About 18 months ago my urologist told me that Urolift was a fairly young procedure and suggested I have a consult with another urologist in the Sacramento community that had done a large number of Urolifts. I met with the urologist she recommended who had done several hundred Urolift procedures. He said the procedure does not work very well and the majority of his patients had the symptoms recur within a year or less. He said essentially the anchors pull out of the prostate tissue. Then my health care facility got a new urologist who purportedly had done lots of these procedures and he was very bullish; he said he had done several hundred and all of his patients we're happy after several years so I went ahead and had the procedure. Well less than one year after the Urolift my symptoms were worse than before the procedure.
Docs who do a lot of a procedure, making a lot of money from it, are more likely to overstate benefits. Almost all doctors understate risks or meds and surgeries.
I'm considering REZUM at the recommendation of my urologist, although I my prostate is not particularly enlarged. I experience a lot of prostate pain and urine retention. Also complicating matters is a diagnosis of prostate cancer. Would love to pick Dr. Malik's brain to determine whether REZUM is wise for someone in my situation. Superior video. She is positively brilliant and must have an IQ in the thousands. Good for her! And good for us!! Keep up the stellar work.
I ReZum 3 years ago, and my experience was somewhat similar, the recovery immediately after the procedure was not a straight line improvement. It wasn’t until all the ablated tissue was eliminated in the urine did things get better. After that, I was back to being a younger man with strong stream, easy flow. It has made a big improvement in my quality of life. Wish I had found about the procedure years ago.
Very informative. I'm on my 3rd urologist. My PSA has steadily increased for 2 years. Started st 4.5 and increased. The first urologist wanted to take a wait and see approach. The second urologist after my PSA went from 5 to 7.1 also decided to take a wait and see approach!!! The third urologist was stunned and immediately scheduled a biopsy because he said a PSA of 7 is dangerous high. My mother died of ovarian cancer at the age of 39 because she trusted her doctor's decision to take a wait and see approach. My aunt nagged her for almost a year to get a second opinion. When she did, it was stage 4 and spread. She died at 39. I just don't trust doctors anymore. My wife had COVID in 2020 and I dang near had to threaten the doctor to call in a Z-Pack .....she wanted me to continue to monitor her. By the 5th day, my wife looked like she wasn't going to make it. I told the doctor that I was going to have to put her in the hospital. The doctor reluctantly call in the Z-Pack and 24 hours later my wife was up and walking around. I have lost faith in doctors....
@@maidenlesstarnished8816 It was recommended by doctors because it help the patient fight the symptoms....it did not cure COVID of course, but my wife felt better within 24 hours.
Antibiotics are often prescribed for viral infections to help the body fight secondary infections that may occur since the body is fighting the initial viral infection
There's more that can be done than "wait and see" and before jumping to a biopsy. Watchful waiting is a legitimate course of action when the psa is below 10, they do some lab tests and take a few other things into consideration, 4k score, free psa ratio, size of the prostate, how quick the psa score is rising, results of digital rectal exam, family history of prostate cancer, and another lab test or two that I can't think of. How quick did your psa increase from 4.5 to 7.1? What was your percent of free psa?
I just completed the Rezum procedure 35 days ago. Obviously, it's too early to say how I will be 3-5 years from now but it was a fast process and done in the MD's office. The first 30 days were for me a little challenging with very frequent painful urges to pee w/ some bleeding day and nite. I was advised to expect the post-procedure recovery to be several weeks before I saw a change. On the 30th day, it changed dramatically for the better most of the symptoms ceased over nite.
I just had green light laser procedure. Experiencing similar issues but it's only been 10 days. I hope my 30 day milestone is as good as your experience.
Not all Doctor's are helpful, personally I had too wait. And see a alternate Doctor. Plus it's helpful to study up a bit, and look a videos by Dr. Malik and others to give yourself a better understanding on what your treatment options are, good luck with your health care providers.👍👍👍😁😁
L E R, I had the same effects you did, although mine only lasted about two weeks after the catheter was removed, from then on recovery was quick and the Rezum procedure is working just as they advertise it to be.
5 years later I'm good with the REZUM procedure. I was in and out within 45 minutes, I wore a catheter bag for 5 days, after that no discomfort, no more getting up twice a night anymore. REZUM is the best method I have read about. As for the little plastic devices, I couldn't get past having 2 needles that close to the family jewels.
I am of the opinion that the HoLEP (Holmium laser enucleation of the pros.) operation is superior to the two methods under discussion. The operation is not given in many hospitals, and it does require a rigorous learning curve to master. I left the hospital (Vanderbilt) after only one night, and the only mildly bothersome after affect was a momentary twinge after urination for 3 days. The results were wonderful, with an enlarged space in the prostate for proper urination. Ejaculate was reduced but with my vasectomy that was not a problem since my baby creation days are long gone.
I had Urolift done...no big deal...I LOVE IT!! Saw an old friend at a class reunion. He had had it done....much difficulty. So my take is the Dr. doing it makes a difference.
I love how so many medical professionals say that such and such procedure does not require general anesthesia; as if that is a wonderful thing. Ask some of the men who have had these procedures and went through living hell with only lidocaine gel.
Please, Dr. Malik! I've been asking for months for you to do a video on pros and cons of replacing a lost testicle with a prosthetic one. There are thousands of us out there!
I had that procedure several years ago, in and out of the hospital jst a day later the worst part was having to lie on the bed and waiting for the incision to heal before they could release the pressure. Certainly improved the flow but sadly that affect only lasted about 3 or 4 years and I am now back to looking at being treated again.
@Rena Malik, M.D. While you're on the prostate subject: Non bacterial prostatitis was a miserably perplexing experience. Incredulously, I was unable to get a clear diagnosis nor efficacious treatment from several urologists at renown teaching hospitals. The pelvic floor dysfunction & related PT may help some patients but is not the panacea for all. Your adept thoughts on a NBP segment would be appreciated.
I haven't had the best luck with urologists. Most of the ones I've seen have been militantly aggressive in everything they wanted to do and because I didn't want to do most of the stuff they pushed, I was told not to come back. I have chronic bacterial prostatitis that frequently flares up with a UTI and it took forever to be correctly diagnosed. Most of the urologists immediately went the cancer route without listening to me but, funny thing, 12 years later no sign of cancer but they sure marketed their preferred treatments. Add to that the fact that I was born with a hyperspadia and underwent several surgeries to correct it things for me just are not normal. Since the surgeries as a toddler, I've NEVER had a strong stream, ever but I sure get an earful about it being a sign. Every time the prostatitis flares up my PSA skyrockets quickly and I'm sick and tired of urologists salivating over biopsying my prostate during that flare up. Last time it went to 7.86 but after six weeks of antibiotics it was a whopping 1.0 yet the demands to biopsy continued until I fired the doctor. I know I have some symptoms of BHP but I really don't suffer that much from it. Because of the repair surgeries I sit to pee but when I have to give a urine sample I stand and when that happens I'm very hesitant, it stops and starts and I know I don't completely empty the bladder but I had always attributed that to surgeries, I have no problem sitting. Point is, Dr. Malik you explain things very thoroughly and give options, I wish you were my urologist.
I agree I had the same experience. When I would complain about not getting the help I needed or asked too many questions the doc fired me. Happened twice. They want to do barbaric unproven procedures and rack up the most points for doing the most yet they dont want to answer your questions! Deplorable. They are a disgrace to the profession. Doctors dont care about their patients anymore it is quite obvious. Those are the ones that totally suck and that is the majority of them now days sadly. Shame! These are painful procedures with risks that they charge an arm and a leg for and half the time do not help and may even harm.
I mean read some of these testimonies. It's all over the board. Even this video makes it sound like a walk in the park with very little risk. It is all bs! They dont tell you the truth.
@@danielriccardi6408 Hi, im suppsed to have an enlarged prostate but can ejaculate no problem and dont need to get up at all so having said that did you only have problems of not being able to that when you knew there was a prostate problem as the only symtom i have is poor flow?
I am about to have a REZUM treatment for enlarged prostate. I spoke with my surgeon about the difference between REZUM and Urolif. He said those who chose Urolift have to have the procedure repeated after a few years because the prostate keeps expanding. However, with REZUM there is no need to ever do it.again.
I had the Rezum. I bleed for 9 weeks, had an infection, had blockages by blood clots where I couldn't urinate. It was terrible. 12 weeks after the procedure I discovered that I had dry organisms & retrograde ejaculations. Not fun. I needed a operation but if I had it to do again I would take the Urolift.
I had The Resuum also and it left me with retrograde ejaculation. The Doctor kept telling me fur weeks that it would come back but it never did.I went to 3 different big time Urologists Brevard I wanted it repaired. They all told me that the surgery would be too risky that it could make me incontinent. Did your retrograde ejaculated get resolved with surgery ?
@@rafamerengues8935 I would go with the least invasive first & that would be Uro Lift. That's not for everyone so Rezum is second best. According to my urologist the retrograde ejaculations is very common.
