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.
@Nitro2Nitro
Жыл бұрын
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.
@frankyancy1347
Жыл бұрын
Yup, my urolift lasted only 1 1/2- years...then the TURP. As far as I'm concerned it's useless
@tomtai8165
Жыл бұрын
You never listen from HoLep???????
@DennisMSulliva
6 ай бұрын
Yikes. I was thinking that I wish I had it done instead of turp
@nicmart
4 ай бұрын
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.
@mariomanzon7492
2 ай бұрын
Blood pa plp
@boydhall1
Жыл бұрын
Dr Malik, I had an office urolift 2 1/2 years ago. It was the most painful thing I ever encountered. Each staple was the end of the world for me and never saw another urologist till now. Vowing nobody would ever hurt me again like that. I go to surgery tomorrow to remove a staple from my bladder and fragments in urethra. It’s not all that especially done under extreme duress
@davidfritz111
Жыл бұрын
Had the procedure in ‘20; inadequate staples were introduced so had it repeated, but the procedure ultimately just didn’t work. Back on the tamsulosin but really don’t want to be. For me the worst part was the post op after the 2nd where I blocked up (blood clot) and had to have a catheter - almost worse than the procedure itself. I totally relate to your post. Hope the surgery gave you some relief.
@Mark-mq1cc
2 ай бұрын
I also had urolift then rezum. I now have staples against my bladder causing extreme pain when the bladder fills or empty's. Who did the removal for you? I can not find a uro that will do it.
@AMPJRW
2 жыл бұрын
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
@pebbles9908
Жыл бұрын
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....
@serdarsenol7307
Жыл бұрын
Also many of them are very rude to their patients!
@maidenlesstarnished8816
Жыл бұрын
Why would an antibiotic help with a viral infection
@pebbles9908
Жыл бұрын
@@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.
@matthewhardin9622
Жыл бұрын
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
@JH-tj9jd
Жыл бұрын
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?
@jlaw32860
Жыл бұрын
Great video, here's my story, I had the Eurolift done a month ago, chose it because from what I read, it had shorter recovery & less side effects, went under general anesthesia, woke up with a catheter, was told 7 implants were inserted, because of excessive bleeding, I had to keep the catheter in for 2 days instead of 1. Went home for 3 days of what I call hell. Always felt like I had to pee, then started getting cramps in my bladder, like it was trying to push out the catheter, called the doc, they put me on a script called Pyridium which I think helped a bit. Had the procedure on a Friday, pulled out the catheter on Sunday morning (couldn't wait any longer) cramps subsided but still felt like I had to pee all of the time, called the doc, went in for an ultrasound to see if I was emptying completely, which I was. Things gradually got better on Tuesday and there on. Today I feel great, flow feels like 100%. We will see about long term. Just be aware, I am in a dispute with the insurance co. and medical facility, apparently the insurance co. considers this experimental. Hope this helps someone who is thinking about it.
@Velo1010
Жыл бұрын
Thank you for sharing your experience. I’m possibly going to get this one next month. We shall see what the urologist says next week. As far as the insurance company we’ll they try to weasel their way out of a lot. Even though we are paying for it.
@billman6364
Жыл бұрын
guess it would be normal to go thru a couple days of hell for the end result hope it lasts for you. its not experimental Medicare approves it
@mcgch46e80
Жыл бұрын
Urolift is only a temporary procedure. My had the procure done twice, he still wears a subpubic catheter. I am afraid of TURP but maybe that’s an answer.
@Velo1010
Жыл бұрын
@@mcgch46e80 that’s what my hesitation is because the prostate will continue to grow. So rather than getting the device I’m taking supplements: pumpkin seed oil, zinc, and saw palmetto. And I’m consuming a lot less sugar. Have to see in a few months if there is any change.
@michaelbutcher6549
Жыл бұрын
My urolift was cover by Medicare and insurance
@paulrock1813
Жыл бұрын
Thank you, Dr. Malik, your detailed videos are far more helpful than any in office discussion that I have had with urologists. My discussions with these doctors have been so bad they don't even explain clearly and straight forwardly what my condition was and what choices of treatments were available. This 7.5-minute video is perfect. Thanks again for your help.
