Posted , 19 users are following.
I'm getting down to the nitty gritty. I have to choose a procedure for my BPH because the symptoms are becoming unbearable. And I know this subject has probably been discussed a million times on this forum but I wasn't involved in those discussions. I have a 75 - 80 cc prostate with median lobe enlargment so I'm not a candidate for Urolift. I have also heard very mixed reviews on Rezum. My first choice would be FLA (focal laser ablation) but it is very expensive and still trying to determine if it is covered by my insurance; likely not. Second would probably be PAE. Does anyone know about medicare or private insurance coverage on this? I'm thinking it is not covered. This is not to say I will not bite the bullet in the end have FLA or PAE done, but If I don't I would like to determine the best alternative if possible. I would appreciate all opinions and would really like to hear from those who have had the various procedures i.e button turp, holep, turp, pae, etc. A big order! Hope to hear from you all.
0 likes, 28 replies
john98818 gary37907
Posted
rezum stinks. that's all i can vouch for
brian34488 gary37907
Posted
Hi Gary,
it seems to me you should not make saving $ the biggest issue if you can manage to think past expense, from what I have read on this Patient forum it comes down to finding out if you can, exactly and precisely what your complete prostate issue and complete health condition is as while one option may go really well with 1 guy it may fail with another guy despite using the same Dr, and as many have learned using an inexperienced Dr even though he may have high credentials may have poor results, so how can you find out exactly what your specific condition is? definitely a 3tesla mpMRI will give good results, but if you can also find out what your bladder condition is may also be a deciding factor, also avoiding prostate cancer caused by the surgery can also be something to avoid as I have learned being given a shot of an anti inflammatory just prior to surgery helps reduce cancer from developing, I had FLA last Dec by Dr Karamanian in Houston Texas ( he uses an anti inflammatory shot prior to FLA )and flew from New Zealand to get rid of my enlarged median lobe blockage which had been causing me years of broken sleep and pain not being able to pee, after Fla all is good again at last !!!and with no hospital stay, no pain at all and no known side affects, the only remaining issue is from previous damage to my bladder because of waiting too long to get something done, I am so glad I avoided turp with regard to what they do to someone with an enlarged median lobe!!! All the best with your refining your specific health issues to help you deduct the best option for you regardless of the cost if you can manage it.
timothy81571 gary37907
Posted
I just had Rezum this morning, will post progress for any interested parties
Tim
arlington gary37907
Posted
I would recommend seriously considering CIC (i use coloplast male compact speedicath). Easier than you think and lots of benefits. You could be in relief tomorrow!
Clinical results on procedures still aren't there yet. I tried PAE w/ no success.
Good luck?
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