Doctor just put me on dutasteride for BPH

UroPA

New Member
UroPa
What is your opinion on Rezum and also Urolift?
Does the urine flow increase dramatically?
Here's my opinion
Urolift>Rezume>TURP
Flomax and finasteride both have horrible sexual and hormone affecting side effects so i prefer to get them off meds and into one of the minimally invasive procedures as fast as possible (patient willing of course). Resume has a much worse recovery with pain and retention but outcomes are about = with Urolift. Urolift is very effective, easy, no removal or destruction of tissue and all = far superior urinary flow.
If it is me, im getting a urolift.
 

broker

Active Member
I have been on flomax for 3 years, i get zero side effects. I believe it also has a slight “ viagara type effect”.
i always thought rezume was a painless procedure? Does Rezume actually remove tissue?
does rezume have any side effects?
with urolift, i worry the clips fall out? That possible?
 

UroPA

New Member
If flomax is doing that for you, its likely placebo. It doesn't have a chemical mechanism that should be doing that. Quite the opposite, actually.
Rezume essentially kills the tissue using steam. Later it sloughs off and you urinate it out. Thats why the recovery is so much poorer than Urolift.
And don't think of Urolift as "clips". They are closer to self knotting sutures (stitches).
And we KNOW they last 7 - 10 years. Every surgery, every procedure has risk and possibility of failure. But this one is above the standard deviation.
 

DragonBits

Well-Known Member
If flomax is doing that for you, its likely placebo. It doesn't have a chemical mechanism that should be doing that. Quite the opposite, actually.
Rezume essentially kills the tissue using steam. Later it sloughs off and you urinate it out. Thats why the recovery is so much poorer than Urolift.
And don't think of Urolift as "clips". They are closer to self knotting sutures (stitches).
And we KNOW they last 7 - 10 years. Every surgery, every procedure has risk and possibility of failure. But this one is above the standard deviation.
I am partial to using "Prostate Artery Embolization", which to put it simply, partially blocks the blood supply to the prostate to shrink it.

I would like my prostate to actually shrink, and not use traditional surgery or a drug like finasteride to do that.

What do you think about that procedure?
 

DragonBits

Well-Known Member
FWIW, I did look into PAE late last year, in case I needed something like this.

They do the procedure locally in the Chicago area, if you have NO insurance, it cost $7000. Most insurance will cover it, but you need clinical documentation to support this for insurance to cover it.

I like to find that non insurance cost as a data point.

IMO I don't yet have symptoms to cover this, any symptoms I have are vague and I think valid but if I did not follow my PSA level I would likely not even notice any urinary symptoms.
 

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