@arthurzengeler6909
Жыл бұрын
My urologist didn't explain anything, I had no idea what was happening. I changed urologist, and then, even didn't get a Dr., only a nurse. He was even less informative. I just told him a couple days ago, I needed to get this procedure. He said, "what procedure", as tho he never heard of it. I did get an appt. tho, to have it done, in a few weeks.
@1viva
11 ай бұрын
@@arthurzengeler6909 That's soooo bad considering how important and life changing this procedure can be and how important our sexuality is for us in our life.
@sambotoo5326
9 ай бұрын
Worst doctors in the United States is the urologist and the dentist
@richardfadle5921
5 ай бұрын
Yes!!! So true!!!! About both! But especially the former!!!!!! They just don’t know what they are doing!!! Is it any better in other countries????
@richardfadle5921
5 ай бұрын
Good luck sir!!!!
@go4it764
Жыл бұрын
My brother had rezum years ago. Worked like a charm and no bothersome side effects
@robballer
2 жыл бұрын
How does one person have so much knowledge it’s amazing! Thank you for the educational videos every week.
@mrolearyseattle
2 жыл бұрын
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.
@jamescalifornia2964
2 жыл бұрын
🚽 in urine is always scary 😨
@davidd9045
Жыл бұрын
Were you on meds before you did the procedure?
@meckev400
Жыл бұрын
The rezum procedure can take six months to be effective, surely you were told this would be the case
@Luis92168
Жыл бұрын
About your sexual life ,how You do feel?
@tanertavlan1769
5 ай бұрын
@@meckev400 I was so happy after 3 weeks. Just dont forget taking ur prostate pills for a month.
@haroldclark1787
Жыл бұрын
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.
@azharkhan3439
Жыл бұрын
Please let me know what medicine you have used,???
@haroldclark1787
Жыл бұрын
@@azharkhan3439 I've used finasteride and alfuzosin, with limited success. Good luck!
@billman6364
Жыл бұрын
@@azharkhan3439 those meds have lots of side effects, flomax works great but my heart beats out my chest
@danielriccardi6408
9 ай бұрын
I wonder why none of the docs are considering bladder neck obstruction. A simple tuip (not a turp) will fix that
@davep.5662
3 ай бұрын
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.
@wrayjordan7188
Жыл бұрын
I had Urolift about 3 years ago and it went well. Very happy with it. I’m almost 70 and still have some issues but glad I had the procedure.
@David_144
Жыл бұрын
At 72 I got a Urolift in January 2020. 40% fewer times/day and only get up 1-3 times each night. About a year ago I started taking magnesium supplements which also helped. Still pee too often but it's tolerable.
@gtibruce
10 ай бұрын
@@David_144 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?
@David_144
9 ай бұрын
Over the years I found myself peeing more often and with a bit more effort. When it got to be too disruptive I went to a urologist who determined that I had an enlarged prostate and prescribed medications. Not being satisfied I went to a different doctor who did the urolift. Got about 40% better (lower frequency)@@gtibruce
@4321grp
Жыл бұрын
I had the Rezum procedure done by Dr. Richard Bevan-Thomas at Arlington, Tx. last year and the results are fantastic, The procedure only took about 15 minutes, and with the local anesthetic the pain was very minimal. I'm glad I had it done; The reason I chose Rezum instead of Urolift is because I didn't want any foreign object left inside my body. It's important to choose a Doctor who is experienced doing the procedure. I have had no side-effects or pain whatsoever. The Rezum procedure has done for me everything it's advertised to do.
@robm2707
Жыл бұрын
How are you doing? Any sexual issues?
@davidd9045
Жыл бұрын
Were you on meds before the procedure? If so, were they not working?
@4321grp
Жыл бұрын
@@davidd9045 I was on Nitrous oxide during the procedure which I highly recommend, also the doctor gives the patient a local anesthetic before doing the procedure which also helps a lot.
@davidd9045
Жыл бұрын
@@4321grp oh I meant were you on BPH meds like Flonax before you decided to do the procedure?
@davidd9045
Жыл бұрын
@@4321grp oh I meant were you on BPH meds like Flonax before you decided to do the procedure?
@ler3968
2 жыл бұрын
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.
