what question to ask uro to see if FLA, PAE or other would be right?

Hi Larry,

I sent you  table as well as some  information. Good luck  and right decision. Stan 

Yes they have had some problems with the Rezum procedure.  Look into others.  What about the Urolift or FLA.  CIC would be good for you until you pick something  Ken

If the problem is a large prostate, the rezum is an excellent procedure to consider, and is covered by many insurance plans.

I agree  Ken , CIC can preserve  your bladder and Kidney form serious damage , but its just  temporary solution within your  final decision .  My took more then  1 year  with CIC by catheter CH 10  Thieman  tip . Last week I was for  FLA in Houston ,  still with catheter but CH 14 only and it cause no problems. Dr. K is satisfied with the results.  He ablated about 35-40 % of tissues.

Urolift is  not effective method for big median lobe at all !!!  Only 2 methods are effective for big median lobe, specially with IPP anatomy. ( intravesical protrusion of prostate ) : REZUM and FLA. 

( I mean low invasive methods ). 

But REZUM is blind method  and can cause  serious side effects . FLA is most sophisitcated method in presence. 

If you need more details ( my evaluation of patients  in Excel table , many other info, pls just PM me.  . Thank you Stan.   

Thank you. Is their a way for a doctor to avoid damaging the areas that can cause retro when doing rezum?

Also do you or anyone can tell me if the very uncomfortable feeling I feel in my upper belly can be from holding in too much pee? It seem worse this week as I have been peeing out much less 

That " uncomfortable feeling I feel in my upper belly " could be from constipation and/or gases. Otherwise, it is most likely your retention is getting worse.

It is always good to know CIC for emergency as well as to find out your retention level.

I don't know about rapaflo. I am taking doxazosin. It has a wide range of dosage. It helps me with my BPH symptoms. However, I am having RE from it, I think.

If you have money, look into FLA. Its longevity has not been proven. However, it seems to be the least dangerous procedure at the moment. Hank

Thanks stan. I look forward to reviewing.

thanks hank.

the doctor had availability today so i went in. he told me to stay on the rapaflow a few more weeks to see if any change. i will ask him about the difference with rapaflow and your drug.he did said there was another drug but that would take about 90 days to kick in.

He feels i need to do something. He said the most non invasive was the rezum but he was not pushing me into it.I known him for years and  he is always  upfront with me . he's  performed rezum 10 times himself but so far it has worked for the needs of each patient. he has not been told of retro in any of those, but he said, that it wasnt something that some of the patients even were concerned about so he cant give me that number. while he did not know fla, he looked it up while i was there. he could not endorse it, but said it seems very interesting but concerned only about lack of data. he's a very liberal thinker.

as of now he's going to show me how to use a cathiter next week and said eventually im going to make a surgical decision when i feel comfortable.

 

The drug that takes 90 days to kick in is probably finasteride, dutasteride, or their equivalent. They are supposed to shrink the prostate. Some people handle them well. Some have serious side effects.

Didn't the doctor check your retention level ? CIC I a good tool. Some people use it long term or while waiting to decide on what to do. I myself am doing it once a day before bed. Depend on how much your retention is, you may want to do more often. Take care.

Hank

The drug that takes 90 days to kick in is probably finasteride, dutasteride, or their equivalent. They are supposed to shrink the prostate. Some people handle them well. Some have serious side effects.

Didn't the doctor check your retention level ? CIC I a good tool. Some people use it long term or while waiting to decide on what to do. I myself am doing it once a day before bed. Depend on how much your retention is, you may want to do more often. Take care.

Hank