Had my private HoLEP last year in London by Mr Aho after stuck on the NHS waiting list for eight months with a catheter and in and out of hospital with infections. If only I'd known sooner! The total cost was about 9K, in on Saturday morning and discharged on Sunday afternoon. No more medicines, pain, hospitalization ... OK, it's not NHS free but the best 9K I ever spent. If you can afford it don't wait for the NHS, get it done because you'll wait for years in an NHS queue. I was back to normal the next day, a little leaking for a few weeks and wore incontinenece pants for a while but then that also stopped. Don't wait, get it done and cut out the catheter agony. I'm nearly 70.

Thank you sir! Sounds promising

I've had the UroLift (PUL) thing done twice and it's failed twice as the prostate just swells up past the pins. Now looking for third and FINAL procedure to fix this issue. There are at least 10 or 12 pins left in there, so how will this complicate the Green light laser procedure? And will the prostate grow back as with the TURP procedure?

Super informative and loved the video. You didn't close the loop on the Ferrari?? Why get the whole thing blasted out? You can always go back later

He mentions adding a link "to see what I mean by a good report" but where is that link?

Butchery!!!

There are always results that are not the best for sexual function in many surgeries! Would you have it done on you and why?😊

I had Rezum three months ago and my flow rate is 3-4 times better than it was before the procedure. No side effects at all. It was done under general anaesthetic.

What are the side effects?

I would wish this is real, and its not about someone getting rich. When a true cure shows up, Jesus will make sure we all get it free.\

I've had Rezum 3 weeks ago, and I'm just getting over a UT from using the cathether for 6 days after the procedure.My urine is back to pre-procedure and I'm still taking medication. I want to say the flow is a little bit better but I'm still needign medication to pee. I'm hoping to see more improvement in the months to come. No poblem at all with my erections.

My prostate was 90 mg., and was self cathetising in addition to normal urinating. I had the Rezum done 6 months ago and I needed to have the permanent catheter for 4 months on and off, whch was too long, after failing bladder tests several times. After 4 months the tests revealed I was good enouph to have catheter removed. Although now I'm urinating better, I'm not ejaculating, which to me personally is no good at all. I should have been told by the urologist that there is a risk of this. Had I known in advance I would not have done this procedure. I found out after having already done this procedure, that there is another ''non evasive'' procedure called Urolift, and, according to my tests I qualify for this alternative procedure. From what I understand, Urolift does not have this same risk of retrograde ejaculation, and catheters would not be needed. I was not told about this alternative procedure with all the facts, so that I can make an informed choice. I would have prefered the Urolift with it's non risk ejaculation issues. I also sufferd for 4 months with having a catheter in me for much longer than what I was told. If Rezum can stop you ejaculating, to me that makes it evasive. I'm also experienceing incontinence, where I can't hold back for too long. In my case, is there a way to reverse retrograde ejaculation to normal ejaculation?

Excellent video on focal therapy. Thank you!

Can you explain this to me please, our urologist never did. The 3T MRI, no contrast, was done in May. Not seen a doctor since begining of May just before this MRI. Thank-you Prostate gland measures 6.6, 5.5, 4.4 centimeters on CC, TR and AP dimensions respectively with estimated volume of 84 cc and PSA density of 0.063 ng/ml/cm3. 9.5 mm ill-defined nodule with obscured margins are noted within posterior medial aspect of left peripheral zone at mid gland which show mild hypointense signal on ADC and mild hyperintense signal on high B value DWI sequences likely representing PI-RADS 2/3 lesion. No other peripheral zone lesion is noted. PSA is 4.86.

I need Resum Procedure Tusia Pro. Iam 80 year. What could be cost?

thank you for the video. I'll ask my urologist

I would look at the hoLEP procedure. This what I picked out for myself. It's what is called a 'one and done' procedure. I'm getting it done in Las Vegas, NV in america. At a VA hospital and by a doctor that's done a thousand of these procedures.

Prof. Hindley, Where do find you. I live in London nw4, I am 80 years. I need treatment for possibly Rezum. I am self paying. Best Regards Rayaz

Had it done and the Dr screwed me up for life. He nocked the muscle and now I have incontinence for life. It’s only around because it can be done in office and the dr does not split his fee with the hospital. The golden standard is the TURP procedure.

I wish we had a choice here in Saskatchewan Canada, its either TURP or prostectomy. So my husband who still values sex, high on his list is taking natural suppliments and praying they work.

I don't see how this will last more than few days...Why not use a permanent stent? We use it in arteries with great success.

There is now a newer procedure called Tusla Pro uses directional thermal ultrasound and MR imaging with active heat monitoring.This allows the doctor to see real time the areas that need attention.

how does this treatment compared to Urolift????