@@IAmTheEggMan111 Dr. Zeph Okeke. A brilliant surgeon. It's the standard side effects. 1. Blood in your pee. This goes away after about a week. 2. Pain after urination. This is due to the spintcher recalibrating so it over closes thus causing pain. This goes away after about 4-5 weeks. It can go away sooner if you start the kegel exercises. 3. Unriary incontinence this actually go through stages. First there is none done to the post op swelling (invisible to the eye as it's internal). Then there is the intermittent dribble. Then you (I had) have a really bad day where you dribble for the entire day uncontrollably. After that you are almost fully recalibrated. Again, this phase can be minimize with starting the kegel exercises early. The plus is that (my) erections get stronger. After 3 months you (I was) are back to 100% urinary control. Now onto the lingering side effect. You have "dry" ejaculation. This means that when you ejaculated, it stays (temporarily) in the prostate cavity, then you can either pulsate and release or you can wait to pee it out. You're still fertile, and can still get a women pregnant, but it will take practice and technique to accomplish it naturally.
I had a cystoscopy before I was to have the Rezum procedure. I ended up with a UTI which caused me to have kidney failure and a heart attack. I'm fortunate to still be alive after my urologist POS messed up. I'LL PASS!
You didn't mention PAE (prosthetic artery embolization) very minimal procedure. It basically blocks blood flow to the prostate stunting it's growth. I had it done in February and although I am not 100 percent. I am happy with results.
I had that procedure several years ago, in and out of the hospital jst a day later the worst part was having to lie on the bed and waiting for the incision to heal before they could release the pressure. Certainly improved the flow but sadly that affect only lasted about 3 or 4 years and I am now back to looking at being treated again.
First, after several years of urinating problems and Flomax my Urologist suggested a Urolift. I agreed and they tried the procedure. The Urolift rep was present. Here's the thing with the Lift... if the prostate material around the urethra is irregular or uneven the titanium bars won't be able to be installed correctly to enlarge the passage. They got one done right then gave up. I carry a card for when I set off the TSA warning or get an MRI. Two weeks later I had a TURP. It's a more difficult recovery but works. Take Bobby O's comment below to heart. Oh, and do everything you can to stay off Flomax. They don't tell you the side effects... slowly sucks the life out of you.
@@hondaman6918 Read the label and ASK your urologist. If he soft peddles the side effects... get another doc. The #1 effect takes a bit of time to show itself... exhaustion. You slowly feel tired and just not yourself. When I mentioned this to my doc he quipped, 'oh yes, that's one of the side effects.' Good luck.
I had both procedures done. Urolift didn't work for me and was the most painful thing I ever experienced. I had the Rezum procedure done and had no pain and it worked perfectly.
I want to thank you doctor, thanks to your educational videos I went to my urologist and got diagnosed with BPH, so my doctor and I decided to get the Rezum treatment , and now I'm doing 100% better!
I dodged my urologist's recommendation to undergo a TURP - and risk impotence and incontinence - 14 years ago. I lucked on to the combination of one Tamsulosin and Cialis pill each day and have zero problems except slow peeing. My prostate is very large at 100 ml.
Dear Rena Hi! Thank you again for what you do to help in pelvic health with you immense experience & with generousity. I have viewed almostvall of your vedios. I'm 60+ & have mild BPH & have followed your presentations. 1 How do you compare effects of appropriate diet with the various procedures available? 2 What do you say on dry skin brush? Thank you.
FYI, I had PAE procedure at Johns Hopkins - best decision I every made!! within two days i could urinate like I did when i was in my 20’s. I like to travel by driving, I can go 3 or 4 hours without having to urinate. Again, best decision i every made…. Also, no retrograde ejaculation! Check it out and it is done by radiologists….
If you have a 8-5 day job, getting up multiple times at night negatively impacts your effectiveness during the day. I have had at least 3, maybe 4 procedures in the past (all TURPS) and it's now time for another. Oh well....
@@benhill452 I'm sorry. I have only been retired about a year. I'm not a big sleeper. If I do not have to pee, Smaug, the cat, awakens me at about 4 because he is hungry and is far too lazy to go outside and catch a mouse around the workshop.
@@jamescalifornia2964 I understand, and that can and is done, especially if the prostate is cancerous. There can be and often are unpleasant side effects from the surgery.
I take supplements and it helps…I understand that I’m an idiot with my health. Guys open your eyes. Thank you Ma’am for your knowledge and courage to discuss this.
I feel like I am in the stone ages. As I get older I am more frightened of what doctors will want to do to me than I am of the problems themselves. I am sure that eventually I will be forced to choose something, but I have little doubt that a 100 years from now they will look back on all of this and think of it as barbaric. I already do. Seems like all of this treats the symptom while doing nothing about the cause?
I did Rezume , not a 10 minute job , lots of pain , blood etc, they gave me an antibiotic a " flox" which was very very strong. I took 7 days to remove the catherter and will now see if this all works. Its not a simple procedure , it makes you feel sick , so before you go ahead seek out other men and their experiences. Be careful of any anti biotic with a " flox" in the name or floride , these are f killers.
Dr. Malik. I was considering the Urolift procedure but read that this procedure could possibly damage the entire channel from bladder to urethra. Could you comment on what you know about this please?
Your videos are really helpful. I had the Urolift procedure but have since continuously felt pain like being pricked by needles. This can be particularly bad in the early morning when my body's relaxed and mind nothing else to think about. It's starting to get more prominent and very frustrating.
@@EricJohn2008 hi Eric my name's Juan and I'm about to have the rezum procedure in a week I have a very slow stream and a psa of 5.0 and jus having a lot of anxiety partner about this procedure my Dr. Didn't talk to me about the good and the bad of this procedure jus scheduled me for do have any advice for me wat to expect how long did u have to be in a catheter for and did this procedure help wit ur urinary issue buddy ?
@@juancasillasjrfalu5888 My experience was pretty uneventful. It was done in the Urologist's office. they put me under for about 30 minutes and the procedure was over. I was catheterized while I was still under and wore a bag around my thigh for 5 days. I returned to my doctor's office, had the catheter removed and I was done. I experienced no pain, only a small bit of blood initially, to be expected, but no visible discomfort. Good luck! You're going to feel better.
What about Prostatic Arterial Embolization as another treatment that won’t impact your sex life? I would be interested in hearing your take on the pros and cons of PAE in a future video.
PAE is painless and worked amazingly well for me... 125cc and growing prostate reversed to 45cc after 6 months and still shrinking 99% of my LUTs symptoms are gone!!!
I wonder a bit if the patients who were given the sham procedure during the study were later given the option to have the real procedure applied later. Otherwise my gut feeling says this would be unethical.
I hope they were paid very well to participate in the study. I mean who in their right mind would volunteer for the chance to end up in the "placebo" control group, and have to go thru the procedure which can't be painless, followed by post-procedural catheterization!
Dr. Malik, thanks for the presentation. I am still debating which procedure fits my needs. Among the comments I have: the apathy from some doctors about the sensitivity of this issue in men , only creates misunderstandings about the human principles in these cases. Luckily we have different procedures available and unfortunately less than 55% in 5 years for good results. For whatever reasons. Some facilities have determined a ‘gold standard procedure’ without offering more better results. Whichever option we choose, we have become a subject of experimentation. All available options presents risks and low percentages of wellbeing, being BPH with a higher incidence/ occurrence than a breast cancers… Medical treatments are not an excellent option for all sufferers of this condition. Only benefits the pharmaceutical industry. Please whenever you have time, can you report us your opinion about the Aqua Ablation procedure? Thanks for your understanding to this issue. Excellent reporting. RBM
It’s a shame most urologists don’t mention Prostatic artery embolization (PAE) as an effective treatment for BPH - mainly I suspect since it’s performed by radiologist
@@davidd9045 Follow the money! And it's performed by an interventional radiologist, not a urologist. It's sad but that is the state of healthcare in the U.S.
I had that procedure several years ago, in and out of the hospital jst a day later the worst part was having to lie on the bed and waiting for the incision to heal before they could release the pressure. Certainly improved the flow but sadly that affect only lasted about 3 or 4 years and I am now back to looking at being treated again.
I wish you had talked about which procedure is YOUR favorite, or which one you typically recommend for your patients. Also, you didn't talk about the older surgical procedures that used to be used for prostate surgery (TURP, etc.). Do these newer, less invasive procedures typically make the TURP procedures unnecessary, or are they still required later down the road most of the time? Also, can you have the Urolift/Rezum procedures more than once? Which procedure would you have first if you were a man?
I'm thinking of getting the resum/vapor treatment as my doctor stated to me that the Urolift was too evasive. So my question is if it is a successful procedure, will I have to repeat the surgery every 5 or so years or is it a one time only procedure and am I good for the rest of my life? I just turned 57 two days ago and have been taking Flomax for over 20+ years. P.S. I wish you were my doctor. ;)
I'm in the UK. I had the Urolift procedure under general anaesthetic with 5 "anchors" being inserted. All seemed to go well at first with improved flow and a little less urgency, but it didn't last long. A few months later, I was back to square one with weak flow, partial bladder emptying, high frequency and urgency. I am now waiting for TURP. The surgeon wanted to try TURP with laser but he can't use it because of the risk of the laser beam bouncing off the anchors and causing more damage, so I have to have a more traditional surgery (once I get to the end of the very long waiting list)
Hi Mrs. Malik. Thanks for sharing your knowledge and experience. I also heard about the "robotic aquablation" of the prostate. which seems also very little invasive. My prostate is too big for most medical interventions. Can you tell us more about that protocol, please? Thanks, Paul
Hi, im suppsed to have an enlarged prostate but can ejaculate no problem and dont need to get up at all so having said that did you only have problems of not being able to that when you knew there was a prostate problem as the only symtom i have is poor flow?
