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Rezum for benign prostatic hyperplasia (BPH)
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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retrograde ejaculation...it's when the bolus of ejaculate goes backwards, into your bladder instead of down the urethra and out of the body. It is caused by less resistance to travel that way, after certain surgeries. It also can be caused by Flomax, though, when the flomax relaxes the bladder so much that the length of urethra provides more resistance to flow than the recently relaxed neck of bladder...
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1 ReactionI am 73 and had HOLEP almost 4 years ago at the MAYO in JAX. Best decision I ever made! I believe that anyone who has been told they need Prostate surgery should consider this procedure. Read up on it, check out YouTube, ask others in this forum, I had wonderful results from the procedure. For the first 2 years following HOLEP, I had retro ejaculation. But after two years I began to ejaculate. It’s not back to what it was like prior to surgery……but I consider myself to be one lucky man!
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3 ReactionsI am not a medicine man but I would wager that after those two years enough "resistance" built up in your bladder neck area so that it no longer provided more resistance to travel than what the normal pathway through your urethra and out of the body provided. I have read that the surgeon in JAX is quite well-known for good outcomes with the Holep procedure. I utilized the Mayo Rochester surgeon who had the same status with the Rezum procedure although ultimately Rezum outcome regressed for me - my prostate was over 100ml when he did the procedure so I was, and was certainly aware, that I was "outside" the preferred candidate for Rezum but since I reasoned that the procedure itself was the "safest" attempt to solve my problem I decided on it. I never had a UTI, only had RE when I was on double-dosed Flomax. Now my wife tells me my volume has actually increased, FWIW. But my lack of sleep is causing me to rethink my plan; I am leaning toward Holep at this date. I am up 5 times a night now and only can void miniscule amounts unless I stand there and somehow "relax" my pelvic floor muscles, but it is a challenge to reproduce the state of mind necessary to relax your body to allow additional voiding - it is sort of difficult to explain.
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1 ReactionConsider holep if you have the right Urologist
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1 ReactionIf at all possible, seek out the best Urologist, one who has performed a thousand HOLEP Procedures, and try to get in with them.
My urologist took a fellowship training so he’s really a man to see. He’s located in Boise. I flew in from Hawai’i booked a motel and was told I could go home in days. I hope you have only good news and n the future