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

John that is why you need to get a second opinion Your prostate is small and you do not need anything cut or cored out.  It may not even be your prostate that is causing the problem.  Please take care of yourself  Ken 

John,

      The TRUS gave your urologist an idea of the size of your prostate, but it also showed the anatomy of that area, including the urethra and its relationship to the prostate. That is, he should have been able to see whether the prostate was impeding flow. Did he say that he could see where the prostate was squeezing the urethra? What is he proposing to do about the weak stream? Maybe it is time to get a second opinion. 

Mine was only 30 and I had pretty severe BPH, including an enlarged median lobe. It's position and direction of growth can be more imoactful than size. There are men with 100 gram prostates who pee fine, then there are you and me.

My Max flow rate was very poor so he said Rezum would work. I guess it's the anatomy more than the size

I think you're exactly correct OB. I'm still looking around for an experienced HoLEP guy in Colorado. Let me know knew if you have any ideas. Thanks

I visited Mayo Clinic in Scottsdale to inquire about Holep for my 42cc prostate.  They told me they don't perform it on prostates smaller than 80cc, and suggested that Rezum might be a good alternative for me.

Very interesting. That's useful information. Thanks

One poster last year posted that since his prostate was too small for holEp, they gave him a holAp instead. Hank

Good point, Ken, might be his bladder neck... a BNI may solve it... I am leaning that way myself... and IF it doesn't work... on to the next procedure...

@oldbuzzard: Mine was only 30 and I had pretty severe BPH, including an enlarged median lobe.

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Just to second oldbuzzard about the median lobe obstruction versus overall prostate size.  I read an article in the Asian Journal of Urology that explained it very well.  Think of the urethra as a garden hose.  A lateral lobe obstruction is like stepping on the hose.  A median lobe obstruction is like bending/kinking the hose.

I've got to wash and wax my car before the weather turns bad for winter.  Think of kinking the garden hose behind a tire which usually totally stops the flow versus stepping on the hose which just slows it down.

In other news, after being off of this forum for about a month due to technical difficulties, it appears that technical support for patient.info has now fixed the problem with my login.  It is good to be back in the saddle again (which could be rough on the prostate if the saddle was on a horse)

Steve

Yes  He needs to have it checked before he get's talked into something he does not need.  But you also have to know that a BNI procedure has a 10 to 15% chance of retro.  You need a good doctor to have it done  Take care  Ken 

Ah... I think I have a good UroDoc/surgeon Dr. Wright in Tucson... one of few known for being expert in the complex HoLep procedure... I am hoping... that if he can master that one... a BNI should be a cake walk...  Retro would not be good... incontinence would be far worse, IMHO.

I am 62, had a partial TURP almost 30 years ago... had some partial retro... darn Doc at the time was only supposed to do a BNI... he did the "partial" TURP without permission... nasty stuff... retro seems to have become less over the years... in line with my difficult urination increasing again at the same time...

Also, Dr. Wright still thinks the TURP is a valid option... which I found interesting...

I can not believe they did a partial Turp on you at 32.  I would have really gave it to that doctor.  He would not be in business.  Your lucky you had only partial retro.  Did you have any kids at that time.  Doctor seam to think retro is not a problem because they to not feel it is a sexual function.  My Urologist I have him for 4 years great guy.  Him and is partner do very few Turps.  He told me that it is a last resort procedure.  I had a Urolift done going on 4 years.  Still wide open no side effects at all.  Ken

Agree, Ken, and he did it without my permission!  No, no kids... never wanted any. And yes, the flow of semen adds much to the pleasure of ejac... did this 70 year old+ Doc forget that???  I should have sued the heck out of that clown... but didn't know that then...  I'll have to ask my new UroDoc about the UroLift... done in office, any sedation?  Any side effects or bleeding?  thanks, Ken!

I know there are a few doctor doing it in the office.  When I had mine I had it done in a surgery center.  Under a general.  I had spasm from the catheter but I only had it for 3 days.  When I was researching it.  Some of the men that were having it done.  Peed before they left the hospital but in the evening had trouble going to the bathroom.  And ended up going back and having a catheter put in.  I have a problem peeing on demand.  So when I talk to my doctor he said no problem.  And besides I would rather have it put in when I am out then a wake. No side effects. Some bleeding. Had it done at 1 pm  was home at 3 pm.  By 11 that night urine was clear.  Had it out Wednesday morning.  Was good to go in a couple of weeks.  Ken 

Thanks, Ken, I will look into that procedure... I too would rather be under!  I had a endoscopy done under Propophol (SP?)... not bad at all, recovery wise... is the Urolift supposed to last for many years?