@@gtibruce Hi... I had many problems: poor flow, but also going to the bathroom 7=8=10 times during the night. I also went to the hospital after a lot of suffering from urine retention a couple of times. Even during the day, I had to go to pee every hour! Every urologist I consulted told me that my prostate was too big (10 grams) for most of the available operations. I was waiting for the partial "robotic aquablation" (cold water) of my prostate, and it has been finally available in Montreal. The operation is very neat and quick (15 minutes) and you can go home as soon as the anesthesia is gone., the same day. Now it has been 4 months and all my prostate problems are solved.
Why is there no simple stenting procedure developed similar the that used in arteries on the heart or Aorta? Surely you just want to open the passageway. What is the obstacle to that type of procedure?
Forget Rezum and Urolift. Look at PAE - prostate anterior embolization! It's a simple procedure done in outpatient. Lots of data on the procedure with extremely high success rates. Its performed by a radiologist so many urologists are not eager to offer PAE as a viable and less invasive option. Take the time to check out PAE - you will not regret it.
Like any procedure, it is not always effective. I had one two years ago and it did nothing for me, but it is a painless procedure and easy to recover from.
Had a Urolift in June of 2020 and had great results. But after some unrelated surgery later that year left me with recurring UTIs a different urologist did a cystoscopy late in 2021 and showed me that the Urolift was in fact failing. It was going to have to be addressed at some point. Ended up having a HOLEP in February 2022 and at that time they had to remove all the Urolift hardware. While it didn't cure the UTIs (the doctor couldn't guarantee it would), I can now pee like a 20 year old again.
@@christga100 HOLEP went well and there was about a six-week recovery period. Had the procedure on a Tuesday and left the hospital that evening. Went back to work the following Monday. No heavy lifting or weights for 4 weeks. No sexual activity for 4 weeks. Although I did end up with retrograde ejaculation (knew that going in), it was a small price to pay and really doesn't bother me. Had some ED prior to the procedure, but afterwards I started Dr. Rachael Ross' ED Smoothies, and that went away completely! Now I drink them every day. Also had some urinary incontinence after the surgery but that's gone too. It wasn't the most comfortable procedure I've had, but looking back glad I did it.
I have BPH and suffer from Retrograde Ejaculation, almost nothing. Does this result from the BPH interfering with the tubes for it? Is it possible that either procedure can partially or completely correct that problem. When I had my bladder check for non existing problem the Urologist told me to live with the retrograde ejaculation. Inquiring minds. Thanks Dr. Malik for your educational videos!
I'm 68 now and had a TURP procedure 11 years ago. Things were fine for 10 years and then the frequency problems started returning; getting up 4-5 times a night with little flow. my urologist did a digital exam and put me back on Flomax to see if it might be effective. I ended up in the emergency room where they drained 2+ liters of urine from my bladder. I had to self catheter for two weeks before I could see my urologist. He performed an optical exam and verified the enlargement and scar tissue from the previous TURP. He was ready to schedule another TURP when I asked him why I couldn't just continue using the self catheter procedure 4 times a day. He said there is no reason you can't do it, so I chose that option. I sleep through the night now, and pee on a schedule. It's not a pleasant procedure, but not painful either. Does any else out there do this?, or know of any reasons why I shouldn't be doing this?
@@rayswick4707 I've only been doing this for 8 months and everything has been ok. I try to keep everything sanitary, and take a 36mg PAC Cranberry tablet daily.
I’ve been self-cathing for about 4 years, 7 times per day…..Not great, but at least I’m going on schedule and other than an occasional UTI, all good! I take D-Mannose to limit the UTI’s….
Dr Malik, I had Rezum 4 years ago. I just came from my new urologist and he informs me that I should consider either Urolift or aqua ablation. After I had rezum it took a few months before I had much improved flow. I was pleased with it but apparently it doesn’t last as long as I had hoped. I had the sense that my new doctor wasn’t a fan of the Rezum procedure for the same reason I am not. It just didn’t last. I’m seeing comments on RUclips from many who regret their Urolift procedure and complain that it was painful and need surgery to remove the lifters. That being said your opinion please of the aqua ablation procedure. Thanks
What about Tulsa Procedure? I hope I have the name right - I think it is a magnetic resonance procedure. It is being tested at several sites in the US including Mayo.
Dr. Malik: Thank you for addressing this important isse. I have 3 questions about these 2 procedures. 1) Several urologists & a package insert have indicated that these procedures are not appropriate for men with prostates as large as mine (100ml). What is your experience on this, why is it claimed, and what do you feel is the most appropriate treatment for BPH in men with 100ml prostates? 2) One urologist who tried Rezume, told me that he felt the Rezume probe was too short to reach the full area needing treatment in patients with 100ml prostates, yet his partner who continues to use Rezume told me he saw no problem with this larger prostate size. What is the bottom line here? 3) My prostate enlargement does have a significant component of the BPH in the middle lobe, causing my prostate to extend into the bladder lumen. Does this feature modify which treatment is better for me? Thank you for your answers. Respectfully, Jim Eastep, DVM, Diplomate Veterinary Pathology.
I had a 90 cc prostate. mayo clinic, Rochester MN told me my only option was a radical prostatectomy. Not true. I underwent a prostate artery embolization at the University of MN in Nov, 2019 and never looked back. I get up once per night and all of my other functions are normal . I’m 75 .
I have done Rezum 3 years ago my prostat is around 85 my urinate got a lot better for 2 years with out medication now I may need do something us because is real hard to pee, I have to use catheter for 4 weeks, and I got urine 2 infections the first week was real good I even went to work with the catheter but the other 2 weeks I was on a real pain, I recommend to 3 friends and 2 of them got infected the same has me real painful infections if you do Rezum try to be on rest do not get confident the first week with the catheter rest because you are going be on real pain, I know is not the same for all of us I hope for everyone us is a lot better
There is no way I would have it done without anesthesia, I had it done with anesthesia and have read horror stories about people complaining of pain with 8 clamps being put in. I had zero pain following insertion of clamps. I went home the same day and pulled fully out myself the next morning because I’m an RN. What I will say is that I had a recurrence of prostate growing around the clamps and wound up, having a prosthetic artery mobilization less than a year later.
I had a Rezum procedure done with minimal success, and 4 years later the prostate grew to a pre Rezum size. None of my Urologists ( including you ) never talk to me about PAE ( Prostatic Artery Embolization) procedure that is much easier procedure and address the ever growing prostate. Can you do a video on PAE procedure?
Do you know a dr in California that does the rezume procedure thanks for clarifying these procedures and what’s involved and the 2-5 days with a catheter may change my mind
I got my rezum at UCSF. I would never have the urolift. From what I understand if you have urolift you cannot be treated for cancer afterword if you get it.
I had the Rezum method done two years ago. I’m 73. Urine flow is good, but not that of a young man. Maybe 60%, but still much better and not a problem anymore. My bladder is now emptying fully. Ejaculatory volume is greatly reduced, sometimes nothing at all comes out. Not really a problem and just something I had to get used to. Doc said it was because of reduced back-pressure it now goes directly into the bladder. Wife doesn’t mind at all, less messy. Sex and orgasmic function is great and the only lingering side effect is some small bit of pain in the urethra (from insertion of the tube to do the procedure) when I get an erection. Scar tissue? Also it took about three months for the full resumption of urinary flow. The procedure is painful at the last few seconds of the steam injections…I had to have nine of them, 9 seconds long each. I recommend taking a pain pill beforehand, if you have one. Overall I am happy and would do it again without question. It is such a lifestyle improvement.
My question is being raise on a farm and seeing farmers nail fences to trees and after a year seeing the tree grow over the fence is this what going to happen? This Rezum method sound good , but how about the PAE method (Postrate Artery Enmolbizaton ) we’re they cut the arteries that feed from growing
Regarding "Urolift", I don't like the idea of having strings and staples pushed through my prostate, nor would I like them going through my testicles. I was diagnosed with BPH and put on meds. Sometimes I wonder about this diagnosis. Same days I pee just fine, and some days I struggle. Prostate doesn't shrink and expand like a sponge, I think... I'll look for second and third opinion.
Start changing your diet. Keto .. some intermittent fasting.. Take a combination of Tamulisin and Prostagutt. Works great if you have the discipline for it..
@@scotniver7180 No thanks. Many of my friends swore by Keto and Adkins before it. They lost the weight all right, but they all now have heart disease and multiple blocked arteries, all due to high cholesterol found in animal products.
Dr Malik, My name is Mario. I'm a 69 yr old with BPH with all the bothersome symptoms. I appreciate your comparisons of Rezum and Urolift. Would it not be more invasive to have the Rezum procedure as is actually burning off prostatic tissue? What about scarring?
Actually, although I did not hear from Dr Malik I had the Rezum procedure done by my local urologist and it has given me less urinary frequency at night and it has reduced the urgency. However I had a catheter for approximately a week which was a bit bothersome and inconvenient. Overall I recommend it.@@danielriccardi6408
Hello DrMalic could you please do a video on prostate massage for BPH. I’ve heard regular prostate massage (milking) can reduce pressure in the prostate thus pressure on the urethra. Your thoughts would be appreciated.