@MarkSmith-js2pu
2 жыл бұрын
Thanks for sharing, I’m slowly drifting to getting this done and first hand experiences help, brother!
@lornehargis2614
2 жыл бұрын
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.
@gfrank8058
2 жыл бұрын
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.👍👍👍😁😁
@4321grp
Жыл бұрын
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.
@EricJohn2008
Жыл бұрын
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.
@francof6383
7 ай бұрын
DR Rena Malik, M.D. you're the best at giving good information ❤❤
@hebert1518
2 жыл бұрын
Dr: Rena thank you! You continue to make a difference.🌹
@williammach9127
2 жыл бұрын
I had Urolift in January 2022. Very pleased with the results. Had a UroLift representative observing the whole procedure along with the medical team. It works as advertised for me.
@johnnicatra570
2 жыл бұрын
They go in the or to teach the urologist how to do the procedure and sell their product.
@Nitro2Nitro
Жыл бұрын
I haven't heard of too many Urolifts lasting over one or two years
@bobcocampo
2 жыл бұрын
Low Carb diet, sunlight and fasting improved my PSA from 4.12 to 3.4
@propbraker
2 жыл бұрын
This! Also will suggest the carnivore diet, stay away from manufactured oils, eat only natural fats and food.
@jerseyjim9092
2 жыл бұрын
Insignificant imo and could be caused by various things. One thing I was told by my doctor is that having sex within a couple days of the test will increase the result. He recommended abstaining for 2-3 days.
@TheROMaNProject
Жыл бұрын
This is VERY IMPORTANT info! In 2013 I had the painful and barbaric TURP procedure for BPH. I lost all ability to ejaculate - which reduces orgasmic pleasure by half - and concurrently developed erectile dysfunction (ED). My (former) urologist simply dismissed my post-op complaints and said the TURP can’t cause ED…which the literature showed was a risk. Needless to say I switched urologists but the damage was done. And I will never forget the prolonged PAIN, bloody urine, and pelvic discomfort that lasted for about 3 months. If your urologist asks you to consent for a “trans-urethral resection procedure” (TURP) get an immediate 2nd opinion from another urologist IN A DIFFERENT PRACTICE / MEDICAL GROUP because I’ve learned the hard way (over a decade with 2 surgeries plus multiple treatment for ED) that members of the same practice will rarely recommend anything one of the partners has recommended. P.S.: if drugs like Cialis and Viagra no longer help, try the injectable drugs (e.g.: Trimix) because the inflatable prosthesis surgery is horribly painful and, in my case, caused a loss of length - 2 inches - that I no longer can remain inside my wife for intercourse. Sensation is also decreased by half.
@jusuftheeagle6772
Жыл бұрын
So sad for you brother. Doctors like TURP because it is quick and easy money. A more refined approach using TURIS PLASMA they won’t do because it takes too long and they have a golf appointment to get to. For ED you could try cock rings or even a shoe lace wound around the base it can work for you. Good luck. TURIS possible but they excavate just as much these days. They don’t tell you they remove over a third of the volume inside the Prostste no wonder you get retrograde ejaculation and lose most of the feeling.
@freebuilder007
Жыл бұрын
Thank you very much for sharing your experience. As a 62 year old man with a healthy sex life and recent prostrate issues I am concerned about the future
@Wewwf29
Жыл бұрын
I feel bad for you! Thank you for the information
@JW...-oj5iw
Жыл бұрын
@@freebuilder007 ... What do your laying down issues have to do with the urinary subject?
@jmbpaz
Жыл бұрын
Abu Ghraib
@gfrank8058
2 жыл бұрын
Thank you Dr. Malik , for your easy to understand briefing. Unfortunately my urologist did not give me the complete briefing on these procedures. I believe that educating a patient, gives the patient more choices in there personal health options. Thanks again, I really appreciate your help with our overall health options. 👍👍👍😁😁😁😁
@andrewbuell9247
Жыл бұрын
I had urolift, worked well, but about 2 years later I found I was retaining high amounts of urine after urinating. It was fairly new when I had it done, urologist said they were finding it only lasted a couple years for a lot of guys. had Rezum done and doing great after a few years
@danielriccardi6408
11 ай бұрын
how painful was it? My doc said he doesnt do it bc during trials there was a lot of pain and feeling like you got to go to a horrible extent for most of the patients
@sebastianstark8517
Жыл бұрын
I've seen two urologists. Neither have mentioned either of these procedures. Thank you for taking time to explain this info, Dr. Rena!
