What's the difference between two game-changing treatments for BPH? | Rezum vs. BPH

[@4321grp]

I had the Rezum procedure done over three years ago by Dr. Richard Bevan-Thomas at Arlington, Tx. It turn out to be one of the best decisions I ever made. I'm 80 years old, but I'm like I was when I was 25 years old. I never have to get up at night to go. I think the important part is to find a Doctor who is experienced at performing the procedure; And I chose to pay a little extra for Nitrous Oxide gas as an additional sedative, so that there was very little pain during the ten minute procedure. I considered the Urolift but I'm glad I chose the Rezum instead.

[@mikec8123]

I'm 70 and had Urolift about a year ago. I was able to stop taking Tamsulosin which was why I had it done. As far as urinating it's not like I'm 19 again. For me it's a little better now than what the pill did. I'm satisfied.

[@SeniorChief1991]

I just turned 70 and have endured BPH issues since my 50s. Decided it was time to take action. My urologist recommended Urolift. His description of the procedure had me running for the hills. Your video convinced me to go ahead and give it a try. Your videos are informative, and the information is invaluable. Thank you.

[@drgibson410]

Great video Dr. Malik. Since I had my prostate surgery in February, I have discovered your channel and have developed a much greater appreciation for urology than I had before. I was having all the usual symptoms that you describe in the segment on storage lower urinary tract symptoms. That was me for sure. My partner in my Optometric practice, was about a year ahead of me with all the same symptoms and had the Rezum procedure. He had some minor complications but was overall very happy with the outcome so I decided to find out more. I had been seeing an older urologist for several years who no longer did surgery but he was very impressed with the Rezum procedure. I saw the doc he recommended assuming I was a candidate for the Rezum procedure. As it turned out, I was a better candidate for Aqua-Ablation as my prostate was scanned to be 95 whatever units you docs use for this measurement. My doc said the research shows that Rezum is not as effective as Aqua-Ablation after the 85 unit mark (is it cm squared?) so that's what I had. I have been very happy with the procedure and the outcome. Now I have been able to get off Finasteride and Silodosin, I am even happier as I am having better sex than before the procedure and it's still improving. I don't understand some of these comments about catheter pain. I had none although I had bladder spasms that meds controlled and totally quit shortly after the cath was removed, which I was instructed to do myself at home just before my first followup appointment with my doc. Easy Peasy. I am a big fan of the Aqua-Ablation and highly recommend it IF, and only IF, your doc does the procedure and recommends it. I am not a fan of patients coming in and telling me or their doc, what procedure they want. I encourage patients to bring up anything that have heard about it but the doc needs to make the final decision on which procedure is best for your symptoms. I have no clue if I will ever need it again but if I do, no biggie. I don't mind everyone and their dog seeing me naked, it's their business and they don't remember me any more than I remember all the retinas I see all day.

[@robinhuigen3256]

Thank you, Dr. Malik for your valuable advice- I just had the Rezum method for prostate reduction/relief yesterday (12-11-2023). Except for having a catheter, and it's discomfort, I feel fine. I'm looking forward to recovering.

[@yogivah]

I had urolift 3 years ago after bladder cancer. Recovery from the urolift was easy for me. Sure a catheter is always unpleasant for a couple of days only. The urolift was a big success for me! After about a week of recovery I have been peeing like a young man again. Seems to be a permanent solution with no problems in 3 years.

[@donb7113]

I had the Uro Lift and it’s worked great for over 18 months. I never had a catheter thank goodness, but it was painful to urinated for several days. Expect to pass blood clots that are very uncomfortable. Over all I’m happy.

[@lane2063]

I’m scheduled for the Rezum procedure in about two weeks. Thanks for your information.

[@askme5805]

Father with bit bad diet in his 65, BMI 26, prostate 115grams was on rezum nad is really happy with result. Rezum was invented in Czechia, we both are Czechs so it was only choice.

[@IPlayOneOnT.V.]

