TUNA vs Rezum

I have heard that if a TUNA procedure, (which I had) did not work, then Rezum will not work either.

That the only difference is the way tissue around the prostate is treated; radiowave vs water vapor.

Does that make sense?

No. TUNA is almost never perfromed because it wasn't very effective. Rezum has so far, been much more effective than TUNA. If an enlarged prostate is most or all of the reasons for someone's symptoms and Rezum is performed properly, there is a really good chance (at least 80%) that they will get significant relief from it. Not so for TUNA

Other than the comfort of the procedure, why is it more effective than a TUNA?

Because it works better and more often.

huh?

I do believe that, on one of these postings, one of our brothers-in-suffering spoke of the true incidence of RE (retrograde ejaculation).  His opinion was that the true RE rate was closer to 15%, rather than the reported rate of 5%.  I don't know anything at all about TUNA.  I DO know that Rezum is quickly approaching "gold standard" status.  Many of the guys on here also have high praise for the Urolift procedure though, for some, the procedure didn't go so well.  That said, Urolift is the least invasive procedure of the surgical options.