The Rezum procedure and BPH

It’s impossible to say. We have had some success in similar situations. Rezum is not a bad procedure to start with (less invasive than a turp) but it will take some time to see if it will help (maybe months.)

I would advise that he speaks with his urologist in person about it (and definitely with a urologist who performs and is familiar with rezum as well as other procedures.)

Jim, I assume you were referring to me when you asked Jersey Doc  my problem with retention and Rezum.

i was asking the same question . I'm grateful you got an answer.

thnaks 

frank,

I mentioned your complete retention, yes. He's not saying it will work, but that he has had limited success in similar cases so it might be worth a try. The other important thing he said is that you should first get evacuated face to face with a doc who performs both Rezum and TURP to get a more objective opinion. This doesn't mean you should get a surgery because you seem to be tolerating CIC, but I get the feeling from your posts that you would like to try something that might give you a natural void. If that's an important issue for you, then gettting evaluated for Rezum seems to make sense.

Jim

Frank.  My urologist sent me another message about you and your problem.  This is what he wrote.  Franks problem is that his bladder is likely too relaxed and not able to mount a sufficient contraction because of age.  With all the information I sent him about you he feels your prostate is not the problem.  Also because of age they don't want to give you any pills because of some of the side effects.  Ken   

Hi Ken,

The problem often isn't whether it's the bladder or the prostate responsible, but that it's both in combination. Also, note the word "likely". I think what it comes down to at this point is how much is frank willing to risk, surgery wise,  for say a 30-50% chance for a natural void.  Hopefully, like Jersey Doc infers, those odds might be narrowed down a little if Frank has a full evaluation face to face with a doctor that performs Rezum as well as TURP. Your preference or mine might be different under these circumstances, but it really comes down to what Frank wants and the surgical risk he is willing to take.

Jim

Hi,-- Is Rezum a surgical procedure? Are the side effects different for everyone?I don't know the answer to these questions. I know there is no guarantee for a natural void ,but i assume after the URO did 100 or more  of these, there would be a better analysis.The question then is how do i find a URO that fits this, in Illinois?These odds of 30-50 % chance of natural void, or could be narrowed down ,meaning less of a chance  of natural void? Is this right?

THANKS,

frank,

 

Ken, I want to thank you for this info. I hope your doing well?

thanks 

frank

Hey Jim....I have been asking my urologist questions for Frank for over a year when his first urologist wanted to do a Turp on him and told him that it was only a 50/50 shot for him then.  My urologist told me that if he was near him that he would have done a Urolift on him at that time to help take some of the pressure off his bladder.  At almost 90 there is not to much they can do for him because of the dangerous side effect of the procedure.  Maybe the Resume or the Urolift would help because it is less evasive but he has to make up his mind what he is going to do.   God bless  Ken

Hey Frank..  I don't know what area of Chicago your in but I look it up there are 16 Doctors that do the Rezum in Chicago.  Maybe one of them could help you get some relief  Good luck  Ken 

HI JIM, Of course i would like to have a NV,i find it's a handycap to be obligated to CIC 8,9 or somtimes 10 times a day.I wish there was a way to cut this down to 4 or 5 times a day. Maybe Rezum could do this?I was told Uro Lift will not work for me.

frank, 

I think twilight anesthesia makes it more comfortable.

I don’t know your area well, but you can check the rezum website for doctors who perform the procedure 

Frank.  60707 said Elmwood park  I sent you a PM massage  I have 4 locations in the Chicago area you tell me which one is near you. and I will get you the address and phone number  Ken 

I have checked the website and found 4 urologists that do resume.They don't offer Twilight,they have only done 10 resumes . I found one 4hour drive that does use twilight and has done at least 60 resumes, to far a drive.

Until i find the Dr that is closer and offers twilight and has a lot more experience then just 10 ,i shall keep on with CIC. Can you tell met why these Dr's don't use twilight anesthesia?

Thanks 

frank,

 

Ken, The Urologists you mentioned. Give me there names i could look them up.

Thanks

frank,

Frank I sent you the information on that one that you said is worth a try I will try Tuesday to see if I can find anymore Ken

Sorry it's so late   I just got done sending a couple of e-mail one to one of the ladies that take care of information on the rezum and to the company Nxthera who developed the procedure.  I will let you know if I get any information for you.  Take it easy  we will find someone to help you Good Night   Ken

Frank,

My urologist told me he would need more expensive insurance and the equipment to do it.  They may also need an anesthesiologist to work with them.  "Jersey Urology" may be able to answer your question better.

Thomas

Hi Thomas, I think your right on. This is the reason most urologists don't offer Twilight.Do you know of a urologist that does ,in the Chicago area ,or suburbs.

frank,