A video just popped up on my "KZbin" sidebar from one of my local news station's morning shows, from 2018, that showcased and interviewed two local urologists in this area who'd pioneered the Urolift method of treating an enlarged prostate in our area. The doctors had also followed-up with their patients for six years afterward and found that their patients, overall, were still in good shape. These two doctors have also been designated the "Urolift Center of Excellence" (That's how it was said on the video.).

[@donholmes3267]

My friend did the Rezum treatment. Before that when is on the road from New Mexico to Seattle , he would have to stop at every rest stop and the way . Not now anything more, after Rezum .

[@thomasgeorgecastleberry6918]

I had a Urolift 4 years ago, it kind of worked for 1.5 years after that back to square one. The pain after surgery was incredible. The catheter pain was undescribable. That was the second time I went through this;- never again!

[@sircefiro]

Shit I bet man, even having urodynamics done I'll never forget, I think rezum is probably better as it actually removes some & has to be better than the TURP?

[@alandura7964]

I had a TURP procedure done more than year ago and it was the first time i had any procedure done in my life, never experienced any pains. They put me to sleep, last thing i remember there were wheeling me going to surgery room then i was knocked out. After two hours i woke up in my regular room, i was there in the hospital for an overnight stay. But i didn't know that it wil have side effects of ED so it has pros and cons.

[@drgibson410]

@@alandura7964 I had the aqua-ablation which is the TURP using water as the cutting agent as opposed to a hot wire as the blade as I understand it. For me, the ED has gotten better and better since surgery. Time heals all wounds they say.

[@alandura7964]

@@drgibson410 hi David the problem is I've asked around with MD and they always say no cure for ED. I've been researching some Asian medicine, they said they do has something herb that it can provide some improvement so hopefully i can find that holy grail cure. Have an awesome day.

[@alandura7964]

@@drgibson410 Did you had your procedure lately? I wished i could have that procedure for myself, less invasive towards prostate nerves less damage.

[@gofukursef]

I had considered rezum before I heard of holep. I've done the HoLEP and am really happy with the outcome. It took 3 months of recovery based fitness level and kegel exercise. But it's well worth it.

[@happycamper5900]

Who did the procedure and where? Thanks. I am seriously thinking about having this done due to Rezum failure.

[@gofukursef]

​​@@happycamper5900 2 years later, and it's been phenomenal. Zero regrets. Dr. Zeff Okeke.. he's the brilliant doctor that runs the Smith Institute at Northwell Hospital in Long Island.

[@amichi10]

Future discussion of other treatments like Aquablation and PAE prostate artery embolization would also be nice for more choices today, Thank you

[@drgibson410]

I had the Aqua-ablation and think it was great.

[@dennis3351]

@@drgibson410 I confused rexum with aqua blation. thanks. im 67 and thinking aqua blation also.

[@mctabish1001]

Makes sense IMO that I would go with a Urolift first, then try Rezum when and if I needed to look at another procedure...

[@ralphwaters8905]

It would be interesting to get your take on the new Procept "aquablation" procedure, which is advertised as an improvement on the traditional TURP. It uses a high pressure stream of water as a cutting instrument, and the debris is produced in small particles and therefore easily flushed out. The short video I saw showed what seemed like an excessive amount of tissue removal, but this may be an incorrect interpretation. You should do a piece on this procedure, as compared to Rezum and Urolift.

[@drgibson410]

That's what I had and can't say enough good things about it EXCEPT according to my doc and what I read which was probably what he read too, it works best on a larger prostate, above 85 units. Mine was 95 but I'm a big guy. Wish I could remember what the units of the numbers was. I am thinks it was square millimeters but may be cenimeters.

[@richard9827]

Aqua ablation video please As you know your knowledge and presentation are greatly appreciated. I’m heading down the path of needing some prostate surgery. The KZbin videos sure seem to say Aqua-ablation is the way to go. If so where are the comparative studies. Please shine some light on aqua-ablation 😊

[@generalaccount576]

Hi Dr. Malik, what do you think about prostatic embolization as a BPH treatment?

[@edwardsteinshouer2694]

I had a Urolift and while it has worked fine, I question your statement on minimally invasive for any treatment that is done in this manner. From a guys standpoint at least.

