Rezum or HOLEP in the UK
Posted , 13 users are following.
Fed up with the side effects of Tamsulosin and waking 3 or 4 times during the night, dribbling etc, so have decided to go for either Rezum or HOLEP. Like the idea of Rezum as there is a good chance of retaining ejaculatory function, particularly if Professor Hindley was doing it. He has done well over 100 surgeries and with good results. If anybody has had either procedure done in the UK could you please let me know the outcome. Many Thanks.
1 like, 72 replies
henry52457 andyr0
Posted
Andy,
You might check out Aquablation using the Aquabeam system. They reported clinical trail results at the AUA 2018 conference. Their results were far better than with using Rezum and with a much better side effect profile. They currently have an ongoing clinical trial in the U.K.: https://clinicaltrials.gov/ct2/show/NCT02974751?term=Aquabeam&cond=BPH&cntry=GB&rank=1
Aquablation uses water preasure to ablate tisssue instead of steam. This paper will give you a little more information: http://www.io.nihr.ac.uk/wp-content/uploads/migrated/Aquabeam-aquablation-system-for-BPH.pdf
Best,
Henry
kenneth1955 henry52457
Posted
Henry and All Men that have BPH
Aquablation is good to a point if you don't care about keeping your ejaculation. Talking with some of the doctors I don't like the fact that the mapping is not done while you are awake. It is done after you are put to sleep.
It is just another way of doing a Turp. There is no variation on the sitting. The doctor told me that you can move the mapping down some from the bladder neck to try to save the seminal channel but that would be it. The whole prostate is eliminated. He said that if retro ejaculation is a concern try something else.
They have had some men keep there ejaculation per say because they do not touch the ejaculatory ducts but with no prostate and the connection to the seminal vessel there will be very little or none
Have a great day...................Ken
Lvscott kenneth1955
Posted
Actually, with Aquablation, they are refining it in ways to actually preserve ejaculatory functions. True, it's a form of a TURP, but much cleaner and more precise. My only concern with it is Hemostatis << Bleeding
kenneth1955 Lvscott
Posted
Lvacott
Yes that would be a good thing if they have refined it. They must have gotten some complaints. I did talk to one of the men that had it done. He did say that he was able to pee better and there was not much of a ejaculation and the feeling was not like it was before.
I talked to Mr. Neil Barber about 6 month's ago. He is the one that told me about the mapping and things about trying to avoid the seminal vessels. If then can approve the out come that would be a good thing.
Yes I do know they were worried about using the catheter balloon to stop the bleeding Hope they can find another way to help that problem.
Take care.....Ken
andrew17113 Lvscott
Posted
I used Uroxatral/Alfusozin (alpha blocker) for over ten years with far fewer side effects than the other blockers on the market. I also used low dose of Cialis 2.5mg to insure good sexual response. Jul 9, 2018 I had a Rezum procedure done with great success. I was insistent that I knew how to self cath before the procedure and I refused the folly cath. I didn't have to do either and by the next morning I was peeing like a kid again. Now no more meds. Hopefully you can find a Dr that really knows what they are doing and does not use the same protocol for turps when doing the Rezum. My theory is that doctors should prepare patients for two procedures. Burn less tissue on first procedure and then if it does not work do it a second time.
kenneth1955 andrew17113
Posted
Andrew
That was well said. I feel the same way....
Best Wishes.....Ken
oldbuzzard andyr0
Posted
If you want to keep your ejaculations, Rezum is the choice. Its also the less invasive of the two and doesn't preclude something more invasive if it doesn't work. But if BPH is your problem (not your bladder for instance), Ruzum has a really good success rate. No anesthesia, RE is possible but rare.
