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

    Who does this treatment? And will insurance pay for it and the s it approved in the us
    • Posted

      Don't know about the insurance aspect.  You would have to call your own personal insurance carrier.  As far as who does it you can call the company themselves at 1-888-319-9691 and get an approved list of Docs.  After I talk to the Doc today I will write more.  My Number 1 concern is "retro grade ejaculation".  If there is going to be that problem then I probably will put if off as long as possible.
    • Posted

      My Medicare paid and done in the office urologist do them except for terrible pain while doctor does the procedure better than any of the alternatives though
  • Posted

    Hello Chuck,

    It sounds a little like something I had about 18 years ago called a TUMP,

      and honestly nothing changed and have been on flomax/tamsulosin ever since.    The TUMP stands for thermo urology microwave procedure/treatment.     It is where a microwave device is put into the urethra and stopped in the center of the prostate and it is left there for a short period of time which is suppose to do the same as you described.

        I have had the Urolift done and this seems to be a very good option to BPH,

    THanks Chuck,   Keep researching for all of us!

  • Posted

    OK guys I just got off the phone with the Doc.  He said "first things first". I should have a "Uro Dynamics Test" so see exactly what the problem really is.  Because I have already had a "PAE" AND A "UROLIFT" with NO success he said he doesn't want to put me thru a "3rd Procedure" and get the same result.  He also said that "retro grade ejaculation" occurs less than 10% of the time but it does occur.  He has done the procedure 62 times.  He recommended after I do a uro dynamics test to get a "sleep apnea test".   My prostate is between 45 and 50 grams and there is no reason why the Urolift shouldn't be working for me.  He thinks I have "Nocturia" and should get a sleep apnea test.  Thats about all I can tell you.  As I mentioned earlier you can call the inventors of the procedure and get a list of the Docs that do this "REZUM PROCEDURE".   Their number is 1-888-319-9691.  Just for the record this guy was super nice.  He also said "Insurance Does Pay" for this procedure.  It is approved.  
  • Posted

    Chuck,

    Doctor gave you very good advice. Since you say you have had the Urolift and PAE with no success then you absolutely need to know what's going on before doing anything else. Before doing the PAE did you have a CT scan? What imaging was done before the Urolift? 

    What was the Doctor's name. I want to call him.

    Tom

     

    • Posted

      Tom; Send me a private message as I don't think it is "fair" to a Doctor to put his name and number out on a internet website where thousands of people can see it.  I do value his privacy as he is a super busy guy.
  • Posted

    So yesterday friday March 4th I finally received a call back from Dr. Kevin McVary from SIU/Illinois med center.  He "authored" a study of 200+ men who had the "REZUM PROCEDURE".  As you may know this procedure is FDA approved and being done thru out the country.  Although NOT in Omaha where I live.  Sad face.  Anyway, I asked him my usual questions and when I asked him the percentage of men who ended up with "Retro Grade Ejaculation" he said there were "ZERO"  in his study of 200 men!!!!!!!!!!!!!  So this particular procedure guys just might be what we all have been looking for.  It sounds a thousand times better than a TURP, TURIS, GREENLIGHT, ETC ETC.  Hope you guys will read this post as I consider it one of my best and most enlightening posts EVER. 
    • Posted

      Hey Buddy.  That is glad to know.  After watching the video.  and the way it is done I did not think it would but you need to hear that from the doctor himself.  I hope this may hope you if you decide to have it done.  Also anyother men that wants to enjoy all of life..Ken  
  • Posted

    I had it done yesterday. Quite a bit more painful than advertised. A day later I'n not close to being able to pee and I was told I would be. Doc said procedure went fine and should get a good result, but right now I'm very depressed as i have to cath myself to pee for I don't know how long and it SUCKS! Not sure i would have done it if I had know I was in for an indefinite period on a self cath.
    • Posted

      Oldbuzzard,

      After much research it is my understanding that all of these procedures involve some pain and recovery time. 