[@happycamper5900]

Agreed. Nothing minimal about these 2 procedures.

[@nde-mt2yc]

Good Information, Thank You...

[@esfanintan]

I’m 76 and had Urolift procedure done in 2021 and I wish I had never done it. I still have to take medication and in addition I have pain while urinating. My unethical doctor never once thought he had done something wrong and wanted me to continue taking medication and even prescribed medicine for overactive bladder until I asked him to use the scope and find if the pathway is really open. After scoping he claimed there was tissue still hanging and blocking the pathway; he offered no remedy. If we had a responsible FDA They would reevaluate and resend the approval of Urolift.

[@4321grp]

I had the Rezum done over three years ago and it turned out great! Still working great!

[@DavidSmith-fw6uj]

Love from DeKalb Mississippi USA 🇺🇸

[@anitabarnes1632]

My husband had urolift done and didn't work he felt a pop like it came in done so he had a Turp done and worked great

[@sheikhboyardee556]

Seman decrease with Rezum" I had it & my doctor "kinda forgot to tell me this" as I now have dry organisms. Very strange feeling & I don't like it. My doctor told me this is common with Rezum, but Dr. Malik said it was rare. I would have gone with Uro-Lift if I had known.

[@MyUtubefreak]

Some men cannot urinate at all and are forced to use a catheter. After looking at all the options, I'm going with Rezum.

[@Ss-iz3xn]

Hey after rezum therapy what is your experience?

[@johnpratt7599]

Dr Malik wish I saw your video before I had my procedure. I had Rezum. It helped my urgency to pee but now I have retrograde ejaculation . I still get an orgasm but mentally it bothers me. Wish I had tried the Urolift. Hope this helps others. Thank you.

[@alandura7964]

I had a TURP procedure done more than year ago and it was the first time i had any procedure done in my life, never experienced any pains. They put me to sleep, last thing i remember there were wheeling me going to surgery room then i was knocked out. After two hours i woke up in my regular room, i was there in the hospital for an overnight stay. But i didn't know that it wil have side effects of ED so it has pros and cons. Now i am looking for any over the counter remedy or alternatives. They did prescribed me those blue or pink pills unfortunately all had side effects to me. Any suggestions that you've tried and worked or some any over the counter. Thanks

[@rezinrussell1689]

Both procedures require installing a catheter afterwards. I had a catheter installed once for two days. I never want to go through that again.

[@hebert1518]

Very good information, thanks Dr: Rena,,I keeping in touch with your valuable information.💐

[@joeg3722]

How can you fix retrograde ecajation

[@dwheeler016]

I am on the list for TURP, which sounds like a Roto Rooter job, cutting away pieces from the inside

[@sircefiro]

Man there's so much good & bad results from that, any other options?

[@argyle6674]

Are there any natural ways, supplements, foods, that can reduce the size of the prostate? I've read that Green Tea can help? Thanks.

[@drgibson410]

Nothing helped me nor anyone else I know.

[@edyang100]

Thank you Dr. Malik for introducing and comparing the two techniques. Could you please make the 3rd video to compare these two techniques with the “prostatic artery embolization， PAE”？ thank you.

[@DavidSmith-fw6uj]

The men in my family suffer from erectile dis function and prostate problems they have got their prostate microwaved that stopped there erectile dysfunction in prostate problem Love from DeKalb Mississippi USA 🇺🇸

[@RuanLaVerne]

What is the only treatment of the operation?

[@frankeasterling3402]

Thank you. Not there yet.

[@janlourens4123]

Hi Dr . I a turp and my urethra got damaged before the prostate . They opened it with a procedure. But looks like it closed again . What would you think about a stent it is like a small spring they insert to keep it open .

[@mikekaraoke]

I know you posted this a couple of years ago but still, thinking of getting Rezum one.... I wil not be getting the laser one as that has a few perm side effects + not temp ones.... What is your take on the Aquablation therapy?? on my bladder scan it showed prostate was 50 grams but on my cystoscopy report said high bladder neck, moderately enlarged prostate with proluding lateral lobes-so am confused! I'm in the UK, so will be getting this free on the NHS!