Lvscott andyr0
Posted
If you don't care about retro ejac, go with Holep - best surgical procedure out there in terms of efficacy and safety when done by a well-trained surgeon. Rezum is a hit or miss proposition, and it's hardly non-invasive. Patients should never be awake for it unless strongly and heavily sedated. Procedures like Rezum were not created for patients but rather, created for Uro's to line their pockets with high volume $$$ without money lost to surgical centers. These procedures like Rezum or UroLift may or may not work. Holep will almost assuredly work. Holep and GLEP = the best - all enucleation procedures are superior in results, barring the retro ejac that is likely with them.
andyr0
Posted
Thanks guys, I am leaning towards HOLEP. More important to me that the surgery is effective and fully proven, rather than retaining full ejactulatory function with a surgery that is not so effective.
Mr_President andyr0
Posted
Hi AnduO,
I had a PAE , as my PG was 100ml,in January - 11 months ago - its effective- ejaculation is like a 20 year old
The volume of urine I pass isnt big though - about 250 ml - so this means peeing more often .To minimize having to get up at night to pee, I dont drink anything after say 8 pm (bed time is about 10pm)
I think the PG is displacing bladder volume, even though I manage to empty it.
Urologist - Mike Nicholls
Radiologist who did PAE - Gareth Bydawell
These Drs are really good
Medical Aid (Insurance ) paid for the entire procedure - which cost about ZAR50,000
I live in Durban ,South Africa - maybe you need to get here - its cheap with our weak currency R13.7 to the USD
Regards
kenneth1955 Mr_President
Posted
Mr. President
Hello I am happy you are having some improvement.
Did your Urologist or Radiologist tell you that you may get more improvement as time goes on I know that it has been 11 month's but you never know.
Take care and happy healing.
Ken
Mr_President kenneth1955
Posted
HI Ken
they didnt say anything about an improvement, although I have felt an improvement .... night time visits to pee are no more than twice ....sleep has improved as a result.
my only complaint currently is tendonitis in both shoulders .... pain is terrible and this is a bigger problem than the old PG( untelated to PG problems)
Main improvement is getting off SILODYX that caused RE; I can now have normal sex and keep my lady happy!
Kind regards
derek76 Mr_President
Posted
Was the tendonitis caused by having been prescribed Cipro or Fluoroquinolones ?
kenneth1955 Mr_President
Posted
Hey Buddy
Glad that it is helping.
I know what you mean about the pain from tendonitis. I got it from a inner ear infection had it in the right shoulder. Could not move it for weeks.
Is there not something else you can take to get you off Silodyx. There are a few that will not cause Retro. I take a muscle relaxer for a tight external sphincter. It relaxes the bladder. It's called Vesicare 10 mg
Good luck......Ken
Lvscott kenneth1955
Posted
Ken; how does your tight external sphincter affect you if you did not take meds for it? Weak flow? I ask because my number 1 issue is a weak stream and sometimes losing any urge to urinate, though I can feel retention in my bladder, thanks! -- Scott
kenneth1955 Lvscott
Posted
Good evening
Sorry this is so late was on the phone.
I do take a muscle relaxer. I take 1 Vesicare 10 MG in the morning been on it for a year. Had the same problem weak stream and no urge to pee. I just happen to be in the hospital for another problem.
Did not pee for like 18 hour and then 15. Had 7 pain full catheter insertion. They had to give me morphine. I could have jumped out of the bed. Even a nurse started to cry. Then they found out I have a bladder infection and my bladder was inflamed. Was in for 10 days. Was not a fun week.
Ken
Lvscott kenneth1955
Posted
You had/have bladder infection AFTER UroLift? Now for me, today is opposite of yesterday - strongish stream, peeing a bit more than usual. I think in my case I was taking in too much Omega 6 causing inflammation. CocoaVia supplement beginning to work. I know because my pee is a tad bit cloudy which means the flavanols are directing my T-Cells to the right area, causing a bit higher white cell expression = Often times a sign of cellular Apoptosis . As you know, it's my conclusion that most BPH is a burrowed infection, not much different from how cancer cells form, except it's benign growth expressing epithelial cell overgrowth.
kenneth1955 Lvscott
Posted
Lvscott
No I did not get a infection after Urolift. I was good to go in 2 weeks
Good for you Ken