@jaredmarshall4245
2 жыл бұрын
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!
@fasteddy
7 ай бұрын
Get a marble and call it done.
@bruceverdi2627
Жыл бұрын
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.
@kennymadrid2718
Жыл бұрын
What about side effects such as urinary incontinence and ED?
@robertstoler7209
2 жыл бұрын
You should really look into Greenlight Laser! One year ago this August. It has changed my life!
@titaniumman_22
Жыл бұрын
Thank you for this video. I’ve had a problem for 12yrs or so with slow flow, not emptying bladder (or even close they said). Now I have a thickened bladder wall due to the mentioned problems. These 2 choices in your video what were given to me as well removing prostate…that is not going to happen. So I’ve been gathering as much information as possible to make a decision. Thanks again.
@jerseyjim9092
Жыл бұрын
I'm not yet ready to take the risk of ending up in a worse situation than just the nuisance aspects of bhp. I hope they come up with procedures with higher percentages of success. As in 100% 😂
@cyberqid
2 жыл бұрын
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!
@danielriccardi6408
11 ай бұрын
i had a cysto at my first visit. got an infection and when I complained the doc fired me. What an ahole!
@fasteddy
7 ай бұрын
@@danielriccardi6408you have an obligation to tell his name!
@kenforu1531
2 жыл бұрын
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.
@meenam300zx
Жыл бұрын
Hi Ken. Which doctor performed yours and where?
@kenforu1531
Жыл бұрын
Melbourne,FL. Dr. Boris Havkin
@danielriccardi6408
11 ай бұрын
results dep a lot on the individual and prostate morphology
@dongaetano3687
Жыл бұрын
DR - May I just say you are an excellent communicator and your video dialog and screen shots are par excellence. Much appreciated. PS - you seem like a delightful young lady, all the best.
@PeteHob
3 ай бұрын
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.
@AjaanRobHatfieldMEd
2 жыл бұрын
Hi Dr. Malik, Love your channel! Please discuss the PAE procedure, the pros and cons. Thank you for all that you do!
@Tridhos
Жыл бұрын
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.
@DeathSentryCoH
Жыл бұрын
@@Tridhos sigh..i am very interested in pae.. but i can't imagine having to do another procedure afterwards..
@danielriccardi6408
11 ай бұрын
release what pressure?
@lunacallie6858
9 ай бұрын
PAE DOESNT LAST🙄🙄🙄🙄🙄
@gofukursef
2 жыл бұрын
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.
@IAmTheEggMan111
2 жыл бұрын
Who did your procedure? Do you have any lingering side effects?
@gofukursef
2 жыл бұрын
@@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.
@King3star
2 жыл бұрын
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
2 жыл бұрын
What side effects does one get from flomax?
@King3star
2 жыл бұрын
@@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.
@DeathSentryCoH
Жыл бұрын
@@King3star Also some recent studies that suggests that long-term usage could result in dementia in about 20% of users
@weshawkins7165
Жыл бұрын
A friend of mine did the REZUM treatment. It was a disaster. Extremely painful, infections and it didn’t work. He had to go back and have the TURP treatment done. I had the TURP procedure two months after he had his REZUM treatment and was almost healed up before he was.
@johnmuir2960
Жыл бұрын
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.
@younesj1847
4 ай бұрын
how did it go ? no more issues ?
@jimlaw6017
4 ай бұрын
Love to hear how it went
@midtwnscott
Жыл бұрын
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.
@johnaleck8672
Жыл бұрын
Experienced essentially the same. Indifference. A huge bias towards TURP.
@danielriccardi6408
11 ай бұрын
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.
@danielriccardi6408
11 ай бұрын
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.
@gtibruce
10 ай бұрын
@@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?
@danielriccardi6408
9 ай бұрын
can you repeat the question?@@gtibruce
@frankmccann29
Жыл бұрын
Dr. Malik thanks for encapsulating both procedures so completely.
