REZUM versus another method - prostate with big median lobe BPH

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I'm  63  suffering BPH  and severe LUTS  for 6  years . PV  50 cc  , big median  lobe  18 mm long protrusing to bladder .  Have had PAE last April in Portugal .  Professor  noted- in case of so big  median  lobe and relatively small prostate the result is  not  sure.  The LUTS improved  - in summer 2017 the retain urine was just about  100 ml  . After September all getting  worse , now the retain is about 300 ml  and I have to use self cath  CH10 Tiemann type  daily .

Medain lobe is acting like  "pressure valve "  I feel it like block  during the cathetrization . 

  Urgent treatment is necessary.  My old school Dr. recommend  TURP or open prostatectomy - what i rejected.  If you have similar  diagnose  what is your experience with REZUM, HOLEP,  Da Vinci Robotic, etc..     Thanks a lot  , Stan     

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16 Replies

  • Posted

    Hi. I also had a large median lobe which was protruding. I also had a large prostate overall. I had a HoLEP which was 100% successful but, of course, came with RE. My surgeon was very experienced with HoLEP which is important as it requires great skill. I wouldn't go with any open surgery unless it's the only choice.

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    • Posted

      Hi Dai,  pls let me know what was your prostate volume ?  REZUM is not better option ?  thank you Stan
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  • Posted

    Hi. My prostate is 200cc plus, doctors and specialist says it's huge / biggest they have seen and recommend laser surgery. When I first went to hospital for help 2 litres were drained from me and one kidney was close to failing. Two years later I'm still self cathetering but am now getting an infection every two weeks, looks like I'm off for surgery sooner than I hoped. For everyone with an enlarged prostate It could be worse it could be cancerous. All those with prostate cancer my thoughts are with you. Chin up everyone!!!

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    • Posted

      Hi Tony,  Im sorry for you.  Its not better TURP  for you now ?  You cannot self cath  forever. Good Luck !  
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    • Posted

      BTW self cath.  Im doing it about 1 year  every day . Just 1 infection  ( after unprotected  sex with my lady)  Using  caths for  prostate patients . Lubricated   SPEEDICATH  with hook  tip - TIEMANN  of thin diameter CH 10 /3.3 mm. Cleaning end of  urethra and neighb. on glans   by  98 % alcohol as well as cleaning hands this way . Using no drugs, just 1 pill daily D- mannose- free supplement.  D-mannose is used for preventing urinary tract infections (UTIs) and treating carbohydrate-deficient glycoprotein syndrome, an inherited metabolic disorder. After it just  lubricate glans with oil .   Cathing  twice a day ( noon and midnight)  before just once.  LUTS is getting worsen.  
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    • Posted

      You raise an important point, tony21141. Most PCa is supposedly commonplace, but slow growing.  My question is what are all these procedures doing, minimally invasive or otherwise, to presumed LEGIONS of men who actually have PCa?

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  • Posted

    In my opinion Fla should be your first choice and is the safest way to go.

    Jim

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    • Posted

      Hi Jim  , thank you for your  suggestion. can you recommend  some  FLA  in Europe ?
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    • Posted

      Never mind  Jim, world is so united , pls  let me know list of  FLA list in US.  Many thanks , Stan 
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    • Posted

      Stan, don't know that there are many, but I do know Dr. Karamainian in Houston, Texas. Will talk with you and from experience he will most likely be the best doctor you will ever talk with even if he can't help you. If you have had a 3T MRI send it to him he will look it over for free. He is not a uro, but a radiologist. He is a good man. Good luck and hope only the best for you..

      Jim

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    • Posted

      Hi  Jim,  I sent  rerquest  ( via his  website ) , no reply  yet.  Anyway what is your experience with  FLA ? What was your   prostate volume  prior to FLA.  Median lobe ?   How is your feeling now ? Any RE ? I will be greatfull for any info  maybe be private  message.   All the Best, Stan
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    • Posted

      Hi Stan,

      This is my second time around. First time didn't help much. Have a small prostate I believe now it's about 24 cc.. Its been about almost 4 weeks. Things are better, but the jury is still out. Don't think any re ,but hard to tell cause I'm still on Flomax.. Never got a pm from you that I could see. Im usually only in here using my phone not that good on how this site works. Dr. Karamanian is the man..

      Jiim

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