      When you had this done were you under anesthesia? Was this done in a hospital setting or in an office setting? 

      I assume that the difficulty urinating is due to tissue swelling. Instead of trying to do self cath the urologist can insert a Foley catheter that you can keep in for a few days until the swelling goes down. This is MUCH easier than trying to self cath. 

      I had prostate swelling after radiation treatment for prostate cancer, and had to have a Foley catheter off and on for 5 weeks. I got used to it. I did self cath a few times but that was much more difficult and irritating than the Foley. 

      Thank you for your post. 

      Tom

       

    • Posted

      I just sent you a rather long private message with lots of questions as Iam seriously considering doing this procedure.
    • Posted

      Chuck please don't do it.  If what he said is true it is nothing like the dr or the information on it stated.  Please try something else...Ken
    • Posted

      I find the foley cath to be painful and a real drag. I can live normally self cathing but can't ever get comfortable with a foley cath. This was my choice, but I thought it was only for a day or so.
    • Posted

      I don't know that the ultimate result won't be as advertised. It will take 3-4 months to determine that. The recovery is longer (for me anyway) than advertised. I'm in no pain and feel fine other than needing a cath to pee. Time will tell on whether it was worth it. I can say this - that I had MUCH more pain during the procedure than most and the last spray was unbearable and accoridng to my urologist in the spot that if swollen would be likely to cause this result.
    • Posted

      Did the doctor talk to you about any side effect. They are very vag on alot they said that it perserve sexual function.  But say nothing about retro.   I know I just read it again and it said you should see improvement in 2 weeks Good Luck  Ken
    • Posted

      Ken; I don't think wearing a foley bag for a couple of days would be all that bad.  When I had my Urolift  last June of 2015 I had to wear a foley bag for 24 hours.  It wasn't really all that bad, just quite "inconvenient" more than painful.  For the life of me I don't understand why the darn prostate continues to grow for us guys. 
    • Posted

      Hate the Foley. I am clearly more sensitive up there than most - alwasy felt it pulling, always felt like I had to pee. Much rather cath myself every few hours - its no fun but it takes a minute or so then I don't have to think about it for another few hours. Always felt the Foley
    • Posted

      Hi again;  I did send you another private message.  Hope to hear from you.   Take Care. 
    • Posted

      NM. I found the message and replied
    • Posted

      About the Foley..I had six of them put in and taken out over a 5 week period while my prostate swelling went down enough so I could pee again after my radiation treatment.

      The Foley was really easy and comfortable AFTER I did the following:

      I taped the drain tube to my leg with a couple of the little white butterfly bandages that the doctor gave me, so there was no tugging or pulling. Second, I carefully padded my underpants so that the tube rested sideways. That way there was no pulling or tugging sensation. I barely noticed it at all. The urine drained into my leg bag, which I emptied frequently. I used the velcro straps on the bag to secure it to me, so again, no discomfort or tugging. Now, here's a VERY important step that I took. I kept the tube constantly lubriced with Neosporin at the point where it entered the penis, so it was always slippery and antibiotic. Otherwise, it can get irritating and crusty. This also prevents infections. 

      So, Neosporin, taping, padding and velcro. Almost 100% comfortable for five weeks. Easy to sleep at night. 

      Hope this helps somebody out there who has to use a Foley or is concerned about having to use one. 

      The self cath was MUCH more difficult and painful. 

      Tom

       

    • Posted

      So, based on what I just read you went through the procedure without anesthetic? In other words, you were awake? The procedure sprays steam into the prostate, so it absolutely has to be painful. I have had two 12 core biopsies for prostate cancer and after the 10th core the pain can be high. Before the second biopsy I took two Tylenol capsules and there was less pain than durng the first biopsy. 

      For the Rezum treatment I would absolutely want to be knocked out. A few years ago I had tooth taken out and the dentist asked if I wanted to be out or awake. I said awake, and there was no pain, but for the Rezum I would NOT want to feel anything. 