Very informative but I'd like to know your thoughts about PAE (Prostate Artery Embolization) vs. these treatments. PAE seem much less invasive, and advertises no sexual side effects, but I'm concerned with the fact that it actually kills some prostate tissue and the long-term effects of that. Perhaps you could address this procedure in a future video.
I had urolift done several years ago two and a half years later had to have TURPS done as my prostate had expanded and the urolift ties cut through my prostate causing excessive bleeding
Great info Rena. I only wish the V.A. Gave me as much. They are not good on info. and only want to continue with procedure. They get tired of me questioning their protocol. Perhaps you could work for the V.A.
You mention the REZUM procedure takes a few minutes in outpatient office, but other video's from actual Urologists state the need for full anastetic, and a catheter for a week, and one or two months before they see results. Can you please help clarify?
Some Uro’s do Rezum under general, some under local. Seems like local is the preferred way in the US. In Australia general is definitely the norm. I had mine under general. One week of catheter. Excellent results with absolutely no side effects after 3 months.
I had the Rezum treatment without any anesthesia; it was the most horrific experience I ever had. It's hard to even think about it. The procedure was not only in effective but it left me with retrograde ejactulation. Two years after the procedure I still have discomfort. I still take tamosulosin which I wanted to get off of. Uroloft is another gimmick. Both of these procedures are for making money and not providing significant help. A friend of mine had the Uroloft procedure done twice. He is still uses a sub-pubic catheter. I would like to bring a lawsuit against my doctor and Boston Scientific for their barbaric Rezum procedure. Please think twice.
I posted my story above. I am esatic having rezum. Never had pain just some discomfort from the cath and some burning and urges to Pete. But all subsided and doing great. Always good to look up the urologist doing the procedure
Urolift completely and permanently destroyed my life !!!! Now I am faced with my new urologist wanting to do another surgery (greenlight) to correct to the botched UROLIFT procedure. I am told I would have to self catheterize everyday possible for the rest of my life. My symptoms now are WORSE than before Urolift. Please be advised and don't say I didn't warn you if you get this procedure !!!!!
I have an enlarged prostate for quite a few years. Medication of different types did not help, what so ever, so I then had Urolift done. Worked good for about two & a half months, then right back to the same problem. From what I have read about Rezum, I may try that, because it seems to make more sense. If that doesn't work, well I am now 84, so maybe I will die before having anything else like surgery done.
I just had the Urolift procedure this morning. Hurts like hell to piss lol, bit that should subside quickly. I researched all options and Urolift stood out as the number 1 way to go. If you are on the fence, don't be. I will tell you, however, that if your symptoms are mostly controlled by meds amd the retrograde ejaculation doesn't irritate you, I found additional relief taking a shot glass of high quality olive oil every night. I quickly went from getting up 2-4 times a night to only once and cutting my Tamsulosindose from .8 to .4 daily. My prostate was fairly large, but after 2 months using olive oil I only needed to clips to open me up, so something to think about. However, I don't believe it will reverse the issue completely. Look forward to the first nut in 2 weeks!! 😂😅😂
Had the UroLift done about 5 yrs ago and it was a terrible uncomfortable two weeks following especially first two days. For me I was put out for the procedure and I wouldn’t recommend it without it. Actually drugs weren’t good for me, I didn’t like them at all. Am I better now I guess but urges and especially leakage is worst.
Had the Urolift thing done....twice. Seems the little pin devices don't keep the rest of the tissue from growing or expanding, so it only works for a little while.
So in order to test it they put one guy through a real procedure and another guy through a fake procedure. That's a lot of discomfort and humiliation to put a man through to produce an intentional negative outcome. Maybe they need to find another way that might be less damaging? I guess I would have to ask what does this do to his ego and sense of masculinity? God, I hope this was considered. And why are they just showing men in their 60s and 70s with gray hair? Prostate enlargement can and does very often happen much earlier.
I had similar thoughts, though I considered that the patients may have been told in advance that they could be part of a clinical study if they chose to participate, and that maybe it was revealed upfront that they might not get the real thing if they agreed to being part of the study. I doubt those doing the study wanted to reveal _too_ much, given the placebo effect or whatever the fake procedure's purpose was. But I feel even more certain that they would not let a patient go indefinitely without informing recipients of the fake procedure what had happened, and offering to pay for the real procedure in those cases.
The scientific principle of research require the procedure be done with and without the therapeutic part of the treatment, in order to prove it works. If patients got better just by inserting the tools and not actually doing anything, then why bother with the actual treatment part. Get over the humiliation part. They are professionals and you don’t have anything so special that they will remember it 5 minutes after they are finished with you. If women had your attitude, your mom wouldn’t have ever delivered you. Grow up.
@@drgibson410 I wonder if doing this on monkeys would be a good test bed as all male primates have a prostate. I think the point is often missed when “professionals” say they have seen it all before…. It’s NOT about the worker. It’s about the feelings of the patient/customer. The workers sensitivity is not the clients issue. Perhaps folks in a hospital setting should validate the the clients feelings, calm them them and reassure them and offer same gender care if wanted. This would be far more caring and humane that an attitude of “grow up and get over it, who cares ”
I just recently found your channel and subscribed very helpful information and I can tell you really care about your work and your patients. I really like how you always end your videos. I was recently diagnosed with bladder cancer. Do you have any information on this that I can watch or read?? Thank you so much.
![DDG & G Herbo - Nosey [Official Video]](http://i.ytimg.com/vi/I9Ra0Zc2NlQ/mqdefault.jpg)
About 18 months ago my urologist told me that Urolift was a fairly young procedure and suggested I have a consult with another urologist in the Sacramento community that had done a large number of Urolifts. I met with the urologist she recommended who had done several hundred Urolift procedures. He said the procedure does not work very well and the majority of his patients had the symptoms recur within a year or less. He said essentially the anchors pull out of the prostate tissue. Then my health care facility got a new urologist who purportedly had done lots of these procedures and he was very bullish; he said he had done several hundred and all of his patients we're happy after several years so I went ahead and had the procedure. Well less than one year after the Urolift my symptoms were worse than before the procedure.
Yup, my urolift lasted only 1 1/2- years...then the TURP. As far as I'm concerned it's useless
You never listen from HoLep???????
Yikes. I was thinking that I wish I had it done instead of turp
Docs who do a lot of a procedure, making a lot of money from it, are more likely to overstate benefits. Almost all doctors understate risks or meds and surgeries.
Blood pa plp
I had the urolift procedure about six months ago and have had no issues. As I am only 52 years old I did not want the TURP procedure. Thanks Doc
I'm considering REZUM at the recommendation of my urologist, although I my prostate is not particularly enlarged. I experience a lot of prostate pain and urine retention. Also complicating matters is a diagnosis of prostate cancer. Would love to pick Dr. Malik's brain to determine whether REZUM is wise for someone in my situation. Superior video. She is positively brilliant and must have an IQ in the thousands. Good for her! And good for us!! Keep up the stellar work.
Please let me know what medicine you have used,???
@@azharkhan3439 I've used finasteride and alfuzosin, with limited success. Good luck!
@@azharkhan3439 those meds have lots of side effects, flomax works great but my heart beats out my chest
I wonder why none of the docs are considering bladder neck obstruction. A simple tuip (not a turp) will fix that
REZUM worked great for me. No pain. I had the Urolift procedure prior to that and it didn't work at all and was extremely painful.
I ReZum 3 years ago, and my experience was somewhat similar, the recovery immediately after the procedure was not a straight line improvement. It wasn’t until all the ablated tissue was eliminated in the urine did things get better. After that, I was back to being a younger man with strong stream, easy flow. It has made a big improvement in my quality of life. Wish I had found about the procedure years ago.
🚽 in urine is always scary 😨
Were you on meds before you did the procedure?
The rezum procedure can take six months to be effective, surely you were told this would be the case
About your sexual life ,how You do feel?
@@meckev400 I was so happy after 3 weeks. Just dont forget taking ur prostate pills for a month.
Very informative.
I'm on my 3rd urologist. My PSA has steadily increased for 2 years. Started st 4.5 and increased. The first urologist wanted to take a wait and see approach.
The second urologist after my PSA went from 5 to 7.1 also decided to take a wait and see approach!!!
The third urologist was stunned and immediately scheduled a biopsy because he said a PSA of 7 is dangerous high.
My mother died of ovarian cancer at the age of 39 because she trusted her doctor's decision to take a wait and see approach.
My aunt nagged her for almost a year to get a second opinion. When she did, it was stage 4 and spread. She died at 39.
I just don't trust doctors anymore. My wife had COVID in 2020 and I dang near had to threaten the doctor to call in a Z-Pack .....she wanted me to continue to monitor her. By the 5th day, my wife looked like she wasn't going to make it. I told the doctor that I was going to have to put her in the hospital.
The doctor reluctantly call in the Z-Pack and 24 hours later my wife was up and walking around.
I have lost faith in doctors....
Also many of them are very rude to their patients!
Why would an antibiotic help with a viral infection
@@maidenlesstarnished8816
It was recommended by doctors because it help the patient fight the symptoms....it did not cure COVID of course, but my wife felt better within 24 hours.
