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?????

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  • Posted

    I had the REZUM done June 27th.  I had pain levels of 8 to 10 at times, plus all the other symptoms of BPH. I am 81.  The pain is barely noticeable now and no pain at all most of the time.  The urine flow is almost normal now and continues to improve.  It has really worked for me.
    • Posted

      How long did it take after the REZUM procedure to start a normal urine flow? I had mine ~ 1 week ago, August 27 and I'll be on a catheter for a minimum of 1 month...

    • Posted

      Randy - for me everything was great when they took out the cath just 4 days later. BUT everything went to crap 2 1/2 weeks post-procedure and I wound up in the ER because I couldn't pee AT ALL! Long-story-short I had another 4 days on cath and another 2 1/2 weeks on prostatic stent. Not the most fun 6 weeks of my life but I have been symptom free since (about a month) and I just took my last Flomax today! So hang in there, hopefully much better days are ahead!

    • Posted

      Being on a catheter for a month is crazy. When I had Rezum done in March, it took me two weeks to pee and I was the longest of anyone who had the procedure at that point, The overwhelming majority can manage on their own within a week and many within a day or two.

      I'd recommend getting the cath removed asap and having your doc show you hwo to self cath. You probably won't need to (and if you do only for a number of days...maybe a week if you're a real outlier). Chances are you'll be peeing enough to manage by then.

      I was a slower recoverer than most - 2 weeks til I could pee, 7 til I was as good or better than before (I wasn't that bad - no retention and I had to self cath once in 4 years) and about 10 til I was better than when I went in. According to my doc, most of the improvement comes in weeks 6-12 and if you have a really big prostate, both the time til you can pee and time til most improvement is longer. But to put it in perspective, his ideal of a long time on a catheter was a week.

    • Posted

      My flow improved daily, weekly, and monthly.  I only had a cath for 3 days.  If you progress like I did you will be very happy in a month or two.  My doc made me very aware that getting better is a long process with REZUM. The flow would continue to improve monthly.  I guess everyone is different and I am extremely happy with my outcome.
    • Posted

      Congratulations on your success!...Did you have retention problems? How big was your prostate...Per comments on this forum, those two items can affect a person's recovery time...Please Advise..

    • Posted

      I did'nt ask about the prostate size.  My main goal was to get rid of the debilatating pain, which it did.  Retention was getting better after 3 weeks and continues to get better weekly.

    • Posted

      Update on condition.  My condition has gone down hill in the last month.  I had the Rezum procedure 6/27/2016.  The flow is still a lot better but the prostate pain has returned level 6 to 8 at times with the addition of bladder pain (urgency).  The doc put me on Myrbetriq for a month but it hasn't helped at all after 2 weeks.  So at this point I wouldn't reccomend Rezum.

    • Posted

      Tom  sorry to hear that your having a problem Just stay with it.  You know all men heal diffrent  Take care  Ken
    • Posted

      Hi Thomas,

      Sorry things aren't going well. What type of pain are you talking about and when do you feel it? Is it burning when you urinate? Soreness in the prostate region? Are you talking about bladder pain or urgency? I assume your doc has run a urinalysis recently to rule out a UTI? 

      Jim

    • Posted

      Hi Thomas

      Same here.   I had my Rezum procedure Aug 23. Nothing has change except now I’m using a self- catheter 3 times a day and before I wasn’t.

    • Posted

      No UTI.  2 pains.  1. Serious sharp pain on the left side of the prostate  with any movement.  Had that pain before the REZUM.  Currently pain of 6 to 9 level.  The bladder pain is like I have to urenate all the time.  Back to the Doc next week.
    • Posted

      Did they ever tell you the cause of the pain on left side of prostate prior to Rezum and why Rezum might fix it? How was your retention prior to the Rezum and what is it now? I'm not a big fan of uneeded antibiotics but if nothing else seems to work they can have merit in terms of the prostate, a complicated organ that sometimes responds to antibiotics even when urine cultures show no bacteria. Non-bacterial prostatitis is one such example. 

      In any event, sometimes best to get a fresh set of eyes on a problem, especially someone not associated with your Rezum procedure. If you do get a second opinion, always best to find a doctor at a teaching hospital that is different from the one  your doctor is associates with. Doctor's in the same hospital often dont like to criticize or critique the diagnosis and treatments of their collegues.

      Jim

    • Posted

      No they didn't know the cause of the pain.  After the REZUM

    • Posted

      After the REZUM I didn't have the pain for a couple of months, then it gradually returned to the same level as before the procedure.  I have been looking for someone that complained of prostate pain but haven't seen any.  Over the counter meds don't help the pain.  I will ask the doc if he can find the source of the pain and correct it.  Thank you very much for the advice. 

    • Posted

      Seems to me the kind of sharp pain you describe should be looked into. Consider consulting with another urologist who can look at things with fresh eyes.

      Jim

    • Posted

      Just caught your second expanded post. Did you take any antibiotics between your pre-Rezum pain and the pain now? If so, could be a simple prostatitis acting up again, but could also be other things. Again, sounds like something you want to deal with and not let linger.

      Jim

    • Posted

      The reason I asked is because if you took antibiotics between the two pain episodes then you have an alternative scenario which is that the pain went away because of the antibiotics and then it came back later which can happen with some bacterial infections such as prostatitis. In other words the Rezum procedure may have had nothing to do with the pain disappearing.

      Jim

    • Posted

      Having Uro dynamics done on Nov 3 which is with a new Uro doc to me.

      i am having some reservations because I told him my sex drive was way down and beings I take 2 Tamsulosin daily I asked him if that would cause it and he told me straight up NO,  that Tamsulosin is even given to kids in some instances for whatever.    So I checked about 4 different web sites and they all confirmed that Tamsulosin will not only lower your libido (sex drive) but also will reduce the amount of semen normally produced, so since I currently self cath, I stopped the Tamsulosin for a few days and sure enough my sex drive started going up as well as S production.   So if this new doc is telling me something that is totally incorrect then should I depend on his recommendation with Uro dynamics results?

      i had urolift done bout year and half ago and feel like,  after reading a lot of all you men's posts,   That maybe I need another urolift,  beings how I only void approx 200 avg and my PVR is usually around 400 consistently,  hmm.

      or maybe PAE or maybe reezum?   I'm 58 and prefer to not have RE.

      I chose this forum to throw this out there because it seems like it has about 1000 hits in like 6 months so a lot of you are probly monitoring it..

      Thanks all,   Anthony

    • Posted

      Get a different doctor. This one is a waste of time and money.

      Neal

    • Posted

      Hi Anthony,

      I read Dr. Moon Soo's comments but only agree with part of them. I believe he was saying that you first should be scoped or imaged to determine if the problem is obstruction or functional. I think by "functional" he means if your bladder is capable of expelling urine properly. I agree that should be investigated however I also believe that let's call it a non-fucnctional bladder can be rehabbed through self cathing. I was able to. So, I wouldn't give up on your bladder so easy even though Dr. Moon (and probably most urologists) don't believe the bladder can rehab itself after a certain point. 

      I don't know what to say about your current doc but he seems off the mark so far. If your gut says he's not the one, then seek another opinion, especially with a urodynamic test coming up where IMO the data can be very questionable in terms of application.

      And stay off the Tamsulosin! Sounds like you want your sex life/drive back and since your self cathing anyway, no need for any drugs to help in that regard. 

      Jim

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