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

Good evening Heff.  Make sure you get all the information you can. What did your doctor tell you about Retro Ejaculation.  Most doctors tell you there is a 5% chance of it.  There have been alot of men on here that have had the procedure and end up with retro.  One man was only 43 and he only had 3 9 second burst.  I take to my doctor the only way I would have it done is they only do the injection on the right side.  Leave the left side alone.  That is where the ejaculatory duct and seminal vessel are.  If they do 2 injection on the left side you have a change of distroying the ejaculatory duct and seminal veddel.  I would not take that chance.  Have a great day  Ken 

If I remember correctly, Chuck ended up getting his urolift redone with excellent results. I strongly advise against the green laser. There are HORROR Stories with it on this forum and at best its a long recovery with at least a 50/50 chance of retro ejaculation.

Are you seeing Dr Gomez Sancha? I really liked him. I had him do the Itind procedure in the spring, but he recommended the Holep. I probably should have done that, but wanted to try something less invasive to start. 

I have heard good things about Holep, except for the retro ejaculation. 

And I think he is a very well known doctor. You would be in good hands with he and nurse Vanesa. 

Yes, Sancha. He recomended HoLEP for you , instead of GreenLEP?  I look forward of meeting him, and Vanessa too.

It might have been GreenLEP. I think he described it as the same as Holep, but with green laser? I think it was something he perfected? 

He speaks really good English, but the rest of the staff was more challenging to communicate with.

I should have listened to him, he advised the Itind might not work, it didn't for me.

Can you please explain what is LTIND .  Actually, I will met Dr.Sancha tuesday, since i am not sure what is better for me,Holep, or Greenlep.

A device is inserted in your urethra and left for a few days then its removed. It forms channels in your prostate for better flow. There is a post about it on this but I can't find it. They are going trials for it presently.

https://patient.info/forums/discuss/new-procedure-called-itind-501673

Thank you for the ITIND info, i don´t beleive that will help me, because i have a giant prostate of 250cc. I have been managing to live with it, no drugs, most of the times voiding naturaly , sometimes selfcathing if necessary. in the last month i read about HoLEP and GreenLEP, and i have to make a decision which procedure.

I am far from being an expert. That said there are a couple of threads here about  focal laser ablation (FLA). Its don't by an interventional radiologist. Problems is insurance won't pay for it. its use for BPH and the duration of the results are still an unknown. I plan on having it done though. My second choice would be HOLEP. If you search the internet you rarely see and complaints about it and its has a long track record of results. It will leave you with retrograde ejaculation.

I read about Dr.Sancha first time just a week ago, nice coincidence that you met him, he seems like he loves what he does. He said in one video that he likes to work on special cases. My prostate is a giant one, and i hope he can help me. For now, i am interested about his GreeLEP.  It is unbeleivable, that, as he says,  he will remove entire inner prostate, leaving just the surrounding capsule, and patients walk home the next day. I plan to do it end of april.

 Its done by an interventional radiologist. 

Anyone else experiencing a lag when typing?

Wow, yet another treatment, FLA, i`ll check it out .There are so many procedures, so it is better to wait. I have been waiting for 5 years, with self catheterisation,.but i can`t do that forever.

Well I don't know its better to wait.  I think it will be a long time before FLA is covered by insurance. There is another new procedure in trials right now call aquablation.

So can't type too much lag when typing. Anyone else experienving this?

I would strongly suggest that you try any of the less invasive procedures you are a candidate for before going the Holep or Greelight route. You can always do one of them if the results of the less invasive procedure isn't sufficient. Holep and Greenlight are real surgeries and even in the successful column there are people who were incontinent for months - pretty much everyone ends up with RE from Holep and at least half from the greenlight.

If you have no choice but to go for a surgery, I'd recommend Holep, but find a doctor who does a lot of them. There is one in Phoenix that's experienced in it and is well liked.

There are people who are consigned to diapers for the rest of their lives because of botched prostate surgeries. Consider looking into the less invasive ones (Rezum/urolift/PAE/FLA) before opting for a surgery - and if you decide surgery is your best option, please make sure your doctor has done at least 100 of what you are getting...and be prepared for a long recovery. Most people bounce back reasonably fast, but not everyone does, so have a plan b for it you are one of those.