Antibiotics are often prescribed for viral infections to help the body fight secondary infections that may occur since the body is fighting the initial viral infection
There's more that can be done than "wait and see" and before jumping to a biopsy. Watchful waiting is a legitimate course of action when the psa is below 10, they do some lab tests and take a few other things into consideration, 4k score, free psa ratio, size of the prostate, how quick the psa score is rising, results of digital rectal exam, family history of prostate cancer, and another lab test or two that I can't think of. How quick did your psa increase from 4.5 to 7.1? What was your percent of free psa?
How does one person have so much knowledge it’s amazing! Thank you for the educational videos every week.
I just completed the Rezum procedure 35 days ago. Obviously, it's too early to say how I will be 3-5 years from now but it was a fast process and done in the MD's office. The first 30 days were for me a little challenging with very frequent painful urges to pee w/ some bleeding day and nite. I was advised to expect the post-procedure recovery to be several weeks before I saw a change. On the 30th day, it changed dramatically for the better most of the symptoms ceased over nite.
Thanks for sharing, I’m slowly drifting to getting this done and first hand experiences help, brother!
I just had green light laser procedure. Experiencing similar issues but it's only been 10 days. I hope my 30 day milestone is as good as your experience.
Not all Doctor's are helpful, personally I had too wait. And see a alternate Doctor. Plus it's helpful to study up a bit, and look a videos by Dr. Malik and others to give yourself a better understanding on what your treatment options are, good luck with your health care providers.👍👍👍😁😁
L E R, I had the same effects you did, although mine only lasted about two weeks after the catheter was removed, from then on recovery was quick and the Rezum procedure is working just as they advertise it to be.
5 years later I'm good with the REZUM procedure. I was in and out within 45 minutes, I wore a catheter bag for 5 days, after that no discomfort, no more getting up twice a night anymore. REZUM is the best method I have read about. As for the little plastic devices, I couldn't get past having 2 needles that close to the family jewels.
I am of the opinion that the HoLEP (Holmium laser enucleation of the pros.) operation is superior to the two methods under discussion. The operation is not given in many hospitals, and it does require a rigorous learning curve to master. I left the hospital (Vanderbilt) after only one night, and the only mildly bothersome after affect was a momentary twinge after urination for 3 days.
The results were wonderful, with an enlarged space in the prostate for proper urination. Ejaculate was reduced but with my vasectomy that was not a problem since my baby creation days are long gone.
What about side effects such as urinary incontinence and ED?
I had Urolift done...no big deal...I LOVE IT!! Saw an old friend at a class reunion. He had had it done....much difficulty. So my take is the Dr. doing it makes a difference.
Hi Ken. Which doctor performed yours and where?
Melbourne,FL. Dr. Boris Havkin
results dep a lot on the individual and prostate morphology
I love how so many medical professionals say that such and such procedure does not require general anesthesia; as if that is a wonderful thing. Ask some of the men who have had these procedures and went through living hell with only lidocaine gel.
Please, Dr. Malik! I've been asking for months for you to do a video on pros and cons of replacing a lost testicle with a prosthetic one. There are thousands of us out there!
Get a marble and call it done.
Hi Dr. Malik, Love your channel! Please discuss the PAE procedure, the pros and cons. Thank you for all that you do!
I had that procedure several years ago, in and out of the hospital jst a day later the worst part was having to lie on the bed and waiting for the incision to heal before they could release the pressure. Certainly improved the flow but sadly that affect only lasted about 3 or 4 years and I am now back to looking at being treated again.
@@Tridhos sigh..i am very interested in pae.. but i can't imagine having to do another procedure afterwards..
release what pressure?
PAE DOESNT LAST🙄🙄🙄🙄🙄
I've seen two urologists. Neither have mentioned either of these procedures. Thank you for taking time to explain this info, Dr. Rena!
@Rena Malik, M.D. While you're on the prostate subject: Non bacterial prostatitis was a miserably perplexing experience. Incredulously, I was unable to get a clear diagnosis nor efficacious treatment from several urologists at renown teaching hospitals. The pelvic floor dysfunction & related PT may help some patients but is not the panacea for all. Your adept thoughts on a NBP segment would be appreciated.
what were your symptoms and how did they diagnose you?
Dr. Malik thanks for encapsulating both procedures so completely.
I haven't had the best luck with urologists. Most of the ones I've seen have been militantly aggressive in everything they wanted to do and because I didn't want to do most of the stuff they pushed, I was told not to come back. I have chronic bacterial prostatitis that frequently flares up with a UTI and it took forever to be correctly diagnosed. Most of the urologists immediately went the cancer route without listening to me but, funny thing, 12 years later no sign of cancer but they sure marketed their preferred treatments. Add to that the fact that I was born with a hyperspadia and underwent several surgeries to correct it things for me just are not normal. Since the surgeries as a toddler, I've NEVER had a strong stream, ever but I sure get an earful about it being a sign. Every time the prostatitis flares up my PSA skyrockets quickly and I'm sick and tired of urologists salivating over biopsying my prostate during that flare up. Last time it went to 7.86 but after six weeks of antibiotics it was a whopping 1.0 yet the demands to biopsy continued until I fired the doctor. I know I have some symptoms of BHP but I really don't suffer that much from it. Because of the repair surgeries I sit to pee but when I have to give a urine sample I stand and when that happens I'm very hesitant, it stops and starts and I know I don't completely empty the bladder but I had always attributed that to surgeries, I have no problem sitting. Point is, Dr. Malik you explain things very thoroughly and give options, I wish you were my urologist.
Experienced essentially the same. Indifference. A huge bias towards TURP.
I agree I had the same experience. When I would complain about not getting the help I needed or asked too many questions the doc fired me. Happened twice. They want to do barbaric unproven procedures and rack up the most points for doing the most yet they dont want to answer your questions! Deplorable. They are a disgrace to the profession. Doctors dont care about their patients anymore it is quite obvious. Those are the ones that totally suck and that is the majority of them now days sadly. Shame! These are painful procedures with risks that they charge an arm and a leg for and half the time do not help and may even harm.
I mean read some of these testimonies. It's all over the board. Even this video makes it sound like a walk in the park with very little risk. It is all bs! They dont tell you the truth.
@@danielriccardi6408 Hi, im suppsed to have an enlarged prostate but can ejaculate no problem and dont need to get up at all so having said that did you only have problems of not being able to that when you knew there was a prostate problem as the only symtom i have is poor flow?
can you repeat the question?@@gtibruce
I am about to have a REZUM treatment for enlarged prostate. I spoke with my surgeon about the difference between REZUM and Urolif. He said those who chose Urolift have to have the procedure repeated after a few years because the prostate keeps expanding. However, with REZUM there is no need to ever do it.again.
how did it go ? no more issues ?
Love to hear how it went
I had the Rezum. I bleed for 9 weeks, had an infection, had blockages by blood clots where I couldn't urinate. It was terrible. 12 weeks after the procedure I discovered that I had dry organisms & retrograde ejaculations. Not fun. I needed a operation but if I had it to do again I would take the Urolift.
Plus, I had to wear a catheter for two weeks, not 2-5 days. Terrible.
@@sheikhboyardee556 how old are you? Thinking of rezum but not having 2nd thoughts.
I had The Resuum also and it left me with retrograde ejaculation. The Doctor kept telling me fur weeks that it would come back but it never did.I went to 3 different big time Urologists Brevard I wanted it repaired. They all told me that the surgery would be too risky that it could make me incontinent. Did your retrograde ejaculated get resolved with surgery ?
@@rafamerengues8935 I would go with the least invasive first & that would be Uro Lift. That's not for everyone so Rezum is second best. According to my urologist the retrograde ejaculations is very common.
@@josephercole143 I didn't have any further surgery. I'm just living with it. Not worth the risk.
I had the HoLEP procedure in December. It has taken about 3 months to fully recover, but it was worth it.
I'm turning 52 in a month.
Who did your procedure? Do you have any lingering side effects?
@@IAmTheEggMan111 Dr. Zeph Okeke. A brilliant surgeon.
It's the standard side effects.
1. Blood in your pee. This goes away after about a week.
2. Pain after urination. This is due to the spintcher recalibrating so it over closes thus causing pain. This goes away after about 4-5 weeks. It can go away sooner if you start the kegel exercises.
3. Unriary incontinence this actually go through stages. First there is none done to the post op swelling (invisible to the eye as it's internal). Then there is the intermittent dribble. Then you (I had) have a really bad day where you dribble for the entire day uncontrollably. After that you are almost fully recalibrated. Again, this phase can be minimize with starting the kegel exercises early.
The plus is that (my) erections get stronger.
After 3 months you (I was) are back to 100% urinary control.
Now onto the lingering side effect. You have "dry" ejaculation. This means that when you ejaculated, it stays (temporarily) in the prostate cavity, then you can either pulsate and release or you can wait to pee it out.
You're still fertile, and can still get a women pregnant, but it will take practice and technique to accomplish it naturally.
I had a cystoscopy before I was to have the Rezum procedure. I ended up with a UTI which caused me to have kidney failure and a heart attack. I'm fortunate to still be alive after my urologist POS messed up. I'LL PASS!
i had a cysto at my first visit. got an infection and when I complained the doc fired me. What an ahole!
@@danielriccardi6408you have an obligation to tell his name!