Thank you for the comprehensive explanation of options for treating BPH. Now that Aquablation has become available, it would be nice if you could do a follow-up video discussing it.

I would like to know if holep procedure ends the sex drive. Yes or no

Why not treat early cancer instead of waiting for cancer to become more aggressive? It would make men feel less anxiety, scared and their quality of life would be so much better after nanoknife if it works instead of radiation (possibly causing secondary cancer in the bladder or bowel) or prostectomy (incontinence and embarrassment, risk of hernia, atrophy, etc.

What percent of men end up with erectile dysfunction after green light treatment?

Great Info - thank! Reason why not adopted in the UK. How do you get the test? Does this test/info have a part during AS and AS post HIFU? Thanks!

Is Retsius sparing the same as nerve sparing (as done at UCLH)?

Hi proff good information. What is the prevalence of prostate cancer post REZUM. Is there any relationship between them

does the operation with aquabeam preserve all the functions? to what extent? Furthermore, does it make it more difficult later to ascertain any prostate cancer that may have occurred or not? I also heard that the aquabeam procedure makes radiotherapy unfeasible.

I am interested to know whether you could use this procedure successfully with someone who had an enlarged bladder and a large diverticula causing the bladder not to empty fully?

I want to live. I give a shit about erections

i ended up with retrograde ejaculation so not so happy.

I ended up with retrograde ejaculation. It did cure my urinary retention but the retrograde isnt to good.

Gland bigger than 80cc is not suitable for TURP, all surgical prostate procedures cause permanent ED except PAE. Many men do not want to give up their sexual performance.

Excellent information. Thank you!

I had cancer of the prostate and went through radiation therapy and it caused radiation retention along with radiation proctitis. I could only do zero to about 50 ml at the end of the therapy. Now I am 6 months out from the end of my radiation therapy and I am passing 150ml to 200ml and occasionally more. My prostate measures 97c. I only catheterizing once a day but I am wondering if Rezum and / or Eurolift could be possible for me. I hear they wont work for large prostates. I personally have ruled out TURP as my previous urologist stated that frequency, emergency, blood in the urine, incontinence and retro ejaculation were what I had to look for as an outcome through TURP. SO, I FEEL THAT IS TO DANGEROUS CONSIDERING WHAT THE UROLOGIST HAS WARNED ME ABOUT AS SIDE EFFECTS AND CONSIDERING THE POOR TREATMENT I RECEIVED. I WOULD NOT WANT THE SAME POOR WORK DONE TO ME BY THE SAME UROLOGY DEPARTMENT.

I'm supposed to schedule a procedure soon, TURP being recommended for me although I'm leery of it being overly invasive in my case. My prostate is only medium-enlarged, but I have a large median lobe apparently causing bladder blockage. I don't hear much about median-lobe issues, but how do the various BPH surgical procedures relate to this?

Professor. Moore, would it be possible to do a summary of the HIFU data please ad compare to radical prostatectomy please?

Very reassuring, thank you

Thank you for this information. I am pleased to learn that with Gleason 4+3 Nanoknife can be offered as a treatment. I assume I will get more information at 3pm on Friday when I have the telephone appointment with a UCLH Focal Therapy team member. My main question is "Is hormone therapy necessary?"

Wonderful explanation and so appreciated, thank you!

I’ve just had this at UCLH London. Very quick, no pain. The catheter was the most uncomfortable part.

What keeps the urethra open once the itind is removed. Is the tissue semi ridged so it keeps the shape created by the itind? My engineerig mind is not seeing how the affect will last very long. Seems like the tissue would reform back to its natural shape.

I've had two sessions of Urolift pins over the past 8 years or so. Now bladder / prostate / urethrae "locked up" while under sedation for a hernia repair, couldn't pee, now stuck with Foley bag. Probably have at least 10 pins in my prostate. How would this complicate this procedure?

I talked to several Urologists about this, they were VERY indignant and dismissive. They are denying their patients the opportunity to entertain an additional way to relieve their symptoms. Turf wars !

PAE works great =had it done 4 months aga no meds now !

I had aquablation by Mr Laniado 2 months ago in the UK and it was a great decision, I'm delighted with the results. Only had 2 days in hospital then 2 days to recover off work and back to normal within a week or so. Now no issues with slow peeing or having to go every hour like previously. Plus I've kept full erection and ejaculation ability which I know that some of the other other treatments don't. Would definitely recommend it.

I had Rezum procedure done 14 days ago in Thailand it was completely painless and my prostate size is 70ml in volume. I had a catheter for 7 days which is a little uncomfortable .At the moment I have a small amount of blood in the urine . The main thing I am concerned about is the very strong urge to keep going to the toilet, I am hoping that in a few weeks the urge to keep peeing will improve and I can get back to normal.