Look up his Dr. I would say he is one of if not the top Dr in the world for the procedure he is proposing. Fernando Gomez Sancha. You will find all kinds of info. 

It is better to wait and make sure they rush into something that will not work or cause you do many side effects.  Good luck  Ken

Thank you for the advises guys (obviosly no girls here), i had PAE, but it did not work for me,.so 5000 euros gone for nothing. Now the question is what next. I can go on for a year or 2, with intermitent cathethers. Since i have to travel a lot with my job, it is not easy. I gave up asking my urologost for new cathethers, so i just bought them on line. I bought all possible caththers, so i can try them and see which one is the best for me. Finnaly i set for Speedicath 27212 or the 27492 with a curved tip. The next it looks like , i have to do a surgery. I tought since my prostate is 250cc, i would have to do open surgery. Luckilly, i found 2 procedures which are called ¨minimally invasive¨and online there are good results. This procedures separate all the prostate from its capsule, just as you separate orange from it´s peel,.all the inner tissue is separated, then is pushed into the bladder, and then cut and sucked bit by bit out of the bladder . It sounds like carnage, but many articles online, say most of the patients go home in 24h.  Since my prostate is very large i don´t beleive less invasive procedures like Urolift, Itind, would work. GreenLEP and HoLEP are the only less invasive i can find. REZUM too,.but i am not sure what will work for a giant prostate. If any of you had HoLEP or GreenLEP, or knows any other procedure to suggest to me, it will be helpfull. thanks again

They're starting to do Rezum on bigger prostates. I'd do that before greenlightor holep. Try calling the company and inquire about it

Thank you,. Maybe i should consider Rezum,. but there is another problem $$$

With you having a large prostate are you sure the prostate is the problem.  Greenlep and Holep will distroy the prostate and cause you side effects.  Many men hyave these procedures and find out it the bladder but at that time it's to late.  There are other procedures you may want to try and they go from there i Tind, Urolift, Rezum.  May help.  Did the doctor tell you way the PAE did not work that is what you should fine out  Have a good day  Ken

hi Ken

I am sure the prostate is the problem because:

-250cc is  way too large, and it pushes too much at the surrounding organs.

-My father had the same problem at the same age, his prostate was removed, and he was fine after.

-The doctor said PAE did not work probably because of the large size

Alex

 

Alex I am happy that your Father had a good outcome.  But not all procedures work on everyone.  Are you concerned with any of the side effects.  I know years ago men never talked about sex.  But you may have a problem after with Holep or Greenlep.  There is a procedure that they are doing call Plasma Button Turp.  The doctor goes in and removes all the tissue he needs to and avoids the ejaculatort duct and seminal vesicles this way you don't have retro.  Some men perfer not to lost it.  It is done with a button laser and it does take longer but he has more control of it.  What ever you dicide it up to you because you are the one that will have to deal with the side effects.  Good luck  Ken . 

Hi Alex,

I think what Kenneth and others are saying is that even if your prostate is pushing the surrounding organs, ie urethra -- a prostate reduction surgery such as TURP, Holep, GL, REZUM, etc. may not help you at all if you also have an atonic (stretched and dysfunctional) bladder. That is one reason why you will find that some people have great results from a particular surgery or procedure  and some people have bad results, even with the same doctor. Another related and interesting point that seems counter intuitive is that studies have found no correlation between prostate size and BPH symptons. There are folks with very large prostates that are doing just fine and folks with small prostates that have major BPH issues.

For this reason, it's important you have your bladder function checked out prior to any decision making so as to potentially spare you the side effects of a surgery that may not be helpful. Urodynamic studies are the gold standard here and video urodynamics will give you the most information.

Jim

Great points Jim. The only reason i do anything is because i worry about the bladder. I could wait much longer like this. Now I can void naturally, but it takes many times, slow stream, with a concentration, it works, and when is bad, which happens when the bladder is overfilled, aproximately twice a week, i self cat. I had the bladder checked 3 years ago, all was fineI.I should check it again.I am amased to hear patients here having same, or more trouble with much smaller prostates. Now i am trying to find the proper treatment for larger prostates , i started with PAE, that did not work, maybe REZUM is the next, but i have to read more about it. Thank you.