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I hope this is helpful to you all. My age is age 51, prostate size was a 57 (3 times what it should be) and overall in good health doing resistance training and a jogger prior to BPH Diagnosis.
I had the Rezum procedure done this week (Wednesday, 12/14/16). I had to see a Urologist because of frequent UTI’s and ended up in the hospital with prostatitis on top of that. It was a scare and was encouraged to see a Urologist. I was diagnosed with BPH, the Doctor put me on Tamosulin .4MG which took about 45 days before I saw a noticeable improvement. I had all the classic symptoms of BPH; urgency, dysuria and nocturia etc. On the International Prostate Symptom Score (I-PSS), I was like a 33 out of 35 possible. My doc. said I was in a serious condition and that medical intervention was required for me to improve.
I first heard of Rezum and was immediately interested. The doctor completed a number of test to confirm the needed treatment. I had a urine and blood test, DRE, Flow Test, Cystoscopy, Biopsy of the prostate. My biopsy was negative but I did have chronic inflammation. At this point, my Flomax was working pretty good but I still didn’t like taking all these chemicals but it also caused retrograde ejaculation. Of all the test, the Cystoscopy was the most uncomfortable mostly the tube working through the uretha past the enlarged prostate. Knowing what to expect, I could do it again. I got rather worked up over the biopsy and in the end it was nothing. I hardly felt anything – at most a mosquito bite type sensation on the first sample tissue taken out of the 12 overall.
At this point, Rezum and Greenlight were my only two options I considered. Since retrograde ejaculate was an issue for greenlight, I decided against that. Plus, Rezum gave me the option to consider other options if it did not work.
I am now on my 3rd day and I feel great. On the day of the procedure, I got a pain shot and 4 nerve block injections, then got lidocaine in my uretha to prepare for the final step. The nerve block shots are similar to the biopsy – but you get an additional 2 shots that go deeper into the Prostate. The doctor visit lasted about 2 hours, but the actual Rezum procedure was less than 4 minutes, the injections less than 1 minute. Despite the local anesthesia, it did hurt but one can endure it. I would say it was a 6 out of a 10. For me, it felt like a needle going into your skin. However, it is really just the last half of the injection you feel because of the accumulated steam. Peeing when you have UTI is about the same level of pain as the injections. So, if you can take that, you can take the steam. Immediately after the procedure, my worst pain was from the urgent need of having to go and void. I returned home and soaked in a warm bath for about 30 minutes. I was out of the doctor’s office around 11:00 a.m. and by 1:00 p.m. I didn’t feel any pain. In the day following, I felt a numbness or slight sensation down there but no pain. Since I was not voiding as much as expected, I went ahead and did a trial run with a self-catheter. I opted for that versus having to wear a catheter for a few days. I’ve not had to use one again, 3 days from the procedure date.
The doctor did say it would hurt for about 5 minutes after the procedure which was uncomfortable but he hold me that I’d be pleased w/the procedure results in 30 days.
The procedure will cause inflammation of the prostate tissue. This causes you to actually get a little worse off than where I was, but by day 2, I was back to where I was prior to the procedure. I am continuing my Flomax until my next follow up. The doctor gave me a prescription for the inflammation and also prescribed Urogesic blue. This little pill I think shaved off much of my discomfort. I took it immediately after the procedure from a sample they gave me. Again, after a few hours I was fine and surprised that I was hurting or in pain like I had expected.
I felt the need to post here because I think most folks will put bad experiences. Mine was a good one and I’d have this procedure again in a heartbeat – even if I only see the mild improvements I’ve had to date. That I know only 1 patient (out of 100’s) had returned to the office and it might just have been his prostate was too large or there was something wrong w/the Rezum tool. I want to ditch the pill and get back on w/living. I would recommend this to anyone w/suffering w/BPH. The worst that can happen is that you spend money and it didn’t work – but the doctor said nearly all his patients don’t come back after the monthly follow up visit.
I will update after 7 days and then again after 30 days. No sex yet and don't plan on it until a couple of weeks from now. When I had prostatitis sometime back, it was very uncomfortable and since I possibly have swelling I don't want to try that just yet.
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