Rezume done 3 months ago, are there side effects?

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I had Rezume Procedure done 3 months ago. The positive is that my frequency issue has gotten much better. Now I only need to get up at night to urinate every four hours instead of every two hours.

The negative, I have this constant urge to urinate (especially after just voiding) especially if I am walking or cycling. It is almost like it is really tender near the bladder opening to the uretha. Does anyone have a clue what might be going on?

Thanks!

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  • Posted

    Good Evening Matt

    Glad you are doing well

    Before the procedure did not your doctor explain the side effect of the procedure what would happen after.

    That is the first thing he should have done before you had anything done. Just like any procedure there are side effects. Frequent urination, Pain full urination, Blood in semen, Blood in urine and sometime needing to do CIC. Also 10 to 15 % chance of retro. But with a experience doctor you have a less of a chance.

    Some men have a easier time of heal. Being we are all different The procedure they say 90 days you should be fine but you may take another 2 weeks or so. You body will make changes for 6 months. Everything has to be process inside your body and the prostate. How many injection did you have . That also will have a say how fast you heal.

    Just give it time.

    Ken

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  • Posted

    This is no diagnosis but I think the steam may induce some non-infectious inflammatory prostatitis which hopefully subside with time. I was scheduled to do Rezum in November but cancelled as I was concerned about this issue and I had high bladder neck and was concerned about RE and incontinence. Do you know if your bladder neck area was injected and how many injections you had and the size of your prostate and is the flow better now or not yet. Please keep us posted because I am still thinking of doing the procedure. I hope things work out for you.

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    • Posted

      The doctor's write-up mentioned nothing about injecting the bladder neck. But when I had the scope done earlier, I was diagnosed with a small opening to the bladder. So maybe I need to ask the doctor if he did inject it.

      My issue was urine frequency, nocturia, over-active bladder. So as to that issue, the procedure was a success. This new issue is a bummer. I hope it does get better with time.

      My prostate was 25cc and I think I had 5 or 6 injections.

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    • Posted

      Any comments are welcomed. Here is the write-up:

      "Xylocaine jelly was instilled in the rectum followed by the ultrasound probe. Carefully the prostate was scanned transverse and longitudinal modes. Seminal vesicles appeared normal. Peri-prostatic nerve block anesthesia was performed using transrectal ultrasound guidance. 20 cc of 1%lidocaine were used for anesthetic purposes and injected bilaterally. Prostate dimensions were Hx 50x 47mm with a prostate volume of 25ml.

      The patient was then repositioned into the dorsal lithotomy position. Under local anesthia, the patient was prepped and draped in normal sterile fashion. The anterior urethra, prostate, bladder neck, right and left ureteral orifices were visualized as the scope passed through the urethra. Radiofrequency was then used to create thermal energy to selectively ablate prostate tissue 1cm from the bladder neck to the proximal end of the verumontanum spaced 1cm apart. 5 treatments were given. Treatments: Right lateral lobe 2, left lateral lobe 2, median lobe 1, central zone 0. Blood loss was minimal. The patient was monitored throughout the procedure (BPH 2.5CM, SHORT, MILD MEDIAN LOBE FLOOR; TX 2 LAT LOBES, FLOOR TX1, GOOD BLANCHING, OPEN BLADDER NECK; TOLERATED WELL ALTHOUGH QUITE ANXIOUS, GAVE 2 PERCOCET 45MIN PRIOR TO PROCEDURE, DID NOT REQUIRE IV SEDATION).

      At the completion of the procedure, the treatment device was removed. There was a careful check that there were no clots in the bladder or injury to the bladder, prostate or urethra."

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    • Posted

      your prostate is small, 25 cc. The studies that were done to approve Rezum was based on 5 injections minimal I think and prostate size was 35 cc minimal. Maybe because your prostate is so small and you had 5 injections then a relatively big portion of the prostate was ablated and you are having some irritation. But that should subside. It seems that the injection started 1 cm proximal to the bladder neck. Please keep us posted i the coming weeks.

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    • Posted

      NBCP

      Good evening. They cannot inject the steam into the bladder neck. It would damage it. If you pull up information on the Rezum THere is a 24 page information sheet that this is what the doctors learn from. On page 16 it tells you the main 6 places that they should inject the steam

      Here is what it said. The device should be position 1 cm back from the bladder neck, If not it will cause irritative symptom Rezum is for the prostate tissue in the inside of the prostate. There are a lot of warning on how it can be done.

      It has very good information...............Ken

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    • Posted

      NBCP

      Yes he had a small prostate but also a median lobe. So he had 2 top 2 bottom and 1 in the median lobe that all has to heal and it will take time for the tissue to be absorbed. Just give it time...Ken

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    • Posted

      Kenneth

      If the doc did the injection unintentionally close to the bladder neck causing 'irritation' as you say, would that irritation eventually get better with time?

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    • Posted

      Hey Matt

      Yes it would get better in time but they have to stay away from the bladder neck. Like it said it has to be pull back to 1 cm. You can't inject the steam to close because the seminal vessel channel is in that area and it could be damaged

      Just relax and give yourself some time.........Ken

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    • Posted

      yes from the description of the procedure report the injection was appropriate and not in the bladder neck. I was not aware of page 16. The doctor i consulted to do the procedure was indicating he may inject the neck if elevated and that is why I cancelled.

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    • Posted

      can rezum work for bladder neck obstruction due to prostate enlargement as ijection close to bladder neck is not recommended with Rezum.

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    • Posted

      Prostate dimensions were Hx 50x 47mm with a prostate volume of 25ml. This doesnt look right. Assuming H is probably = width, your prostate is probably more like 60ml. 25ml is normal.

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    • Posted

      NBCP

      That is right it should never be injected in the bladder neck. I never read anything in the 24 pages saying that they inject anything into the bladder neck

      It does say on page 16 or 17 that if there is a median lobe that you can inject 1 or 2 if it is blocking the bladder neck. That will make it smaller and unblock the bladder.

      I'm glad you canceled with that doctor. He was wrong. Read that report if you have a chance. There is a lot of information that you need if you plan on having it done

      That is the same thing that they have to do with a Urolift they have to keep the bar away from the bladder neck or they can damage it. 100 % no side effects

      Have a good day.....Ken

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    • Posted

      Just do what I told you do do in the PM I sent you. Just put in Rezume instruction It is the first one on the page

      Ken

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