Results after having Rezum surgery

I have read about all of the different possible surgerys out there and believe that Rezum would be the best at the present time for me. Is there anyone out there who has had this new surgery and can you tell me if it worked. I have read most of the information on how it is done and am wondering about the pain during the procedure and then if it has worked. 

I need to know the same thing....

I had a urolift in early June, with little distress and very good results.  I'm beginning (now, in mid-August) to notice a slightly weaker stream since then, and on this site you'll see reports of having to go back for more implants after a while.  If that's going to be true, I might consider this rezum option, so I signed up to follow the discussion, thanks for bringing it to my attention, hadn't heard of it before.

Hello:

I had the rezum method done on June 10 of this year. In my case, surgery was painful.  I'm not exaggerating as usually I can tolerate a good amount of pain, but when it's down there in that area, definitely not.  I wore a catheter with urine bag for 3 days and had it removed on June 13.  

I was able to urinate ok at the doctors office so I went home and did some yard work around the house without realizing that my prostate was already swollen so doing yard work aggravated the prostate to the point where I could not urinate on my own.  

I went to an emergency care hospital here in the area and was fitted with a another catheter/urine bag which I wore for 4 days.  It was removed on June 17. I was given some disposable catheters to self urinate which I had to use for 6 days.  Finally, by June 23 I was able to urinate on my own.

It has been 2 plus months since the procedure was done and I am to visit my urologist in September.

It is still a bit painful to urinate if I drink tea or soda with caffeine.  Plus I have had only a couple of nights where I had to urinate once.  The rest have been somewhere between 2-3 times and sometimes 4 times nightly.  

I have to be a little honest here and wait until September 13 when I visit my doctor but so far results have been very mixed.

Jerry 

I've just had it done 3 weeks ago and I think it is working. Not a lot of pain during procedure just mainly discomfort. After procedure had to cath several times which is not nice.  There is still blood in urine and Doctor said it might take several months to dissipate.

Yes, forgot to mention blood in urine through June 23.  And when I have to urinate, sometimes I have to run to the bathroom because of the urgency.

 

Jerry, I had selected the REZUM over other treatments, because it seemed the best choice, ie. the least pain, minimal and only tremporary complications, and a quick recovery..Ypour experience now causes me to doubt my decision..Please keep me advised of your progress.

I had Rezum done on March 17. The procedure was short but quite painful and I was in quite a bit of pain for about 6 hours after the procedure. After that, any pain was manageable and only when peeing. My recovery was slow, it took a little over 2 weeks before I could pee at all (self cathed the whole time and that was WAY better than a foley) and it wasn't until about 6 or 7 weeks that I was back to where I was before the procedure. I bled some while peeing for the first four weeks or so and then that stopped.

I have improved steadily since then and am noticeably better than I was before, but despite on open path, apparently have a weak bladder which makes it hard to empty. I'm still getting better and plan to start a thread asking if anyone knows of

anything I can do to strengthen it. My doc says I can look forward to another 6 weeks or so of improvement. 

Bottom line is on recovery time I was one of the slower ones my doc has seen, but now that he's done more he says I'm not the only one. Most people get good results and can pee at least manageably within a week. I'd recommend being twilighted (like for a colonoscopy) if you can because while quick, it can really hurt. I think it should be a first option (along with Urolioft and PAE) for anyone with anything but severe BPH. It's non invasive and there is no real surgery to recover from and if you self cath you can live a pretty normal existance even if it takes a couple of weeks to pee. There is a big Holep contingent on this forum and while it seems to provide good outcomes, the recovery is longer and messier, its a real surgery and will leave you with RE. Many, maybe most can get the results they need with one of the less invasive procedures and spare the surgery and accompanying risks and recovery issues. And you can always get the Holep if the less invasive stuff doesn't get the job done.

Thanks for your response and concise experience with REZUM...

Are you in  the UK?.....It seems your UK doctors, urologist, etc. don't provide local anesthesia for these prostate/bladder treatments/operations...You and others don't mention a local anesthesia in your treatment....If you don't receive the local anesthesia,  I know you must have a lot of pain..I, too, appear to have a weak bladder muscle and my uro doc is favoring  REZUM treatment presently. Thus, my Pee Stream may not be improved a lot. We'll see.

I'm not in the UK - in the US and they did give me local anesthesia but it wasn't sufficient to make the pain reasonable. I don't know whether it would have been even worse without it or whether it just didn't penetrate where they sprayed the steam. Interestignly enough a lot of people feel that administering the local was the most painful part of the procedure - in my case that wasn't bad at all.

FWIW, my stream inproved quite a bit - just not completely and it may get better still.

A series of prostate and bladder tests + a biopsy has determined that I don't have prostate cancer.....I do have a swollen prostate caused by excess tissue that obstructing/blocking my urethra and my self voiding. ...My Uro Doc is scheduling a REZUM for next Tuesday...Please pray for me that the REZUM will be successful with No Complications...

A series of prostate and bladder tests + a biopsy has determined that I don't have prostate cancer.....I do have a swollen prostate caused by excess tissue that obstructing/blocking my urethra and my self voiding. ...My Uro Doc is scheduling a REZUM for next Tuesday...Please pray for me that the REZUM will be successful with No Complications...

let me know how it goes. I would recommend getting twilighted to avoid the pain and get a cath put in before you leave. My Dr. says if done right you can take it out within 48 hrs. 

There seems to be little difference in the procedure and anesthesia,the risks, the healing that swings the pendulum to one side.   Am I missing something other than water vapor and laser vaporizing.   Both are invasive, both have risks and the healing time is not significantly different.   I cannot speak intelligently about it because the subject did not come up when in conversation with my urologist.

​If there is some way of vaporizing the prostate tissue without compromising the urethrae it is unclear.

Im three weeks into recovery with this procedure.  I would say I'm worse off now than before trnprocedure. I have blood in my urin when I first go and have to get up several times in the night. 

I hope in a few more weeks I will be back to my pre sugery state and will continue to improve which was the main goal of this procedure.  

The cathider experience was beyond awful.  I never want to go through that again.   

I was put under for the procedure and do not remember pain except for the cathider. That first day was awful. All cathider time was awful.  It's like having that burning painful sensation you have right before you release your self after holding your bladder for a 14hour car ride. Except that sensation does not go away and you don't get that Ahhhh pleasure feeling when you finally go. 

Its too bad that they didn't have you self cath til you could go on your own. I think every urologist should have to wear a foley catheter for a week every year, so they know what they're putting their patients through when they prescribe them.

What you are experiencing is normal and typical for this procedure. The blood should go away within a week or two and by week 6 most Rezum patients are better than prior to having it done. There is no improvement for at least 30 days, most of the benefits occur during weeks 6-12 and after 6 months, you will have gotten all the benefits you're going to get.

Why urologists don't tell their Rezum patients all of this is beyond me.....

Tomorrow will be 4 weeks since I've had my Rezum surgery. I am 83 years old and this was my choice to help my problems of medication and getting up so many times with no sleep.The first few days were a little uncomfortable for me. I saw very small amounts of blood and burned very little.I had swelling to begin with and that was quite funny how it affected my penis.One day I would be like when I was young and the next day it was over. I am still passing small amounts of blood and occasionally a little burning.I have been told that up to three months this could continue until a complete healing occurs.I do take blood thinners so I'm assuming this is some of my problem. I know everyone responds differently to anything medical, this would still be my choice at all measures.I am happy with the Rezum Procedure!