[@guntherpetutschnig2705]

Good informations

[@DougHinVA]

So, which costs less? A typical cost for each and whether Medicare covers it would be a start.

[@robertjohnson4401]

Like many people have asked, could you do a video on Prostatic Artery Embolization.

[@jimlynn3455]

Please do an eoisode on aquablation.

[@RichardSnook]

Pumpkin seed oil changed my life

[@billiam4835]

After speaking with freinds and family members who were dissatisfied with both of these procedures I opted to take an alpha blocker to relieve my BPH symptoms. The worst case scenario is I can always have the surgery if the meds stop working.

[@mr1enrollment]

Rena: what about iTind?

[@gosneygosney]

What about the green light

[@salrusso1233]

Look up prostatic artery embolization please 🙏

[@tmeyer2022]

I had a Urolift 3 years ago after my second confirmed UTI and ultrasonic imaging revealed my bladder was not emptying completely. My Urologist recommended it over Rezum treatment. At the time, he lacked confidence in Rezum thereapy, thinking there was too little studied history on it at the time. After the procedure, I had a few days of slight discomfort, which I would not describe as pain. Urination was quite uncomfortable for a few days caused, I believe, by irritation within the urethra. I did have signs of blood in my urine for a few days, but that was expected. The doctor's instructions warned against sexual activiy for 7 days, but after 5 days, I was "Ready To Go." I haven't had any indication of need for another procedure (yet), although the Urologist told me that was possible.

[@nelsonsteven2387]

After watching your videos I wonder what you think about PAE treatment.

[@sircefiro]

You'd think with modern medicine & this being such a common problem there would be better solutions

[@stevepd1]

No one really advocates or cares about men's issues. Prostate problems are common, yet no one cares. Maybe there's not enough money in it for the doctors.

[@sircefiro]

@@stevepd1 yeah man, it's still pretty much unkown why it happens & bla, it's because they don't really give a shit, all the tech today & they still don't know why one of the most common health problems happens? Doctors in NZ actually refuse to test hormone levels etc

[@skitwit]

Dr. Rena, does your diet have to change after either procedure for the treatment to be sustained?

[@roynewling6599]

I had urolift and my volume increased

[@rjaney]

If you have either of these done what does it do to your prostate? Does it grow back? What about prostate stimulation during sex? Does it remove or reduce that as well question lots of questions?

[@stone8597]

Thanks for your video. What are your thoughts on "Artery Embolization"?

[@tinocorojo1040]

Hello there, can you give a review for aquablation

[@forridersofsatan]

Have you or could you do a video on epididymal cysts please

[@MH55YT]

Thank you. What's the pain comparison. I watched KZbin videos, and it looked painful. I know it was very painful to watch the videos.

[@climatedeceptionnetwork4122]

What about pain following the procedure, and does it lasts for days, weeks?

[@glenn3948]

Can’t someone just snap their fingers and in the problem. How about the procedure where they inject a granular into the vein of the prostate and it causes the prostate to shrink?

[@happycamper5900]

Glenn, read the comments from men that have had PAE. So many men said the pain afterward was so bad that a morphine drip didn’t help. If you want long lasting results with minimal side effects, research HOLEP.

[@glenn3948]

@@happycamper5900 than you!

[@mostguitarswins]

The two videos about Rezum vs. Urolift were very interesting and helpful, thanks! 👍👍 I'm hoping you will soon do a video about AquaBlation.

[@watersbey25]

94 comments, no answers from this doctor 😢

[@jamestimlin856]

What are your thoughts on taking Pygeum? It seems to help a lot of people.

[@spec4589]

What about the PAE procedure?

[@alleggett9354]

Any thoughts on the Green Light Laser procedure?

[@happycamper5900]

Al, look up KZbin videos and read the comments. The laser energy is so great that it often damages the neck of the bladder causing scar tissue requiring long term self catheter use. Proceed with caution.

[@HektorBandimar]

I seem to have all of those symptoms.