You didn't mention PAE (prosthetic artery embolization) very minimal procedure. It basically blocks blood flow to the prostate stunting it's growth. I had it done in February and although I am not 100 percent. I am happy with results.
I had that procedure several years ago, in and out of the hospital jst a day later the worst part was having to lie on the bed and waiting for the incision to heal before they could release the pressure. Certainly improved the flow but sadly that affect only lasted about 3 or 4 years and I am now back to looking at being treated again.
How much did it cost for PAE procedure ? Thanks for let me know. I read a lot of articles about PAE which is very positive
First, after several years of urinating problems and Flomax my Urologist suggested a Urolift. I agreed and they tried the procedure. The Urolift rep was present. Here's the thing with the Lift... if the prostate material around the urethra is irregular or uneven the titanium bars won't be able to be installed correctly to enlarge the passage. They got one done right then gave up. I carry a card for when I set off the TSA warning or get an MRI. Two weeks later I had a TURP. It's a more difficult recovery but works. Take Bobby O's comment below to heart. Oh, and do everything you can to stay off Flomax. They don't tell you the side effects... slowly sucks the life out of you.
What side effects does one get from flomax?
@@hondaman6918 Read the label and ASK your urologist. If he soft peddles the side effects... get another doc. The #1 effect takes a bit of time to show itself... exhaustion. You slowly feel tired and just not yourself. When I mentioned this to my doc he quipped, 'oh yes, that's one of the side effects.' Good luck.
@@King3star Also some recent studies that suggests that long-term usage could result in dementia in about 20% of users
Thank You Dr. for the honesty. It has been long overdue in Canada.
I had both procedures done. Urolift didn't work for me and was the most painful thing I ever experienced. I had the Rezum procedure done and had no pain and it worked perfectly.
I want to thank you doctor, thanks to your educational videos I went to my urologist and got diagnosed with BPH, so my doctor and I decided to get the Rezum treatment , and now I'm doing 100% better!
I dodged my urologist's recommendation to undergo a TURP - and risk impotence and incontinence - 14 years ago. I lucked on to the combination of one Tamsulosin and Cialis pill each day and have zero problems except slow peeing. My prostate is very large at 100 ml.
Would be nice to hear about "Aquablation". My prostate is too larger for Urolift and my Urologist does not recommend Rezum.
Dear Rena Hi!
Thank you again for what you do to help in pelvic health with you immense experience & with generousity. I have viewed almostvall of your vedios. I'm 60+ & have mild BPH & have followed your presentations.
1 How do you compare effects of appropriate diet with the various procedures available?
2 What do you say on dry skin brush?
Thank you.
FYI, I had PAE procedure at Johns Hopkins - best decision I every made!! within two days i could urinate like I did when i was in my 20’s. I like to travel by driving, I can go 3 or 4 hours without having to urinate. Again, best decision i every made…. Also, no retrograde ejaculation! Check it out and it is done by radiologists….
Could you shed more info or where to get it ?
I've read that blood vessels can grow around the stunted ones and the prostate enlarges again?
how large was your prostate?
still a better option while hoping for something better in the future
Sounds delightful. I can put up with getting up 3 -4 times a night for a long, long time to avoid something like this.
If you have a 8-5 day job, getting up multiple times at night negatively impacts your effectiveness during the day. I have had at least 3, maybe 4 procedures in the past (all TURPS) and it's now time for another. Oh well....
@@benhill452 I'm sorry. I have only been retired about a year. I'm not a big sleeper. If I do not have to pee, Smaug, the cat, awakens me at about 4 because he is hungry and is far too lazy to go outside and catch a mouse around the workshop.
- Wish we could just have the damn thing removed entirely... 😒
@@jamescalifornia2964 I understand, and that can and is done, especially if the prostate is cancerous. There can be and often are unpleasant side effects from the surgery.
@@frankeasterling3402 - True. I lost weight and that did help. Less pressure on the gland I suppose...
I take supplements and it helps…I understand that I’m an idiot with my health. Guys open your eyes. Thank you Ma’am for your knowledge and courage to discuss this.
which supplements do you take? i've been on beta sisterol, zinc, and pygeum..hoping they help
I feel like I am in the stone ages. As I get older I am more frightened of what doctors will want to do to me than I am of the problems themselves. I am sure that eventually I will be forced to choose something, but I have little doubt that a 100 years from now they will look back on all of this and think of it as barbaric. I already do.
Seems like all of this treats the symptom while doing nothing about the cause?
chronic inflamation - metabolic dysfunction - insulin resistance - high glucose - what you eat
I did Rezume , not a 10 minute job , lots of pain , blood etc, they gave me an antibiotic a " flox" which was very very strong. I took 7 days to remove the catherter and will now see if this all works. Its not a simple procedure , it makes you feel sick , so before you go ahead seek out other men and their experiences. Be careful of any anti biotic with a " flox" in the name or floride , these are f killers.
@@pontificusvascillious5287 Truth!
Farmer industry - same Mafia. Why she not looking for symptom??????? Ofcourse not want lose money.
In the future, I think the transrectal biopsy will also be seen as barbaric.
Dr. Malik. I was considering the Urolift procedure but read that this procedure could possibly damage the entire channel from bladder to urethra. Could you comment on what you know about this please?
Your videos are really helpful. I had the Urolift procedure but have since continuously felt pain like being pricked by needles. This can be particularly bad in the early morning when my body's relaxed and mind nothing else to think about. It's starting to get more prominent and very frustrating.
This is why I feared the Urolift procedure. 5 years and I'm fine after the REZUM procedure. I highly recommend this!
@@EricJohn2008 hi Eric my name's Juan and I'm about to have the rezum procedure in a week I have a very slow stream and a psa of 5.0 and jus having a lot of anxiety partner about this procedure my Dr. Didn't talk to me about the good and the bad of this procedure jus scheduled me for do have any advice for me wat to expect how long did u have to be in a catheter for and did this procedure help wit ur urinary issue buddy ?
@@juancasillasjrfalu5888
My experience was pretty uneventful. It was done in the Urologist's office. they put me under for about 30 minutes and the procedure was over. I was catheterized while I was still under and wore a bag around my thigh for 5 days. I returned to my doctor's office, had the catheter removed and I was done. I experienced no pain, only a small bit of blood initially, to be expected, but no visible discomfort. Good luck! You're going to feel better.
Thk u Eric I appreciate your reply
What about Prostatic Arterial Embolization as another treatment that won’t impact your sex life? I would be interested in hearing your take on the pros and cons of PAE in a future video.
PAE is painless and worked amazingly well for me... 125cc and growing prostate reversed to 45cc after 6 months and still shrinking 99% of my LUTs symptoms are gone!!!
I wonder a bit if the patients who were given the sham procedure during the study were later given the option to have the real procedure applied later. Otherwise my gut feeling says this would be unethical.
I hope they were paid very well to participate in the study. I mean who in their right mind would volunteer for the chance to end up in the "placebo" control group, and have to go thru the procedure which can't be painless, followed by post-procedural catheterization!
Great information as always. Thank you Dr. Malik!
I had urolift no heat everything turned out great a little blood for three day’s then back to normal
Dr. Malik, thanks for the presentation. I am still debating which procedure fits my needs. Among the comments I have: the apathy from some doctors about the sensitivity of this issue in men , only creates misunderstandings about the human principles in these cases. Luckily we have different procedures available and unfortunately less than 55% in 5 years for good results. For whatever reasons.
Some facilities have determined a ‘gold standard procedure’ without offering more better results. Whichever option we choose, we have become a subject of experimentation. All available options presents risks and low percentages of wellbeing, being BPH with a higher incidence/ occurrence than a breast cancers…
Medical treatments are not an excellent option for all sufferers of this condition. Only benefits the pharmaceutical industry. Please whenever you have time, can you report us your opinion about the Aqua Ablation procedure?
Thanks for your understanding to this issue. Excellent reporting.
RBM
It’s a shame most urologists don’t mention Prostatic artery embolization (PAE) as an effective treatment for BPH - mainly I suspect since it’s performed by radiologist
my results are amazing from the PAE.... no urologist will ever recommend it....
@@InfusionFotoMpls why won’t they recommend it?
@@davidd9045 Follow the money! And it's performed by an interventional radiologist, not a urologist. It's sad but that is the state of healthcare in the U.S.
I have read that PAE is performed by vascular surgeons since they usually have to through an artery in your groin/thigh area.
I had that procedure several years ago, in and out of the hospital jst a day later the worst part was having to lie on the bed and waiting for the incision to heal before they could release the pressure. Certainly improved the flow but sadly that affect only lasted about 3 or 4 years and I am now back to looking at being treated again.
I wish you had talked about which procedure is YOUR favorite, or which one you typically recommend for your patients. Also, you didn't talk about the older surgical procedures that used to be used for prostate surgery (TURP, etc.). Do these newer, less invasive procedures typically make the TURP procedures unnecessary, or are they still required later down the road most of the time? Also, can you have the Urolift/Rezum procedures more than once? Which procedure would you have first if you were a man?
