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I'm Ted from San Jose CA in the US. Had the Rezum procedure completed in my doctor’s office on Thursday, 16 Nov 2017 to alleviate my BPH. Here is the log of what has happened so far. Hopefully this is helpful in what to expect. I will attempt to post my discussion for each day every few days.
Patient info: 65 YO, 192 lbs (87kg), 6' (436cm), diabetic type 1 for 51yrs, A1C 6.5 level, Flomax for BPH since ~2013, Prostate ~50cm. Have had weak urination flow since my 20's. I work full time as a Facilities Mgr.
A few days prior to procedure - started taking probiotics, and more fiber and stool softener. Increased my fluid intake and decreased my intake of solid food.
16 Nov 2017
One hour prior to the procedure at home I was directed to take 1 Hydrocodone-Acetaminophen (10mg-325mg Tablet). Within 30 minutes of taking it, I started feeling its effects.
At the Doctor's office - 1.5 hrs after taking the HA tablet, the doctor gave me a short duration general anesthesia in my arm. Did not know the procedure was done until I was getting dressed. Did not feel anything. The entire procedure (from the anesthesia to when I was getting dressed was about 45 minutes). I left the doctor’s office with a catheter and leg bag. Catheter will stay in until 27 Nov (partly due to Thanksgiving holiday and weekend (23-26 Nov). Thought I'd have it out no later than 22 Nov.
Once home I took my first pill of Levofloxacin (500mg -antibiotic, 1/day). No pain but some discomfort from the catheter moving around when I moved. Had some blood in urine. Drank a lot of fluid, herbal teas and water. Empty ~300 ml from the bay every 2-3 hours. Ate lite meals. Went to bed feeling fine. Got up 3 times to empty bag.
17 Nov, 2017
Feel OK and continued same routine. Took one Levofloxacin (500mg) tablet. Took a nap for ~1.5 hrs. Woke up and my vision was totally blurry. My wife contacted the doctor's office and they prescribed a different Cephalexin (500mg, 4 x day). Found out on-line but not through the doctor or pharmacist that the Levofloxacin has a black label ((("increased risk of tendinitis and tendon rupture. In February 2011, the risk of worsening symptoms for those with myasthenia gravis was added to the Boxed Warning. In August 2013, the agency required updates to the labels to describe the potential for irreversible peripheral neuropathy (serious nerve damage).")) My vision took several hours to return after taking the Levofloxacin. First bowel movement since the procedure. Some bleeding coming from the penis. Once in a while in the urine bag , there was one or two piece of bleed clots. The rest of the day went without a hitch. (no pain).
18 Nov, 2017
Feel OK and continued same routine. Food intake is on the lite side. Eggs, soup, chicken, veges, apples (good fiber), peanut butter, pretzels. Staying away from things that have red in them. Continued taking probiotics, fiber and stool softener. Bowel movement some bleeding coming from the penis. Started new antibiotic Cephalexin 4 x day. Walked around a little 15 minutes twice at our apartment. I'm typically pretty active. Took first shower since the 16th. Felt good and relaxing for the 15 minutes in it.
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