[@dennisspivey4985]

I just saw a new procedure similar to Rezum called aqua with multi jets to shrink the prostate. Has it been approved and what are your thoughts. I really enjoy your videos.

[@hernanespirituncbroker828]

In addition to this topic, Dr. Malik, can you give your opinion about Aquablation? Thank you always!!!

[@hotwheel6663]

My gives me bladder pressure? Anyone else?

[@donovandyer8779]

What about the green lazer treatment. How safe is it?

[@geraldbrienza4474]

Greenlight laser for me. Perfect.

[@Idealclone]

what about Aquablation?

[@bruceallen7054]

I had a urolift a couple years ago that resulted in incontinence and dribbling so bad I had to go back to tamsulosin. As a Urolift victim, am I now precluded from having Rezum procedure?

[@paulnamaste]

Rena what about PAE as treatment for BPH? I haven’t seen as much about it.

[@briancody1819]

Retreatment rates with urolift were less than Rezum with the healthcare data. 17k patients unbiased data

[@mmmmm5556]

I wonder if you have a video on aquablation vs other treatments? any new treatments on the way?

[@johngreene0129]

How would you rate Prostiva? It seems to be the cheapest of all procedures.

[@rodrigosepulveda4559]

Question, can I try UROLIFT first and then if it doesn't work then do the REZUM? or are there liitations after urolift?

[@ramirosegovia8920]

question dr. have you heard of Maasalong it’s for male enhancement does this work?

[@bradleyletchford6024]

Hey! I'm not sure if you have this video on KZbin but I would like to know what the pituitary gland does and how it works with hormones in the body. I'm 22 years old and my testosterone is 255.

[@ohpdjeva3837]

you go away. Go enjoy beautiful girls with big butts and big breasts. And this forum is for old men who are paying the price for years of playing girls.

[@en6075]

Hi all. I'm 43. Recently found out I have mild prostate enlargement (41.7ml) but it is giving me urinary issues etc. I am not sure I want to go on pills maybe except Cialis cause the others scare me. Has anyone gotten the rezum and was it worth it? I'd love to get the itind but why is it only for men 50 and over of age ?

[@rustynail3630]

I had Rezum done 2 years ago. I had complications with it after they took the catheter out. Almost died and was in the ICU for 3 days. The most painful experience in my life. But all seems well now.

[@freeeagle333]

@@rustynail3630 what was the complication if you don't mind? I am thinking of having rezum myself, trying to decide.

[@swarfmaster]

Do a TURP with a competent physician

[@santosh8766]

Hello mam first sorry for my bad English, i m not good in English My age 35 Sometimes I feel pain in pelvic area and testy, after urologist advice i have done scrotum ultrasound and report is normal, in June 5th i have done abdominal ultrasound and report was normal, prostate size .22cc and in report and dr also said that it is ok there is no enlarge prostate problem, in May i have done kft, my kft report was also normal but sometimes i have urine urgency and sometimes in night between 12 to 4am, what problem i have can you advise something? Also i m not gaining weight, weight gain is deficult for now but I have no weight lose problem Thanks if you reply

[@raymondrizzuto7997]

Any thoughts on iTind vs Urolift?

[@donquixote453]

I did urolift about 8 months ago--I'd say it's some better but nothing fantastic. I still wake up 1-3 times per night, which is better than I was doing 1-5 times per night...so some difference overall, but nothing to jump up and down for and the post operative pain isn't the best either...I believe my bladder is not elastic enough so it's always filling up quickly and there's no cure for that as far as I know. For those with great bladders, the result will probably be better. They'll give you drugs for the bladder, but I fear the side effects, so no thanks...I'm just wondering if testosterone enhancement would be beneficial?? Since we lose testosterone as we age and it's linked to the hormone that makes the prostate enlarge...

[@mikecolie9290]

What would the length of a typical catherization be following each procedure?