Inquire about Aquablation...it is more permanent than Urolift.
i read a lot of horrible stories about that as well@@10yoss
I'm thinking of getting the resum/vapor treatment as my doctor stated to me that the Urolift was too evasive. So my question is if it is a successful procedure, will I have to repeat the surgery every 5 or so years or is it a one time only procedure and am I good for the rest of my life? I just turned 57 two days ago and have been taking Flomax for over 20+ years. P.S. I wish you were my doctor. ;)
When I was 50yr old, I had a partial prostatectomy done at the VA, needless to say I don't think about sex anymore.
You answer more questions than my Urologist does?
Where are you located?
Would you do a video on The
Prostatic Artery Embolism procedure?
I'm in the UK. I had the Urolift procedure under general anaesthetic with 5 "anchors" being inserted. All seemed to go well at first with improved flow and a little less urgency, but it didn't last long. A few months later, I was back to square one with weak flow, partial bladder emptying, high frequency and urgency. I am now waiting for TURP. The surgeon wanted to try TURP with laser but he can't use it because of the risk of the laser beam bouncing off the anchors and causing more damage, so I have to have a more traditional surgery (once I get to the end of the very long waiting list)
Hi Mrs. Malik. Thanks for sharing your knowledge and experience. I also heard about the "robotic aquablation" of the prostate. which seems also very little invasive. My prostate is too big for most medical interventions. Can you tell us more about that protocol, please? Thanks, Paul
Dr. Malik
Hi, im suppsed to have an enlarged prostate but can ejaculate no problem and dont need to get up at all so having said that did you only have problems of not being able to that when you knew there was a prostate problem as the only symtom i have is poor flow?
@@gtibruce Hi... I had many problems: poor flow, but also going to the bathroom 7=8=10 times during the night. I also went to the hospital after a lot of suffering from urine retention a couple of times. Even during the day, I had to go to pee every hour! Every urologist I consulted told me that my prostate was too big (10 grams) for most of the available operations. I was waiting for the partial "robotic aquablation" (cold water) of my prostate, and it has been finally available in Montreal. The operation is very neat and quick (15 minutes) and you can go home as soon as the anesthesia is gone., the same day. Now it has been 4 months and all my prostate problems are solved.
Dr. Malaki, can you please report on the aqua ablation surgery? All possible facts. Thanks for your great reports in urology.
Why is there no simple stenting procedure developed similar the that used in arteries on the heart or Aorta? Surely you just want to open the passageway. What is the obstacle to that type of procedure?
Thanks for the information. Reading the comments gives understanding to many problems. Thanks for your work.
‼️RENA IS THE BEST‼️
Forget Rezum and Urolift. Look at PAE - prostate anterior embolization! It's a simple procedure done in outpatient. Lots of data on the procedure with extremely high success rates. Its performed by a radiologist so many urologists are not eager to offer PAE as a viable and less invasive option. Take the time to check out PAE - you will not regret it.
Like any procedure, it is not always effective. I had one two years ago and it did nothing for me, but it is a painless procedure and easy to recover from.
Thanks Doc Rena 😍
Had choice between eurolift and TURP (transurethral resection). I chose the latter. Glad I did. More invasive but better results.
any side effects?
Had a Urolift in June of 2020 and had great results. But after some unrelated surgery later that year left me with recurring UTIs a different urologist did a cystoscopy late in 2021 and showed me that the Urolift was in fact failing. It was going to have to be addressed at some point. Ended up having a HOLEP in February 2022 and at that time they had to remove all the Urolift hardware. While it didn't cure the UTIs (the doctor couldn't guarantee it would), I can now pee like a 20 year old again.
@@christga100 HOLEP went well and there was about a six-week recovery period. Had the procedure on a Tuesday and left the hospital that evening. Went back to work the following Monday. No heavy lifting or weights for 4 weeks. No sexual activity for 4 weeks. Although I did end up with retrograde ejaculation (knew that going in), it was a small price to pay and really doesn't bother me. Had some ED prior to the procedure, but afterwards I started Dr. Rachael Ross' ED Smoothies, and that went away completely! Now I drink them every day. Also had some urinary incontinence after the surgery but that's gone too. It wasn't the most comfortable procedure I've had, but looking back glad I did it.
Hi,excellent video with very important information, thank you Dr.Rena .God Bless 🙏❤️👍
I have BPH and suffer from Retrograde Ejaculation, almost nothing. Does this result from the BPH interfering with the tubes for it? Is it possible that either procedure can partially or completely correct that problem. When I had my bladder check for non existing problem the Urologist told me to live with the retrograde ejaculation. Inquiring minds. Thanks Dr. Malik for your educational videos!
Thank you doctor Malik
I had Rezum five years ago. Improved my flow, for sure. But also developed RE, and wasn’t pleased with that.
I'm 68 now and had a TURP procedure 11 years ago. Things were fine for 10 years and then the frequency problems started returning; getting up 4-5 times a night with little flow. my urologist did a digital exam and put me back on Flomax to see if it might be effective. I ended up in the emergency room where they drained 2+ liters of urine from my bladder. I had to self catheter for two weeks before I could see my urologist. He performed an optical exam and verified the enlargement and scar tissue from the previous TURP. He was ready to schedule another TURP when I asked him why I couldn't just continue using the self catheter procedure 4 times a day. He said there is no reason you can't do it, so I chose that option. I sleep through the night now, and pee on a schedule. It's not a pleasant procedure, but not painful either. Does any else out there do this?, or know of any reasons why I shouldn't be doing this?
A friend of mine did this for years but he was constantly fighting UTI problems.
@@rayswick4707 I've only been doing this for 8 months and everything has been ok. I try to keep everything sanitary, and take a 36mg PAC Cranberry tablet daily.
I’ve been self-cathing for about 4 years, 7 times per day…..Not great, but at least I’m going on schedule and other than an occasional UTI, all good!
I take D-Mannose to limit the UTI’s….
My doctor said it’s possible in the future I’ll need to repeat the TURP. I’ll be prepared to do that.
Dr Malik, I had Rezum 4 years ago. I just came from my new urologist and he informs me that I should consider either Urolift or aqua ablation. After I had rezum it took a few months before I had much improved flow. I was pleased with it but apparently it doesn’t last as long as I had hoped. I had the sense that my new doctor wasn’t a fan of the Rezum procedure for the same reason I am not. It just didn’t last.
I’m seeing comments on RUclips from many who regret their Urolift procedure and complain that it was painful and need surgery to remove the lifters. That being said your opinion please of the aqua ablation procedure. Thanks
What about Tulsa Procedure? I hope I have the name right - I think it is a magnetic resonance procedure. It is being tested at several sites in the US including Mayo.
Dr. Malik:
Thank you for addressing this important isse. I have 3 questions about these 2 procedures.
1) Several urologists & a package insert have indicated that these procedures are not appropriate for men with prostates as large as mine (100ml).
What is your experience on this, why is it claimed, and what do you feel is the most appropriate treatment for BPH in men with 100ml prostates?
2) One urologist who tried Rezume, told me that he felt the Rezume probe was too short to reach the full area needing treatment in patients with 100ml prostates, yet his partner who continues to use Rezume told me he saw no problem with this larger prostate size. What is the bottom line here?
3) My prostate enlargement does have a significant component of the BPH in the middle lobe, causing my prostate to extend into the bladder lumen. Does this feature modify which treatment is better for me?
Thank you for your answers.
Respectfully, Jim Eastep, DVM, Diplomate Veterinary Pathology.
I had a 90 cc prostate. mayo clinic, Rochester MN told me my only option was a radical prostatectomy. Not true. I underwent a prostate artery embolization at the University of MN in Nov, 2019 and never looked back. I get up once per night and all of my other functions are normal . I’m 75 .
Investigate Interventional Radiology
I have done Rezum 3 years ago my prostat is around 85 my urinate got a lot better for 2 years with out medication now I may need do something us because is real hard to pee, I have to use catheter for 4 weeks, and I got urine 2 infections the first week was real good I even went to work with the catheter but the other 2 weeks I was on a real pain, I recommend to 3 friends and 2 of them got infected the same has me real painful infections if you do Rezum try to be on rest do not get confident the first week with the catheter rest because you are going be on real pain, I know is not the same for all of us I hope for everyone us is a lot better
There is no way I would have it done without anesthesia, I had it done with anesthesia and have read horror stories about people complaining of pain with 8 clamps being put in. I had zero pain following insertion of clamps. I went home the same day and pulled fully out myself the next morning because I’m an RN. What I will say is that I had a recurrence of prostate growing around the clamps and wound up, having a prosthetic artery mobilization less than a year later.
I had a Rezum procedure done with minimal success, and 4 years later the prostate grew to a pre Rezum size. None of my Urologists ( including you ) never talk to me about PAE ( Prostatic Artery Embolization) procedure that is much easier procedure and address the ever growing prostate. Can you do a video on PAE procedure?
PAE isn’t performed by a urologist.
Do you know a dr in California that does the rezume procedure thanks for clarifying these procedures and what’s involved and the 2-5 days with a catheter may change my mind
I got my rezum at UCSF. I would never have the urolift. From what I understand if you have urolift you cannot be treated for cancer afterword if you get it.
