we accomplished 100 percent. no retro, and after 1 year very pleased with my results. Age 63

raygar13,

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The urologist who did my Rezum does mostly Rezums now too but had done TURP for many years. My Rezum was done from the bladder neck down too, 10 shots (4 per lateral lobe and 2 median lobe). The procedure was easily tolerated on 1 Valium and 1 Percocet. I went out for lunch with my driver afterwards as my Foley bag filled with bloody pee.

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The urologist had me keep the Foley in for 2 weeks. I had no problem with that has I had one in earlier for a month. I can see the pros and cons of keeping a Foley in for that long. After the Foley came out, I had to self-cath for 2 more weeks until I started to pee again. I had 2 episodes of swelling that required a stiffer catheter.

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All guys who have a Rezum should know how to self-cath before they having a Rezum. Repeated Foleys is not the way to go.

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My post-Rezum recovery followed the standard schedule. After AUR and 10 months of self-cathing, I can pee again. My IPSS went from 28 or 29 to 8 or 9. I have no RE. I am very pleased with my Rezum results too. Choosing a urologist with sufficient Rezum experience is very critical. Age 63 too.

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Steve

thanks steve, I assume your prostate was 80 to 150?? for 10 injections. 10 months is a long time to self cath. how was urination prior to rezum? Anyone considering rezum should also make sure the pre routine for rezum includes starting finesteride 2 weeks prior to the procedure. I didnt I see any blood (in the bag or around the catheter) before or after Foley . I admit I wasnt sure why she put me on finesteride, but after reading it helps with bleeding and my results after rezum with minimal if any bleeding. 15 injections and foley 3.5 days. Prior to rezum, I was on flomax and could urinate on my own although I had 2 ER visits, unable to urinate. Results are the name of the game, and it sounds like your procedure helped you as well. continued good luck and keep posting for others

raygar13,

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The length of the urethra through the prostate was 5 cm. I was self-cathing for 10 months after 2 liters of pee was taken out of me because 1) I was totally blocked, most likely by the median lobe and 2) my bladder was damaged from being so streteched out. I was on Finasteride for 9 months before the Rezum. It prevents prostate growth and will shrink the prostate over time. Other than my bald spot filling in, I have seen no side effects from the Finasteride so I am staying on it so I don't have to do this again!

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Steve

raygar13, on the comment about your urologist and why she started the injections on the distal end. What you concluded is probably true...but surprisingly, the Instructions for Use document posted on NxThera's website actually describes a situation in which the procedure should start on the distal end just north of the verumontanum and work up towards the bladder neck. It says if there is a substantial central zone and median lobe that make getting the Rezum instrument up through the bladder neck difficult to start, then the urologist should start at the veru end instead and go the opposite direction with the injections. I guess the point is to hit the areas that are accessible in that situation. Otherwise, it is very prescriptive -- start 1 cm distal to the bladder neck on one side aiming the needle horizontally and work your way down to 1 cm proximal to the veru. Rinse and repeat on the other side.

In my room for the procedure, 2 nurses a male i assumed was part of the rezum rental and the urologist. My reading was very clear on starting 1 cm from the bladder neck. when I first asked her how we fix bph.....TURP was the response, she mentioned that she can go where she wants to clear the runway and kind of take her time as the patient is under antesthesia. In my case I think it was lack of experience in the rezum procedure. When I printed the Procedure protocol and showed her, she said can I make a copy of that. I told her I printed it for her. Having to reinsert the machine a 2nd and 3rd time has to do with the inseterted injection tool and rinse water creating urgency, but in the position you are put in my thinking is the rinse water goes towards the back. I had the same urgency with foley a couple of times my body would try to void with the tube in place. the sensation lasts about a minute, get very intense then passes as urine flows down the catheter. Her knowlege of what areas we were trying to clear is the reason for my success. Several times she asked the male rezum rep on the positioning of the next injection. Although I found this forum before rezum, I read only a few comments about picking an experienced rezum uro. She likes that I read alot and my input is respected. I actually told her that Rezum was the procedure I wanted, she said prostate was to large 150. I pointed out ongoing clinical trials and a rezum done on a 151 prostate and patient was doing fine. I knew the procedure would do some good and we would probably need a 2nd in the future. My prediction for 80 to 150 results will be good as a properly done procedure ablates a lot of tissue on the outside of the urethra. my ultrasound showed only a reduction from 150 to 130. Mass of my prostate feels more like 50 percent reduction so the large structure of the prostate stayed intact but the inner zone lost a lot of tissue freeing up urination and symptom relier. thanks for the response on a different approach. of the 15 injections 2 were to medium lobe