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
DrDavidB ChuckP
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Hi Guys. Day 10. I am seeing an improvement already no bad symptoms. Hey, anything is better than nothing! I did the Urolift 4 years ago and it helped for a while but the p kept growing and bulged into the bladder and shut it off a lot. My Uro suggested Rezum, which Kaiser did not have available 4 years ago. Anyway, I will keep you informed as time goes by to my progress. Fingers crossed. Thanks for this forum.
David
DrDavidB ChuckP
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I am post Rezum 3 weeks, 2 since the catheter was removed and I am peeing like a 20 year old. Well anyway, its been over 15 years that my flow has been reduced so I can hardly remember what normal is. But what a relief to not stress about all this. I can hardly keep myself from telling everyone I meet about my prostate. They must think I'm weird.
My uro said the maximum benefits are reached at 3 months but I can hardly believe it can get better. BTW, no retro and erections fine. I'm not sure when to stop taking the tamsulosin, the doc said to keep taking it but I am eager to experiment being drug fee again.
I suppose the prostate may regrow in 5 years or so but this procedure was so easy and effective that I have no worries anymore.
DrDavidB
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Can I reply to myself? I don't really understand how this forum works but I just can't resist sharing my experience with Rezum because it has been so positive. I'm afraid if I had read some of the horror stories on this thread I might have not chosen to do it. Thank God I didn't! This has been a blessing. Granted, it's only been 4 weeks (to the day) but the results have been fantastic.
I stopped taking Tamsulosin 4 days ago. Now this is a big deal, because the last time I stopped taking the stuff was after my Urolift. A year later I had a urinary blockage and went to the IR at midnight! Anyway I waited 4 days for the Tamsulosin to leave my system and had an ejaculation. I was thrilled to see sperm squirting out again (I know, I sound like a teenager.)
I'm so sorry some of you have had bad results and so much pain and trouble. For some reason I was sure my result was going to be as good as it is. I'm a very healthy and slim 74 old Chiropractor (who feels like 50) so maybe that helps. I exercise every day and follow the Zone diet as much as possible.
If anyone has questions I'm pretty versed in health matters, especially concerning prostate conditions and will be glad to chat.
Thanks, David
compiler ChuckP
Posted
Successful Rezum is likely based on the prostate size. Many people did not report their prostate size before and after the Rezum. How long do the results last? If Rezum does not work or the prostate regrowth causes LUTS, what is the best procedure to correct it? Please share.
AstoriaSteve ChuckP
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I had it done February 22nd. General anaesthesia, catheter for two days. Other than the catheter, minimal discomfort, no issues with retro ejaculation or inability to get an erection.
That's the good part.My doctor said that at 3 months it would be as good as it's gong to get. After 2 months, it's about where it was pre-procedure, maybe even a little worse. I'm OK during the night, but I have to pee constantly during the day, especially in cold weather and especially when I'm on my bicycle (which I do daily, 10-15 miles a day) I'm concerned that it won't get much better than this. My prostate was HUGE (195cm), so he wouldn't guarantee it would work - he said that Rezum isn't often done on men with prostates as large as mine.
Questions
has anyone else whose prostate was as large as mine had the Rezum procedure? Did it work?
has anyone had the experience of minimal change after two months but a dramatic improvement after three months?
If this doesn't work, next step is green light laser surgery. From what I read, the incidence of retro ejaculation or even impotence or incontinence seems high enough to make me hesitant. On the other hand, I'm pretty miserable now, so maybe its worth the risk. Thoughts?
Thanks! PS, I'm 71.
bob955 AstoriaSteve
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My urologist said twice he avoided the bladder neck during REZUM to avoid RE.
Presume it could also be done with Green Light. BUT he said results are not as good when the bladder neck is avoided, and of course it might have to due with your conditions/anatomy.
He also said both patients - one after several years, the other not sure how long after, were not satisfied for whatever their reasons and I think were doing TURP, not Greenlight.
Also on this site I read there is a methodology called Ejaculatory Hood Sparing or similar names but from what I read here it is a European procedure but googled and could not find anything on Google.
Where are you located?
Hope this helps and best to you.
Bob
paul41561 ChuckP
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I had Rezum done three years ago. After 3 months of healing, peeing and frequency of a 20 year old. No night trips. No sexual side affects. Actually never think about it as all is just normal. DOWNSIDE- My Dr does not use anesthesia for Rezum. I have yearly checkups and have informed the Dr that if i ever need Rezum again i will be under aneshesia. Rezum is steam on your prostate, and it hurts like any other burn, 9 seconds each time mine was 5 times. My brother had it done and he was under aneshesia.
compiler paul41561
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What was your prostate size before the Rezum procedure? What size is it after regrowth over 3 years?