Why can’t they go through the other hole it sounds like they go through the front and you have a catheter for a few weeks
Urolift sounds like a crazy sown up shish ka bob I’m not Interested in that procedure
Don't forget Prostatic Artery Embolization 😎
I had the Rezum method done two years ago. I’m 73. Urine flow is good, but not that of a young man. Maybe 60%, but still much better and not a problem anymore. My bladder is now emptying fully. Ejaculatory volume is greatly reduced, sometimes nothing at all comes out. Not really a problem and just something I had to get used to. Doc said it was because of reduced back-pressure it now goes directly into the bladder. Wife doesn’t mind at all, less messy. Sex and orgasmic function is great and the only lingering side effect is some small bit of pain in the urethra (from insertion of the tube to do the procedure) when I get an erection. Scar tissue? Also it took about three months for the full resumption of urinary flow. The procedure is painful at the last few seconds of the steam injections…I had to have nine of them, 9 seconds long each. I recommend taking a pain pill beforehand, if you have one. Overall I am happy and would do it again without question. It is such a lifestyle improvement.
My question is being raise on a farm and seeing farmers nail fences to trees and after a year seeing the tree grow over the fence is this what going to happen? This Rezum method sound good , but how about the PAE method (Postrate Artery Enmolbizaton ) we’re they cut the arteries that feed from growing
From the photos of Urolift it looks like they use a metal anchor. After this procedure is it safe to get an MRI with the intense magnetic field?
A good point because MRIs are becoming increasingly important to evaluate the prostate.
I don't see it being discussed much.
i went a prostate biopsy a couple of months ago. Thankfully there was no cancer. My prostate is 3x's the size. I need to figure out what to do.
Can you do a topic on bacterial prostatitis ONLY
Regarding "Urolift", I don't like the idea of having strings and staples pushed through my prostate, nor would I like them going through my testicles. I was diagnosed with BPH and put on meds. Sometimes I wonder about this diagnosis. Same days I pee just fine, and some days I struggle. Prostate doesn't shrink and expand like a sponge, I think... I'll look for second and third opinion.
Start changing your diet. Keto .. some intermittent fasting.. Take a combination of Tamulisin and Prostagutt.
Works great if you have the discipline for it..
@@scotniver7180 No thanks. Many of my friends swore by Keto and Adkins before it. They lost the weight all right, but they all now have heart disease and multiple blocked arteries, all due to high cholesterol found in animal products.
Hello! Love your channel, Dr. Malik. Can you please discuss the HoLEP procedure, the pros and cons. Thanks!
je a elle remerci Dr. Rena Malik, je suis sure cela , je reviendra sur ce video !
Dr Malik, My name is Mario. I'm a 69 yr old with BPH with all the bothersome symptoms. I appreciate your comparisons of Rezum and Urolift. Would it not be more invasive to have the Rezum procedure as is actually burning off prostatic tissue? What about scarring?
yes that is what I was told
neither one is ideal
Actually, although I did not hear from Dr Malik I had the Rezum procedure done by my local urologist and it has given me less urinary frequency at night and it has reduced the urgency. However I had a catheter for approximately a week which was a bit bothersome and inconvenient. Overall I recommend it.@@danielriccardi6408
Hello DrMalic could you please do a video on prostate massage for BPH. I’ve heard regular prostate massage (milking) can reduce pressure in the prostate thus pressure on the urethra. Your thoughts would be appreciated.
Very informative but I'd like to know your thoughts about PAE (Prostate Artery Embolization) vs. these treatments. PAE seem much less invasive, and advertises no sexual side effects, but I'm concerned with the fact that it actually kills some prostate tissue and the long-term effects of that. Perhaps you could address this procedure in a future video.
Hi, have you found out any more about this procedure and its long term effects since you first posted?
I had urolift done several years ago two and a half years later had to have TURPS done as my prostate had expanded and the urolift ties cut through my prostate causing excessive bleeding
Great info Rena. I only wish the V.A. Gave me as much. They are not good on info. and only want to continue with procedure. They get tired of me questioning their protocol. Perhaps you could work for the V.A.
Bravo Dr. Malik!
Very good Explanation Doc..what about does high in PSA level and small prostrate...what is the Best procedure?..Thanks.
You mention the REZUM procedure takes a few minutes in outpatient office, but other video's from actual Urologists state the need for full anastetic, and a catheter for a week, and one or two months before they see results. Can you please help clarify?
Some Uro’s do Rezum under general, some under local. Seems like local is the preferred way in the US. In Australia general is definitely the norm. I had mine under general. One week of catheter. Excellent results with absolutely no side effects after 3 months.
Thanks Dr. Rena Malik,
as always extremely interesting.
What is your opinion about the Gat Goren procedure?
I had the Rezum treatment without any anesthesia; it was the most horrific experience I ever had. It's hard to even think about it. The procedure was not only in effective but it left me with retrograde ejactulation. Two years after the procedure I still have discomfort. I still take tamosulosin which I wanted to get off of.
Uroloft is another gimmick. Both of these procedures are for making money and not providing significant help. A friend of mine had the Uroloft procedure done twice. He is still uses a sub-pubic catheter.
I would like to bring a lawsuit against my doctor and Boston Scientific for their barbaric Rezum procedure. Please think twice.
I posted my story above. I am esatic having rezum. Never had pain just some discomfort from the cath and some burning and urges to Pete. But all subsided and doing great. Always good to look up the urologist doing the procedure
Dr Malik how about aquablation? I had rezum and now need another procedure as my issues returned after 4 years. My prostate was about 100grams.
Rezum was the worst decision I have ever made! I had to have a complete TERP after about two months of pain and bleeding constantly!
Urolift completely and permanently destroyed my life !!!! Now I am faced with my new urologist wanting to do another surgery (greenlight) to correct to the botched UROLIFT procedure.
I am told I would have to self catheterize everyday possible for the rest of my life. My symptoms now are WORSE than before Urolift. Please be advised and don't say I didn't warn you if you get this procedure !!!!!
I have an enlarged prostate for quite a few years. Medication of different types did not help, what so ever, so I then had Urolift done. Worked good for about two & a half months, then right back to the same problem. From what I have read about Rezum, I may try that, because it seems to make more sense. If that doesn't work, well I am now 84, so maybe I will die before having anything else like surgery done.
Very helpful Rena, Thanks!
I just had the Urolift procedure this morning. Hurts like hell to piss lol, bit that should subside quickly. I researched all options and Urolift stood out as the number 1 way to go. If you are on the fence, don't be. I will tell you, however, that if your symptoms are mostly controlled by meds amd the retrograde ejaculation doesn't irritate you, I found additional relief taking a shot glass of high quality olive oil every night. I quickly went from getting up 2-4 times a night to only once and cutting my Tamsulosindose from .8 to .4 daily. My prostate was fairly large, but after 2 months using olive oil I only needed to clips to open me up, so something to think about. However, I don't believe it will reverse the issue completely. Look forward to the first nut in 2 weeks!! 😂😅😂
Had the UroLift done about 5 yrs ago and it was a terrible uncomfortable two weeks following especially first two days. For me I was put out for the procedure and I wouldn’t recommend it without it. Actually drugs weren’t good for me, I didn’t like them at all. Am I better now I guess but urges and especially leakage is worst.
What are your thoughts about Holmium laser prostate surgery. A friend had the procedure 4 years ago and says it changed his life very positively.
Had the Urolift thing done....twice. Seems the little pin devices don't keep the rest of the tissue from growing or expanding, so it only works for a little while.
So in order to test it they put one guy through a real procedure and another guy through a fake procedure. That's a lot of discomfort and humiliation to put a man through to produce an intentional negative outcome. Maybe they need to find another way that might be less damaging? I guess I would have to ask what does this do to his ego and sense of masculinity? God, I hope this was considered. And why are they just showing men in their 60s and 70s with gray hair? Prostate enlargement can and does very often happen much earlier.
I had similar thoughts, though I considered that the patients may have been told in advance that they could be part of a clinical study if they chose to participate, and that maybe it was revealed upfront that they might not get the real thing if they agreed to being part of the study. I doubt those doing the study wanted to reveal _too_ much, given the placebo effect or whatever the fake procedure's purpose was. But I feel even more certain that they would not let a patient go indefinitely without informing recipients of the fake procedure what had happened, and offering to pay for the real procedure in those cases.
The scientific principle of research require the procedure be done with and without the therapeutic part of the treatment, in order to prove it works. If patients got better just by inserting the tools and not actually doing anything, then why bother with the actual treatment part. Get over the humiliation part. They are professionals and you don’t have anything so special that they will remember it 5 minutes after they are finished with you. If women had your attitude, your mom wouldn’t have ever delivered you. Grow up.
@@drgibson410 I wonder if doing this on monkeys would be a good test bed as all male primates have a prostate. I think the point is often missed when “professionals” say they have seen it all before…. It’s NOT about the worker. It’s about the feelings of the patient/customer. The workers sensitivity is not the clients issue. Perhaps folks in a hospital setting should validate the the clients feelings, calm them them and reassure them and offer same gender care if wanted. This would be far more caring and humane that an attitude of “grow up and get over it, who cares ”
I just recently found your channel and subscribed very helpful information and I can tell you really care about your work and your patients. I really like how you always end your videos. I was recently diagnosed with bladder cancer. Do you have any information on this that I can watch or read?? Thank you so much.
I. Chose aquablation best thing I ever did
Could you share your experience? How was recovery? Any sexual side effects?
What about aquablation???
Age 69,I had prostate radiation back in the Spring, also Eligard hormone shot. PSA now .02. Still peeing all the time!