The Rezum procedure and BPH
Posted , 28 users are following.
Hello;
I represent a large Urology practice in New Jersey.
I have been notified that there has been a lot of interest in new procedures for the treatment of symptoms caused by an enlarged procedure.
My group has substantial experienced with many procedures for this condition, including the "Rezum" procedure (we have done over 100 cases at this point and are one of the most experienced groups in the world at this point.) I wanted to offer any information and answer any questions anyone here might have about this (or any other) procedure for BPH (Benign Prostatic Hypertrophy.)
Thank you.
4 likes, 305 replies
alan1951 JerseyUrology
Posted
Simple, straightforward question, Doc: Concerning the patients you've treated, do you notice any correlation at all between prostate size and obesity? I realize your answer will be annecdotal, but that's good enough.
JerseyUrology alan1951
Posted
No correlation to size of the prostate whatsoever.
However, there is certainly a correlation between obesity and voiding issues; obesity is associated with multiple other issues (Sleep Apnea, Diabetes, cardiac disease, etc... collectively sometimes known as "Metabolic Syndrome X"
which can certainly cause issues with urination.
Losing weight will not help with prostate size; that's largely genetic and undetermined factors; however, it may help with some of the other causes which can affect voiding.
kenneth1955 JerseyUrology
Posted
I have not seen you on to much today I know you have to spend some time with your family I hope we don't scare you away. Ken
jonmichael JerseyUrology
Posted
I'm learning very much from all of the discussion here, and I especially want to thank the JerseyUro for spending time in this forum... it is very unusual for a doctor to spend time in this sort of environment, and I want to thank you wholeheartedly for caring enough for humanity [those of us men in BPH h+ll] that you are willing to spend time here. Cheers to you. I also want to thank everyone else for their candid and honest opinions on this debilitating disease... Thanks
alan1951 jonmichael
Posted
Agree with you, jonmichael. We're fortunate to have JerseyUrologyGroup's opinion. Clears a lot of things up for us.
Motoman JerseyUrology
Posted
First, thanks for replying on this forum, it is helpful.
I have a question related to different activities causing BPH or urination difficulty. My prostate has been described as "very hard", the hardest one my doctor had seen.
What could cause this? It wasn't very large at 40 grams.
I am a very active off-road motorcycle rider. Which means I am on a seat and riding over jumps, bumps, rocks, etc. I am just wondering if certain activities can aggravate the prostate, cause it to grow, harden, etc. Like bicycling, and horseback riding also.
I had the FLA procedure done 5 months ago. I had decent results, but I don't think in my case it will be a permanent solution.
The other question I would love to hear a response to is do the patients that experience retrograde ejaculation feel it is a different type of orgasm than they had previously? I have heard all kinds of bad responses on this forum, but it is usually from the same guy, and his was from taking Flomax, not from surgery. So maybe the difference is from the medication and not the surgery?
I experienced it when I took Rapaflo, but could not really tell a difference in intensity or quality.
So if my BPH/LUTS symptoms come back, I would be leaning towards a more permanent solution that makes peeing easier.
nealpros Motoman
Posted
Hi Moto,
I did a long response on this topic on another line of this blog a few days ago. Perhaps someone else who remembers where it is can point you to it.
That said, the long and the short of it is that I can tell absolutely no difference in the wonderful feeling of my orgasm, and I have had 3 PAEs. I wouldn't know that I have RE ( I do ) without looking at the end of my penis as I reach orgasm and ejaculate. Of course, if you still wanted to father more children, that would be more difficult, but there are work arounds. It's a storm in a teapot.
Neal
JerseyUrology Motoman
Posted
"Very hard" can mean a lot of things; when I hear "hard", it sounds as though there may be a nodule; I would ask the urologist (or primary doctor- whomever does your exams) what that means exactly.
Definitely certain activities can aggravate the urethra and prostate; I see a lot truck drivers, for instance, that have voiding issues.
Most people who complain of retrograde ejaculation who I have seen generally have a "dry" orgasm.
There are a lot of new and exciting technologies that are offered as well as in research trials; the field continues to evolve.
Motoman JerseyUrology
Posted
So I am wondering if something I might be doing is causing it, but sounds like one of those mysteries.
JerseyUrology Motoman
Posted
I can't tell what that means; have you had a Primary care physician or a urologist do a "digital rectal examination"? I do recommend that most men have one yearly
jimjames Motoman
Posted
FWIW my urologists always seems to say in a positive manner, "it feels soft" after my DRE which he does every visit. Probably should have, but I never asked him what exactly what he meant or was looking for.
Jim
Motoman JerseyUrology
Posted
Yes, unfortunately I have a DRE done yearly. I go to Dr Small Hands for that procedure 😂
I don't know what it means either, which is why I thought I would ask. Thought it could be a red flag of some sort, or significant.
tonyynot JerseyUrology
Posted
I had the "Rezum" procedure here in Houston in April of 2016. I had blood in the urine for about 2-3 months after the procedure. I now have blood in my urine again, but not every time that I urinate. It happens only when I start uirinating. Seems to occur after working in the yard or playing golf.
JerseyUrology tonyynot
Posted
That does not sound unusual, but without having your chart, I can't really give medical advice.
(I assume your urologist looked inside your bladder during or before the Rezum procedure to assure that there were no abnormalities)
As the prostate heals, it is not unusual to have some bleeding (not large clots, though) which can occur for 3 months or more after the procedure. If I would still advise that you bring it up with your urologist at your next visit.
j12080 tonyynot
Posted
Bleeding again 14 months later? Sorry sounds unusual to me. I would suggest you get it look at soon. I don't need your chart to tell you this, also see if you can get some extra strokes in you golf matches.
Seriously this sounds like a long time to bleed and could be related or not. You must have them take a look. Good luck and let us know.
JerseyUrology
Posted