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

Urinary urgency usually follows the procedure - that's normal. It will subside and disappear

You're lucky in being able to remove your catheter....I  had my REZUM ~ 2.5-3 weeks ago and the Uro doctor is instructing me to continue wearing the Direct Catheter until I have a Successful Void...My 1st attempt will be 9/19/16...

You should have questioned that, If you can't void after a month you'll probably be the first one since they began the procedure.

I do feel fortunate that so far everything has gone very well.  I worried about not being able to urinate after the catheter came out that I got some self cather's from the doctor.  But first time was successful so I feel very good about it.  Good luck to you.

I will be concerned about urinating the FIRST TIME after I have the catheter removed too....Chances are, I'll obtain some self-cath's too, just in case I need them....Old Buzzard thinks I should be off-the-cath now. I would love that. I've been on the Direct Catch for ~ 3 weeks now...

I am not a Doctor, but I agree with Old Buzzard that you probably have the catherer in longer than you need. I believe most of the Dr's who perform Rezum probably go into the one to two week period for catherization.  When you go to the Doctor, ask if you can get some medicine for pain and also frequency.  My doctor prescribed some and it worked out fine. Good luck

Most of the improvement from the procedure - like close to 90% for most people happens in the first 3 months. That's a nice way of saying that if you can't pee by now you probably never will - at least not unless you have something else done. But there is no reason to think that you shouldn't be able to by now. Its gonna burn like hell cuz you've had that thing in you for three months, but its WAY past time to take it out. If this doc won't  remove it right away, find anothe doc who will is my suggestion. 

Do I need to wear a catheter after the procedure?

We recommend a catheter for a couple days after the procedure. The treatment can cause some swelling of the prostate. This makes the urinary tube more restricted. The catheter allows the bladder to remain empty.

Look at what some of the others on google say about this.

Thank You....It seems like my Uro Doc is being very causious....And allowing a "huge amount" of extra recovery time, before we attempt another TRIAL VOID....FYI- "ALL" previous TRIAL VOIDS prior to the REZUM have been unsuccessful, ~ 10....I Hate Wearing the Catheter!...And, I'd like to have a "Normal Life" again...

Thanks for your comments and suggestion...My Uro Doc hopes I'll be able to VOID Enough when we have the TRIAL VOID next week so he can remove the Direct Catheter.....I hope and pray that's the case...My Uro Doc states I need to allow a FULL 3 MONTHS for TOTAL RECOVERY so your comments about that are right....Keep your fingers crossed that I have a successful TRIAL VOID!...

To reiterate a past suggestion, if the. Voiding test doesn't work out, have him show you how and equip you to self cath. At least you'll have a normal life. And take note, sometimes people don't do well in a voiding test situation but can manage in real life. After 3 months, ypur bladder needs to readjust and longer downtime will only extend that. Self cathing will free you up and let you ease into voiding as ypur body allows.

Thanks again for your Good Advice, Concerns, and Suggestions.....My Uro Doc has been practicing Urology for ~ 40 years, offers the alternative non-invasive procedures, is highly recommended by my primary care doctor, as well as, many others, has had a lot of success, etc. ....He states my REZUM may not be successful, but it's the Best Choice I have...He states my bladder should be enlarged/extended much more than normal (I void ~ 750ml+ when there is a Forced Void), because of the very large amount of urine that I was retaining without the direct catheter...Also, he states my Bladder Muscle may be too weak to produce the necessary void amount so I can be removed from the direct catheter...I experienced Too Many/Too Much Frequency problems for 9 months before June 15 and was on Flomax...Then, I had a Lung Cancer Operation on June 15th and I had a allergic reaction to the anesthesia which stopped my bladder muscle from pumping and, then, I had a swollen prostate medium lobe that obstructed the urethra which severly restricted the amount I could void....The REZUM has killed a lot of the obstructing prostate medium lobe tissue and the body's immune system should be removing that dead tissue...The Uro states that tissue continues to die for up to 3 months and he states that's why it takes 3 months to fully recover...That also provides a reason why the Uro Doc will keep trying TRIAL VOIDS for 3 months if the early ones are not successful..And per the Doc, as long as I don't have a successful Trial Void, I have to be on the Direct Catheter......So far, I've been on the Direct Cath since June 15th and had my REZUM ~ 3 weeks ago...Chances are I'll get a Second Opinion about Self Cathing if the TRIAL VOID is not successful...I'd like to be off the Direct Cath ASAP and have some semblance of a Normal Life...Once again, thank you for your comments and concerns..

I had the cath 3 days after Rezum.  Before they removed the tube they pumped a measured amout of fluid into my bladder.  They then removed the tube and measured the amount of fluid I expelled.  It was the same amount and sent me home.  Maybe I'm lucky after reading others post.  I am a very active 81 year old.

Normally I'd leave well enough alone here, but I think your Uro is hurting your chances of revocery at this point. YOur bladder won't ever get better if it isn't excercised and if he just pulls the foley out once a month it won't ever get that excercise and you'll never know if you can recover.

For heaven's sake, get that Foley out FOR GOOD. Even if you can never void one drop on your own again, you can life a normal life with a Speedicath 14 but you never will with a foley. This forum is littered with people with destended non functioning bladders that slowly improved by combining self cathing with natural voiding. Many got all better and many others better enough to function with only occasional self cathing.

I had Rezum done almost 6 months ago so its done all its going to do, yet I still am improving. My bladder is weak and I have trouble getting the last 20% or so out, but its improving by being used and excercising. When I first started being able to pee, it was just s dribble and it took 6 weeks before I was better than I was going in and I had no distention and only had to cath once in four years prior.

So please, either get your doc into the 21st century or find another one. 3 months in, you've had most of the help you're gonna get from REzum, now its time to retrain your bladder. Some PT might be helpful too.

But for heaven's sake, get rid of that *^%$#& Foley!!!

Thomas - Yes, you seemed to have had excellent results.....My Uro Doc hasn't run the same type of Trial Void that you just described so far after my REZUM procedure so it's uncertain if I would have had the same success...My first Trial Void after the REZUM will be in "one month" , next Thursday.....I hope and pray it will be successful...

....It'sbeen just "3 weeks" since I had the REZUM not "3 months"...What you say makes sense and I appreciate your help....

Good luck!  I guess all the docs are different.  Maybe that is why they call it practicing medicine. 

I echo many of "oldbuzzard's" thoughts. Whether your bladder regains some elasticity or not, self cathing is far superior to an indwelling Foley.

Self cathing gives you back a normal life and let's you empty your bladder fully anytime you want. No tubes or bags to carry around and fewer and less severe UTI's than an indwelling Foley. I started self cathing over two years ago. Started self cathing 6x/day with a very stretched bladder (it was holding up to 1500ml of urine). Today I cath maybe like once a week and usually carry no more than 400ml of urine. My PVR is often under 50 compared to the 400 plus prior to self cathing.

I can understand your doc keeping you with the Foley for 3 weeks because he probably doesn't want to put you through the learning curve as self cathing can intially be uncomfortable with some.  Was with me. He also probably wants to keep more control of the situation. That said, I would think that a standard six week rehab trial on a Foley would be the maxium reasonable time. Beyond that, any advantages of a Foley over self-cathing will disappear.

Jim