Benign prostatic hyperplasia (BPH) Surgery Options

Posted by wpasternak @wpasternak, Aug 4, 2020

I had a Urolift procedure last February for my BPH symptoms and it was a total failure. The implants are still in position though. I am looking for a different procedure to alleviate my BPH problem and Rezum seems to be a good alternative. Can it be done considering my prior Urolift procedure. If not, what would be your recommendation.

Interested in more discussions like this? Go to the Men's Health Support Group.

@bill5letsfixthis

@rfherald Yes, I remember that post, he was really upset. I may have mentioned before that I spoke to someone that had Rezum and he said it took about 6 months to finally work. My Uro did say it takes time. You’re so right about asking questions. I go in with an index card with my list. I think doctors appreciate that because both of us get quality time not forgetting anything.

Jump to this post

@bruce1sparkle Please see my reply to Bill. I thought it was going to you. I'm not completely comfortable how this site handles posting.

REPLY
@rfherald

@bruce1sparkle Please see my reply to Bill. I thought it was going to you. I'm not completely comfortable how this site handles posting.

Jump to this post

Rfherald, you are posting perfectly, All your posts can be seen by all members following this discussion and Men’s Health group.

Read more in this blog post about how the site works:
– Replies and @mentions: How do I know who is replying to whom? https://connect.mayoclinic.org/page/about-connect/newsfeed-post/replies-and-mentions-how-do-i-know-who-is-replying-to-whom/

Don’t hesitate to let me know if you have any questions about how things work. You can send me a message using this form https://connect.mayoclinic.org/contact-a-community-moderator/

REPLY

@colleenyoung Thank you Colleen, you do a great job in coordinating and keeping us connected in this endless flow of information, that I and others have benefited. The Mayo Clinic is fortunate to have you and if I lived closer I would wash your car every week for a month including a new pine tree air freshener.

REPLY
@bill5letsfixthis

@colleenyoung Thank you Colleen, you do a great job in coordinating and keeping us connected in this endless flow of information, that I and others have benefited. The Mayo Clinic is fortunate to have you and if I lived closer I would wash your car every week for a month including a new pine tree air freshener.

Jump to this post

Bill, you have no idea how much my car needs a wash. 🙂 Thank you for the compliment.

REPLY

Last post in this group was Aug 2020. Is this group still active? Are there any other groups related to BPH surgery options?

REPLY
@jetjock

Last post in this group was Aug 2020. Is this group still active? Are there any other groups related to BPH surgery options?

Jump to this post

Jet, I'm pretty sure the last post was Aug 2021. But I just heard from my PC doc that it is preferred to handle BPH through nonsurgical methods. Because there is so much talk here about surgical methods, I now believe he is simply trying to save the insurance company the higher expense that surgery brings. I will have a talk with him.

REPLY
@rfherald

Jet, I'm pretty sure the last post was Aug 2021. But I just heard from my PC doc that it is preferred to handle BPH through nonsurgical methods. Because there is so much talk here about surgical methods, I now believe he is simply trying to save the insurance company the higher expense that surgery brings. I will have a talk with him.

Jump to this post

@rfherald When your PC says non surgical I assume he is talking meds? I’ve been looking at minimally invasive procedures. I think I will be deciding on Aquablation. I went to their site, aquablation.com and found the information helpful. They will also give you the name of a Uro near you. I saw “my new Uro” on Tuesday and found that he’s done more aquablation procedures than anyone in MA. I listen to men’s health segment on Doctor Radio Dr Aaron Katz, on first Wednesday of the month and he and his guest last week like aquablation and said you should find a doc who has done a lot of them.

REPLY
@bill5letsfixthis

@rfherald When your PC says non surgical I assume he is talking meds? I’ve been looking at minimally invasive procedures. I think I will be deciding on Aquablation. I went to their site, aquablation.com and found the information helpful. They will also give you the name of a Uro near you. I saw “my new Uro” on Tuesday and found that he’s done more aquablation procedures than anyone in MA. I listen to men’s health segment on Doctor Radio Dr Aaron Katz, on first Wednesday of the month and he and his guest last week like aquablation and said you should find a doc who has done a lot of them.

Jump to this post

Bill, I just read some initial information on their website and elsewhere. Clearly they are selling aquablation, but it sounds like they have had good results. I am going to see a urologist soon and will ask him about it. Rezum was new to me and now this! There is a lot of recent interest in prostate removal. One important thing I found: Medicare covers it. https://www.surgicalroboticstechnology.com/news/growing-coverage-for-procept-biorobotics-aquablation-therapy/
One problem I found, specific to me is, that the closest recommended doctor is about 500 miles away. I don't know how many procedures he has performed.

REPLY
@rfherald

Bill, I just read some initial information on their website and elsewhere. Clearly they are selling aquablation, but it sounds like they have had good results. I am going to see a urologist soon and will ask him about it. Rezum was new to me and now this! There is a lot of recent interest in prostate removal. One important thing I found: Medicare covers it. https://www.surgicalroboticstechnology.com/news/growing-coverage-for-procept-biorobotics-aquablation-therapy/
One problem I found, specific to me is, that the closest recommended doctor is about 500 miles away. I don't know how many procedures he has performed.

Jump to this post

@rfherald Thank you for the additional resources, they were very helpful in supporting what I think my decision will be. I am hoping to have this done next year. I spoke to someone who had Rezum and said it worked well but took about 4 months.

REPLY
@bill5letsfixthis

@rfherald Thank you for the additional resources, they were very helpful in supporting what I think my decision will be. I am hoping to have this done next year. I spoke to someone who had Rezum and said it worked well but took about 4 months.

Jump to this post

Thanks @bill5letsfixthis . I am going to continue to look for solutions to evaluate. Please let me know what you discover as well.

REPLY
Please sign in or register to post a reply.