      This would be true for any of these treatments, TURP or Holep or Rezum. If a urologist is going to go up into my prostate and cut it, laser it, or spray steam into it, I want to be OUT.

      Tom

    • Posted

      Yes, no anesthesia. They used lidocaine which apparently for most people makes it OK. For me it didn't, but I wouldn't have opted to get knocked out even if I had known. The sprays are only 9 seconds long, they did 5 and only one was truly horrible.
    • Posted

      Hey guy hope your better.  One of the men talked to the Doctor that started it and he said yes.  Let us know please...  It says nothing in any of the information on it.  Ken
    • Posted

      Thanks Tom, thanks for these tips on managing the Foley.  Until I stumbled on these tips and used them my experience with the Foley was not good.  Thanks so much for sharing!!.  I'm day 21 into Rezum recovery.  During this period I've had three cycles with the Foley. Tomorrow they will remove it again and let me go ‘Foley free’ again to see if I can restore my urination.  So far no luck; but, my prostrate was quite large (> 100 cc) so recovery for me may take more time.  Once I'm though recovery I'll report back to the group on the results and experience.  I hoping the results will be good - I'll see.   Take care, John

    • Posted

      Our REZUM experiences are the same so far and I've been told to allow up to 3 Full Months for significant improvement in my flow and correction of my retention...My uro plans 3 Trial Voids starting 30 days from Aug 15th, the day of the procedure, and,then, 30 days apart until successful...He requires me to "cut my foley catheter early in the morning, then drink as much fluids as I can until i Void. Then, let him check my Retention. If my Retention is 100 ml or less for 3 Viods then my REZUM is deemed successful...FYI - I failed my first TRIAL VOID last Thursday..Now, I'll have to wait another 30 days before another TRIAL VOID is attempted........I hate the Voiding Steps my Uro has, because I can "mess up myself" on the way to the Uro's office...This has already happened once...Very Em\barrashing!.....

    • Posted

      Wow, my instructions were nothing like this.  My uro doc has specified no void instructions. I return to his office having gone without the foley for 4 days. He asks if I can pee. He inserts the cath to see how much volume I expell and based on that he decides if I need to keep to foley in for 4 more days.   So far I've had to have the foley re installed; I'm currently on my 5th run with the foley since Aug 22.   I go back this Monday and will ask him again about self cath

    • Posted

      Agreed about the neosporin; i ran out so am using KY. Have had a foley catheter in me w/little Bard squirt gun on end, for about the last 26 days. For the first week pain at peehole was substantial; after about a week it went away and found i could use treadmill and play rktball and paint the house, with just slight pain at peehole that advil seems to handle with ease. I strap the squirt gun to my leg under a big rubber band wrapped around my upper thigh. What happened was 26 days ago I had AUR; had been on a boat for a week and became constipated; went from peeing only once a night, to no peeing at all. Went to ER; have had a foley cath w/squirt gun ever since, and started on tamsulosin that night; having cath taken out in two days, hoping to be able to pee again; the VA had tried taking it out after 5 days, was still conspitated, and it was a no-go; back in went the cath; worst pain i've ever felt. A week ago I saw a Resum doc (lst ltr in alphabet not working on keyboard); he suggested finasteride for 10 weeks and then revisiting the situation and to at that time do Resum; said he would do 2 shots on each side; said prostate was big that it had no median lobe; he indicated i might be on the cath that long, as in 10 more weeks; yikes. I've adapted to it, and know things could be worse, but it wouldn't break my heart to see it go and return to using the original equipment. Am much grateful for all the comments on this site; lots of good information, from firsthand eksperiences; things you won't find out from the trials reports or the physician websites. Am also considering FLA, but none of my lottery tickets have won yet. cheers, or at least a few hand claps.

    • Posted

      Tom86211, you were constipated probably because you weren't drinking enough water on a daily basis, trying to avoid the pain while peeing? I know that was my problem, so I started forcing myself to drink more water anyhow and just hope and pray that this pain while peeing goes away. I'm still only two weeks into the REZUM recovery period though.

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