[@drgibson410]

I don't know what is typical but I had an aqua-ablation on Thursday morning and had the catheter until Monday morning with no pain. They have to do a procedure with the cath called Constant Bladder Irrigation (CBI) to keep the clots from stopping up the cath after the procedure. That's why they keep you around in the hospital for a day afterwards. They are pouring saline in, rinsing out the prostate and draining it back out, all through the cath. It's great fun!! On Sunday after the procedure, mine stopped up anyway and quit draining which required a trip to the ED and let them flush it all out and get on with it. I could have done it from home but it's not what I'm trained in. Any good nurse can do it.

[@steppinitup3839]

why the hair extensions?

[@eschewary367]

Hi Rena, I'm trying to see a urologist for T supplementation based on the results of a blood test, but there is _only one_ urologist in my (200k+ population) city after another closed, they're totally overwhelmed and I literally cannot get an appointment (when I called there were 34 on hold before me, waited an hour, then they're so underwater they can't f find my referral which was sent multiple times...) I'm wondering how this is possible; why is this vital medical niche going unfilled here? There's a lot of business to be had. Is there a shortage of urologists today? And why can testosterone seemingly only be prescribed by a urologist? Grateful if you have any answers!

[@matthewtaylor2035]

You should be able to see an hormone doctor also, an endocrinologist?

[@bcbarc7044]

Haha, any thoughts doing both?

[@rmorris3722]

Greenlight

[@jansugalski4856]

From

[@alberthernandez5650]

You never answered my questions???

[@glasfangar4438]

hello dear rena my problum solive love u

[@frankboon8318]

why is it when you go see a female doctor for male problems you can't say no I want to back out of it I don't feel comfortable with you and then they tell you I'll just man up and do it 😂

[@muralimadhav12]

Doc i am in serious need of someone's help ..... I am a teenager struggling to stop porn do u have any medication or advice,tips , working methods please 🥺🥺🥺!! I am too embarassed to say this to my parents please help me!!

[@miguelvegas4417]

I just had the Urolift procedure 2 days ago. Don't believe the hype from the "testimonials" and experts about how you may have some burning and discomfort for a few days but it's no big deal. Day 1 I felt I like I was peeing battery acid-EVERY. SINGLE. TIME , for 24 hours. I still break into a cold sweat just thinking about it. Day 2-serious deep pelvic pain from the tip of my johnson to my anus every time I peed (thank God the burning has subsided); with frequency about tripled from my pre-surgery frequency problem. All the experts promise that by day 4 things should be getting better. I hope so-I'm exhausted from this thing. Maybe the Rezum is a better option, even with extended catherization. I don't look forward to having to repeat this ever again.

[@RenaMalikMD]

Thanks for sharing. I'm sorry you're going through that!

[@salrusso1233]

Hi Doc I had prostate artery emblezation recently I'm very happy with results ...they block 🚫 blood flow to prostate. Not at all invasive and no side effects to speak of

[@salrusso1233]

HI DOC, I HAD A FAIRLY NEW BUT VERY EFFECTIVE PROCEDURE CALLED PROSTHETIC ARTERY EMBOLIZATION.. ITS NOT DONE BY A UROLOGIST..ITS DONE BY A INTERVENTIONAL RADIOLOGIST. THEY BLOCK THE BLOOD FLOW TO THE PROSTATE THROUGH ARTERY IN LEG. ITS SLOWLY DECREASES IN SIZE AS IT DOES ALL THE SYMPTOMS OF BPH GO AWAY!! NO SIDE EFFECTS NO PAIN . AMAZING

[@charlesbromberick4247]

You look nice today.

[@MegaMikeylikes]

These 2 procedures aren't available in Canada only thing is a Turp leaving the man unable to have children. Our country lags so far behind in modern medicine people here have to go to the States to get the treatment they deserve sad huh. Free healthcare means a 24 hour wait time at a ER for me 10 hours in critical condition waiting to see a doctor, no medical treatment option available the Government offer MAID service instead and so far 26,000 Canadians have participated in its short tenure.

[@tabaks]

Neither.

[@stevegeorge961]

It's a easy decision because your insurance company makes it

[@alberthernandez5650]

I go to the restroom at night because I drink water before I go to bed