Benign prostatic hyperplasia (BPH) Surgery Options

Posted by wpasternak @wpasternak, Aug 4 3:17pm

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.

Yup-Urolift Failed for me also. Also looking for an alternative. Glenn Larkin

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The census here in MA is that green light (HoLEP) is the way to go. I'm not convinced. Not too many urologists here do Rezum. Rezum seems the best post-surgery if it can be done with implants already in place (from Urolift) and causing a procedure problem. Looking for anyone who has done that.

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I'd also like to bring @scwhandyman into this discussion. He started a discussion about Rezum here:
– Rezum for benign prostatic hyperplasia (BPH) https://connect.mayoclinic.org/discussion/rezum/

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@glenner075

Yup-Urolift Failed for me also. Also looking for an alternative. Glenn Larkin

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Hey Glenn. Any progress to report?

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Nope

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OK. Thanks

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@wpasternak

Hey Glenn. Any progress to report?

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Good YouTube vid about Rezum procedure

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I had the holep procedure done in February in Jacksonville and am doing excellent. You guys need to talk to your urologist about it. I also have intermediate prostate cancer which I will have to deal with. BPH is non existent and I sleep all night without waking up every two hours.

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Good news Joe and congrats. Did you first try Urolift?

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@wpasternak

Good news Joe and congrats. Did you first try Urolift?

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No I didn’t. I wasn’t sure another procedure could be done. My first urologist at a different clinic wanted to do it. Also he did a TRUS biopsy and I developed an infection of the prostate. That’s when I started going to the Mayo Clinic. Best care anyone could give.

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Thank you

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I'm 64 and had the HoLEP procedure this past July and went from a garden hose trickle to a firehose concerning flow. I highly recommend this procedure. One night in the hospital to monitor bleeding then you go home and almost no pain. I've been doing great ever sense and don't have to take the med's anymore. No issue with ED. I did have to exercise my Kegel muscles to strengthen my pelvic floor which supports the urinary system. I'll be happy to answer any questions y'all have on my experience with this procedure. Like joenfl2017, I sleep through the night and the BPH is gone.

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Enjoyed your post. Thinking of doing the same. Tried the Urolift which was useless. One question. Did the urologist recommend sleep apnea may be the problem with the sleeping part? Seems weird to me but I had to ask you. Thanks

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The Urologist did ask if I had issues sleeping or been tested for sleep apnea. I don't have any issues sleeping and never been tested. Guess I should have asked them about it but it's not a problem for me. I suppose they are thinking that sleep apnea may be causing the waking up to pee vs. the enlarged prostate. I thought the question was weird as well.

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@wallyworld

I'm 64 and had the HoLEP procedure this past July and went from a garden hose trickle to a firehose concerning flow. I highly recommend this procedure. One night in the hospital to monitor bleeding then you go home and almost no pain. I've been doing great ever sense and don't have to take the med's anymore. No issue with ED. I did have to exercise my Kegel muscles to strengthen my pelvic floor which supports the urinary system. I'll be happy to answer any questions y'all have on my experience with this procedure. Like joenfl2017, I sleep through the night and the BPH is gone.

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Congrats on your successful surgery. Guys posting below about sleep apnea. I have had it for over a decade using CPAP. Urologist never mentioned that as a cause for BPH.

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