Austinite ChuckP
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I had RESUM on June 8th, 2022 and it was a total disaster. Not only it did not work and cause lots of bleeding and 3 ER trips, it resulted in much worst BPH/BOO symptoms. I had to do another procedure to correct. Be careful what you're getting yourself into.
m10508 Austinite
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My Rezum was a disaster too, I did mine August 16th almost the same thing. What procedure did you do to correct? Thanks
compiler Austinite
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What was your prostate size?
m10508 ChuckP
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I did Rezum and so far it's been a big fail. My URO thought this might work for me, it didn't and in fact made me worse. I am 2.5 months post-op and need to catheterize, I did not to do that before surgery. What you need to find out is how large your prostate really is size wise, then whether you also have a prominent median lobe as that will also determine the best approach to take. This link provides the best roadmap I've seen, I wish I found this prior to my surgery and trusting my URO, don't make my mistake. https://prostatematters.co.uk/determining-suitable-bph-treatment-options/
compiler m10508
Posted
What was your prostate size which caused the Rezum failure?
doug01916 m10508
Posted
I wish I had seen that web page before trying Rezum. My prostate size was about 35 and I had very bad symptoms, I believe around IPSS of 22 or 23. I travelled about 100 miles to have Rezum done and the urologist never related symptom severity to likelihood that Rezum would be successful. The Rezum procedure was awful, and done while I was fully awake. I received the pain killer needle through the rectum, and even paid out of pocket for laughing gas, which made absolutely no difference. I received 5 painful shots, then was sent on my way. Travelled 100 miserable miles home with a catheter (even getting stuck in an hour traffic jam), and then removed the catheter myself about 3 days later at home. After a few days of barely being able to go things slowly improved, but not dramatically. For a short period about 1-2 months post procedure I had better flow than before, but was still getting up 4 or more times a night. Following that it just continued to degrade, and 4-5 months out had a couple times where I was almost in complete retention again, and over a year later did have full blown acute retention and had to self catheterize.
I just had a bi-polar button TURP 4 weeks ago at my local clinic, and honestly it was way less traumatic than the Rezum procedure. It was done as an outpatient procedure and I was fully knocked out. Initially I was instructed to remove the catheter the next day, but when I did I was obstructed and had to return to have it reinstalled. I removed the catheter 3 days later, and at that point my flow was greatly improved. After a few weeks of frequency and urgency things have settled down quite a bit, and I've had several nights where I've only gotten up once. I'm still going around 10-12 times in 24hrs, but I expect that will improve as my bladder gets used to the new normal. It feels so good to just go to the toilet and pee continuously until done. What little, short-lived improvement I experienced with Rezum never gave me that experience. So far I have not even experienced retro, and I'm still taking 2 Tamsulosin tablets, which I will discontinue when I have no more.
For me, Rezum cost me another year and a half of enduring those miserable symptoms, which could have been fixed immediately with TURP. Hope this makes others think twice about going that route. Good luck to all.
tony46797 ChuckP
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I had the REZUM procedure done 2/22. Only lasted a couple of months! Never could get off BPH medication. Now considering green light or TURP?
Lot of people were having problems with peeing after catheter removal. Took me 3 weeks and 5 catheter's. What a nightmare.
compiler tony46797
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What was your prostate size before Rezum?
doug01916 tony46797
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I had the Rezum procedure done in April 2022, and it has been a total fail for me. I experienced a brief short-lived improvement after the initial healing from around 3-6 weeks out, followed by a slow regression back to my original state. I've had 2 near acute retention episodes since, once in August and once in September. I managaged to get through both of those by just barely being able to go tiny amounts multiple times over several hours until it subsided. I still get up on average 5-7 times a night, and sometimes have nights with extreme irritative symptoms where I literally cannot satisfy the urge to pee. On those nights I'm up all night and don't fall asleep until 4 am from complete exhaustion. At this point I feel like I've wasted an entire year of my life screwing around with Rezum. I'm now considering Aquablation, but wonder if I should go straight to TURP. My stats are: 62 years old with smaller size prostate.
As for the procedure, it was done in office. I took the prescribed pain pill before the procedure and paid the out of pocket cost to have Nitrous Oxide, which did absolutely nothing. He gave me 5 shots, which I just cringed through. I went home with a catheter, and removed it myself about 2.5 days later. I had little pain once the catheter was out, and only minor bleeding the first week or so. If the procedure actually worked, I think the pain and recovery would have been well worth it.
george29339 doug01916
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Hi Doug,
If you have that much difficulty, have you considered Intermittent Self-Catherisation? I believe that severe retention can result in damage to the bladder as the walls can get stretched out.