Rezum for benign prostatic hyperplasia (BPH)

Posted by scwhandyman @scwhandyman, Jan 26, 2020

I am 66 years old and have been diagnosed with BPH. I tried Alfuzosin unsuccessfully. My urologist recommended Urolift, but I have concerns about the procedure. Previously he had mentioned Rezum for prostates between 30 and 90 ml. Mine is 28 ml and he did not think this would be a problem. He is a younger doctor and this is a relatively new procedure. I expressed concern that since the procedure kills cells with steam would there be a danger of damaging the urethra, too much prostate, or the outer cover of the prostate. He said this would not happen. I have looked on line for resources that address this issue without success. Any assistance getting assurance that the doctor is correct is appreciated.

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My advice from dealing with the same problem, but as yet not having any procedures done is not to rush into any one procedure that a particular doctor is recommending. A nationally known hospital type clinic like Mayo for example may have a team of doctors who specialize in a particular health problem and can diagnose each patient's unique medical condition and life situation to best come to a joint recommendation for you. But I'd certainly see more than one doctor and do a lot of research into a medical problem before ever making a decision of how to proceed, especially if it involves any surgery. Of course some conditions are life threatening and you don't have the luxury of taking your time to make a more informed decision. Currently I need to urinate every 3 hours at night and since the daytime flow rate is quite adequate, it's more of just a night time problem that I've decided to live with. I agree with you that we need the results of hundreds of a procedure's short and long term effectiveness reported by hundreds of patients to help us choose doctors and procedures.

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