Rezum-wearing a catheter for 4 weeks

Posted , 10 users are following.

I had a Rezum procedure about 4 weeks ago and was led to believe that i would be wearing a cathether for a few days. I am beginning to worry that something is permanently wrong. I had 4 shots, with 2 in the medial lobe which was my primary problem. My urologist is going to scope me to see what's causing the problem. Has anyone else had a similar issue? If so, what has been your outcome?

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17 Replies

  • Posted

    i had median lobe as well and got 5 shots catheter out in 3 days. been fine.

    have they taken it out at all to see if you can pee?

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  • Posted

    From what I have read about Rezum it takes often up to 6 weeks to show improvement. I don't think you should panic, they might tell you "a few days" so you would not chicken out on having the surgery. I had a different procedure called FLA which also requires around 6 weeks and had the damned Foley Catheter for maybe 6 weeks, you should get it replaced though after a month I assume you have because it can cause infections if it's in place for too long, although not everyone agrees. Of course like many know you could learn to do self catheterization and have it removed straight away. I wish I had known about it when I had the Foley as it would have changed my life for those 6 weeks.

    Good luck on your recovery!

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    • Posted

      I appreciate your note as it gives me some hope which I need right now. I go the the urologist about once per week. Each time, I remove the catheter in the morning, realize that things aren't working, and then go in for a new cath which may minimize the possibility of infection. I tried self cathing earlier on, but had some drama when I could not get in one time. Ended up with a lot of blood and panicked that I wouldn't be able to make it back to the doc's office. That was enough to convince me to stick with the permanent cath for a while.

      Thanks for the well wishes.

      Jeff

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  • Posted

    Jeff,

    There are many procedures for BPH and radiation for prostate cancer than can cause prostate swelling. Normally, the swelling lasts for about 5-6 weeks. I had radiation and had 5 Foleys in and out for 6 weeks until I could pee on my own. There is no "hard and fast" rule for this - some have swelling for weeks, and others recover more quickly - depends on the size and shape of the prostate. I don't think there is any way to predict this in advance.

    Tom

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    • Posted

      Yes, I just feel like the outlier which has never happened to me with a medical procedure. I am otherwise a very healthy 58 year old and it makes me wonder if something went wrong. I am not sure what can go wrong procedurally as it looks like a relatively simple process.

      I chose Rezum because of the minimally invasive approach and very few side effects. My doctor said that I would be back to where I started 2 weeks after the procedure and starting to see some improvement at 4 weeks. I am now worse off at 4 weeks and a little panicked that I will make some progress over the next couple of weeks.

      Jeff

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    • Posted

      Jeff,

      .

      How long has your urologist been doing Rezums and how many have they done? Most guys do not see results in 2 weeks. Most guys do start to see results at 4 to 6 weeks. At 2 weeks, I could not pee on my own. At 4 weeks, I did my 1st pee on my own.

      .

      Steve

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    • Posted

      Jeff,

      Your doctor gave you an overly optimistic outlook. He should have told you that it could take many weeks before the swelling goes down. "I am worse off at 4 weeks and a little panicked...." Of course you are worse off at 4 weeks - your prostate is still swollen and it may take another couple of weeks for the swelling to go down. After my radiation my prostate was swollen for almost 6 weeks and I was completely unable to pee on my own. Then, finally, I began to improve. It just takes time. When you say that Rezum has "very few side effects" - well, this is one of them. I had a bipolar TURP in April and there was no pain, fast and easy recovery, and I would do it again in a heartbeat if necessary. I decided against any procedure that would produce swelling enough to close off the flow. There was some swelling but because there was less prostate it wasn't much of an issue. Everyone here is telling you the same thing - give this a little more time.

      Tom

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    • Posted

      Steve,

      My doc has done about 20-30 Rezum procedures. Tomorrow is exactly 4 weeks, so I am hopeful from your results and others that there is a reasonable probability that something may happen over the next couple of weeks.

      Jeff

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  • Posted

    Hi Jeff,

    I had Rezum in June and couldn't pee at all for several weeks. Fortunately I was doing self-catheterization so did not have to have the Foley after 2 days. But it does take time. Chances are it will be ok.

    Fred

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  • Posted

    Jeff,

    .

    I had a successful Rezum in November 2018. I started to open up at 4 weeks and by 6 weeks, I was peeing OK. This 4 to 6 week window is common. I had a Foley for 2 weeks after my Rezum and then self-cathed after that during which time I had 2 swelling episodes. Swelling after a Rezum is common too. Give it more time. The cystoscopy is probably not necessary at 4 weeks unless you want to pay for it.

    .

    Steve

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    • Posted

      Thanks for the note, Steve. Aside from you, it seems like the vast majority of the people were a catheter for around 4 days, not 4 weeks. I am scared more than anything and just want to understand what is going on. Did you have a medial lobe issue?

      I tried self cathing earlier on. I was successful a few times, but when my bladder got really full, I could not get it into the bladder and ended up with some blood, etc. The doc decided it best that I let things heal and continue with the cath.

      Your note gives me hope which I really need right now.

      Jeff

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    • Posted

      Jeff,

      Many here are telling you the same thing - prostate swelling can last up to 6 weeks, so there is nothing to be scared about so far. Just let the prostate calm down and see what happens. As I said in a previous post, there is no way to know in advance how long and how much swelling will take place in the prostate after ANY treatment so you will just have to wait this out,

      Tom

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    • Posted

      You will likely be fine. I was in the same position 3 years ago and came to this forum looking for some answers. The procedure was new so there weren't any and I took longer to pee than anyone on record at that point - about 3 weeks to dribble anything and 6 to be better than before. Most men are functional within 2 weeks of the procedure, but many aren't.

      You probably can already pee some - it comes back slowly at first in fits and starts. At this stage, pumping you full of saline in the docs office and expecting a normal void is a setup for failure. If you can, try self cathing again - if a schedule prevents mishaps, stay on one. This way, you can void some on your own and use the cath for the rest and you can track your progress too.

      Last but not least, don't EVER have anyone do an elective procedure (or any of possible) that hasn't done at least 100 of them. If nothing else, with that many under his belt, he would have had a couple like you that he could relate to give you some assurance.

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