Hi, Ken,  just say the new UroDoc, a real winner... he does the Holep, which to me, makes him a  cut above... he thinks the UroLift would be very good for me, coupled with a BNI...   Does it last a long time or don't they really know yet?  Doc said it takes 15 minutes, more for the BNI... but will use general or propophol, my choice...

I don't mind the cathing... but if I can go back to peeing really well... a sort of no brainer?

Well what I have read.  When I had it done in 2015 the trails were for 3 years before that.  So they have had a 5 year study which they all are doing well.  I will have to write the company and see if they have any other information.  I talk with one of the inventor of the Urolift  every other month and I try to keep them informed of any doctor that are adding to the Urolift.  The Urolift is a procedure that stands alone the company will not stand by the procedure if the doctor add something to it at the same time.  If you need something adding later on that is no problem.  Also I am going on 4 years in April and doing well.  I figure if something goes wrong and I need a few more clip that is fine with me.  There are so many men that have a fast growing prostate they end up having 2 or 3 procedure to cut out the prostate that is to much trauma on a mans body.  Good luck  Ken     

That is good but what I said before they are not suppose to add a procedure to the Urolift.  The company will not stand by the procedure.  It is suppose to stand by it self.  There was a doctor in the UK that really mess up a guy he went in for the Urolift and just before the procedure the doctor to the patient I saw something new yesterday I going to do for you.  He was all ready sedated when he woke up he was in so much pain.  The doctor did the Urolift but he also clipped his bladder neck open.  He was he pain for more then 6 months.  He was a mess also he was not giving any information that the clipping of the bladder neck will cause retro.  Also there is a Dr Chin in Australia  that was doing the Urolift with a BNI.  I know the company talked to both after I sent a e-mail to them.  It is ok to have the Urolift first and see how it go and they if you need something use done it can be added but not at the same time because also you would have to heal from 2 different procedure.   Ken  

I didn't have urolift done. I had Resume!!

thanks, Ken!  I didn't know that... I'll have to ask the new UroDoc... I think my biggest problem, and has been since my mid to late 20's (62 now)... is the bladder neck...  Maybe I'll have that done first?  Or see if the UroDoc agrees that is the main issue... IF it is the prostate, then the Urolift makes more sense to do first, and the BNI may not be necessary...??  How long to heal from a UroLift?

thanks, Ken, my new UroDoc says 5 years and the feedback is very good.  Bummer if I can't have both, I didn't realize that the Urolift needed a lot of healing... sutures?  I'll have to ask my Doc about not doing both... I personally would not mind, maybe do one, them the other a month or two later?  Longer?

I plan on taking Propophol instead of general... so no real biggie... I had it for a endoscopy and it was pretty mild... though I made the mistake of ignoring everyone and drove myself home and nearly got in a big crash from my attention drifting!  felt MELLOW!!  ;-)

Urolift does not need a lot to heal but we are all different.  I had the Urolift on a Monday catheter out on Wed morning.  Did burn for the first day but by sat I was good to go. I got yelled at by my doctor because 5 days after the catheter I masturbated because I wanted to make sure there was no problem.  No problem with erection and my ejaculation and orgasm was very intense.  It was a little pink but it cleared after a few weeks.  I had 4 clips The reason they tell you 4 weeks is because they do not want you to have any sex or anything with a lot of movement.  They want the clips to a hare to the prostate.  I am still wide open after 3 1/2 years.  Just tell your doctor you want to do the Urolift first to give it a chance.  That may be all you need.  Please don't cause yourself more problems if you don't need to Take care  Ken  

Sounds good, Ken, thanks!  I guess lifting weights would be out for 4 weeks too, eh?  How about the treadmill... any idea?

Yes no weights.  The treadmill I think may be ok if you take it slow and just walk for about 10 minutes to start and work up from there.  Please go slow.  Don't mess yourself up  Ken 

Thanks, Ken, will do...  I'll drop you a note when I schedule it... not sure, but probably by year end... appreciate your help... again!  JJ

No problem JJ  If you need something just let me know   All the best.... Ken

Does it make sense to go for the urolift. at 80gms?

Good evening.  It all depends do they know that the prostate is the problem.  If it is then I would said yes.  You are right at the cut off.  They do said 80 but they can push it to 85.  The Urolift will open you up.  I am at 3 1/2 years and I am still wide open.  It will take the prostate off the bladder and help it relax.  Also there are no side effects and you should be good in a few weeks.  Have a great day  ken

Does JerseyUrology do Urolift ?

David  I think they do.  Maybe he will answer the post also   Ken