D day REZUM 6/30/2017 and after the treatment

Men's health
1

I'm 59 yrs old, good health besides BPH, jogging daily except Sunday for almot 20 yrs, before treatment take 1 procar + 2 Flomax everyday around 7 yrs, when bladder not full can pee around 120cc each time and if drink lots of liquid, bladder full, can only pee around 50cc each time and then...

06/30/17 Treat with REZUM and with Catheter on for 3 days; felt not comfortable and took Tyleno when feel little fever & headache , decide to remove catheter, but after 7 hours still can't let it out, zero urine, so put catheter back on for another 5 days, feel almost the same like the first 3 days, actually the 4th & 5th day felt better than before( I mean body) and remove catheter off on the 5th days, can pee, but oh my god, rather with catheter on for another 3 days, because when without catheter can pee, but have to use all my effort my body can do to pee and still pee from 0 to 10 to 20, situation last for 3 days, today is 07/10/17 wake up the morning and pee although only 25-50cc but pee easy, no need to use big effort, cmopare to the last 9 days, today is heaven.

REZUM treatment is easy, only take my Doctors 10 min. I saw it on monitor to treat my prostate, and I though I can goto work after 3 or 5 days, but to me, at least 10 days to recover, I think if you lay down on bed for the most of time, maybe can recover in 7 days, but it's ot easy, because, during the time, although you can walk, but slow, sleep on beed for too long will get tired too, to seat will feel preasure on your prostate, so better lay down.

OK, guys send me your question, I wish everyone can get good health, especially has no problem with BPH

2

Morris    HOPE all will work out for you.  Sometime you will take longer to heal they other me.  Good look.  Let us kbow how you are in a few weeks  Ken

3

Hi Morris;

I always tell patients who have this done that the first few weeks are the worst- definitely a healing process. It can take over 6 months to get the maximum effect, but most men are pretty happy by the end of the first month.

Hang in there!

4

Hi Morris,

Are you able to urinate without the catheter now? If not, or if you voids are very small, instead of putting the Foley back in, consider self catheriation (CIC) until things naturally resolve. CIC has several advantages over the Foley, including more freedom of movement, nothing in the urethra, and less chance of infection. It also gives you the opportunity to cath only when, and how much, you need it, rather than be draining 24/7. There are lots of use here who have and are self cathing, for various reasons. Most people take it up very quickly, and with practice only takes a minute or two. 

Jim

5

I didn't know REZUM need like a month to see first result, because the REZUM website give too many positive thought and make me expect too much, thank you anyway

6

Thank you and let you know

7

I can do only like 15 to 50cc each time, thank you

8

In that case I think you might find CIC preferable to wearing a Foley for reasons previously given.

Jim

9

Hi JerseyUrologyGr,

Thanks very much for contributing your thoughts to the forum. I'm curious about the Rezum procedure. How would you compare it, in terms of success, recovery, and side effects, with TURP and Green Light? 

I had a PAE a little more than two months ago, with mixed results. Any thoughts you care to share on that procedure?

Don

 

10

Thank you, since I already start slow jogging yesterday and I always sweat a lot, maybe around 500cc sweat, and then I go like 3 times an hour, so bladder feel OK, when I massage the area, feel normal

11

Thank you and do you know where I can get Foley? Ride aid and do I need prescription?

12

Hi Morris,

It's not called a Foley when you self cath. It's just called a catheter for self cathing. 

No, you probably won't find them in drug stores and even medical supply stores have limited selections. Most of us work with online distributors who mail us the catheters each month. 

Yes, an Rx is required, at least from the major distributors. Do you have Medicare or another insurance that covers catheters? If you have Medicare, they pay for up to 200 catheters a month. 

If your not having any meaningful voids, that usually translates into 6 catheters day or 180 a month. So have your urologist write a rx for 6x/day. If you have any obstruction from your prostate, I also recommend you start with a hydrophillic catheter with a Coude (bent) tip in size FR14. The online distributor can help with the rx and paperwork.

Jim

13

Some popular catheters here are the Coloplast Speedicath coude, the Coloplast  FLEX Coude, Lofric Origo Coude, and the Bard Magic 3 hydrophillic Coude catheters. The distributors will send you free samples, so you might want to try more than one in the beginning. With the exception of the Coloplast FLEX coude, the tip of the other catheters have to be oriented properly. So make sure you learn about that before using. More information in the self cathing threads, or you can ask more questions there. Here's a link:

https://patient.info/forums/discuss/self-catherization-issues-and-problems-552686

14

Got it, thank you

15

13 days after REZUM, before I can do 120cc each trip and today 7/13/17 I can still do only 25 to 30cc each trip, is there something not done properly?

16

I don't know much about the PAE procedure.

Rezum is a newer, minimally invasive procedure.

Side effects are pretty minimal compared to traditional resection procedures. General recovery is quick, but urination recovery takes several weeks to months, as it takes some time for the tissue to necrose (die).

17

I would follow-up with your urologist to make sure you are not in urinary retention.

18

In your experience, what is the success rate with Rezum? That is, what % of men experience significant improvement in BPH symptoms following Rezum? And how common is retrograde ejaculation with this procedure? 

19

Retrograde Ejaculation is lower than most traditional procedures; probably around 5%. Like any procedure performed on the prostate, however, it is unlikely to be 0.

Most men who have been appropriately tested prior to the procedure show significant improvement by month 4, but obviously every case is unique.

20

5% is very low, compared to traditional procedures. I once asked a urologist at Johns Hopkins what the % of RE was with TURP and Green Light, and he said, "100%--if it's done right." Why is Rezum so much lower?