@sheikhboyardee556
Жыл бұрын
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.
@sheikhboyardee556
Жыл бұрын
Plus, I had to wear a catheter for two weeks, not 2-5 days. Terrible.
@rafamerengues8935
Жыл бұрын
@@sheikhboyardee556 how old are you? Thinking of rezum but not having 2nd thoughts.
@josephercole143
Жыл бұрын
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 ?
@sheikhboyardee556
Жыл бұрын
@@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.
@sheikhboyardee556
Жыл бұрын
@@josephercole143 I didn't have any further surgery. I'm just living with it. Not worth the risk.
@grandpaj5096
2 жыл бұрын
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.
@DeathSentryCoH
Жыл бұрын
which supplements do you take? i've been on beta sisterol, zinc, and pygeum..hoping they help
@hernanmarin3904
Жыл бұрын
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!
@marylu2216
2 жыл бұрын
My husband is 35 and has had problems with his prostate. He recently went in because the symptoms got really bothersome. His doctor said, "he was too young to have prostate problems" and dismissed it. How can you get a doctor to take your symptoms seriously before its too late??
@RenaMalikMD
2 жыл бұрын
I'm sorry he had that experience. Have him get a second opinion!
@richardpauly1635
2 жыл бұрын
Go and see a urologist yourself out of pocket
@marylu2216
2 жыл бұрын
@@RenaMalikMD I will pass on the suggestion to my husband. Thank you, Doctor.🙂
@marylu2216
2 жыл бұрын
@@richardpauly1635 He is afraid to pay for a consultation and get the same response just because he isnt 50 years old yet. He wants his symptoms to be taken seriously.
@richardpauly1635
2 жыл бұрын
@@marylu2216 what happens if you wait to long and get worse it a risk.if you have prostate cancer in the family they check now at 40
@rossheikkila6959
Жыл бұрын
Thank You Dr. for the honesty. It has been long overdue in Canada.
@MrInterfact
Жыл бұрын
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.
@vingtsun1952
2 жыл бұрын
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….
@roncarhome1974
2 жыл бұрын
Could you shed more info or where to get it ?
@skk3940
Жыл бұрын
I've read that blood vessels can grow around the stunted ones and the prostate enlarges again?
@danielriccardi6408
11 ай бұрын
how large was your prostate?
@danielriccardi6408
11 ай бұрын
still a better option while hoping for something better in the future
@lyfandeth
2 жыл бұрын
What do you think of PAE as an alternative? The idea of supposed near zero collateral damage and low repeat rate is appealing.
@cjalfonso2212
Жыл бұрын
I had the PAE procedure in Nov 2019. The recovery period was brief and the results are amazing
@YandTIII
2 жыл бұрын
@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.
@danielriccardi6408
9 ай бұрын
what were your symptoms and how did they diagnose you?
@ohiowa3
2 ай бұрын
I had a urolift done at the end of February. A painful and miserable two days followed, then the pain and discomfort subsided and a week after, I felt fine. Flow is good, no urgency. For me, getting off of the flomax was a major benefit as it is a significant contributor to ED. I have zero complaints about the whole process, though I acknowledge I may be fortunate to have had an excellent urologist/surgeon, who thinks, from his experience, mine should last 5-7 years. We will see.
@matthewb.751
2 жыл бұрын
Dr. Malik, thank you for your informative video. I am done with meds and now ready to do something. I have had 3 friends that have had urolift in the past 3 years and it provided very little benefit and was very painful. I understand now they use laughing gas to ease the pain. Can you comment on Prostatic Artery embolization treatment? My urologist only pushes urolift and the TURP because thats all he does and not helpful sorting out other options where he doesnt make money.
@marksternberg9217
Жыл бұрын
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.
@Tridhos
Жыл бұрын
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.
@alanle5369
Жыл бұрын
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
@jackmorris8611
Жыл бұрын
Thank you for the valuable information I have checked into the procedure myself and the resume treatment seems to really work well keep up the good work
@RussellBWalker
6 ай бұрын
Dr Malik I have had the Rezum procedure and it was a TRAINWRECK. I urinated blood for nearly 3 weeks. I was in agony. Needless to say I got myself a new Urologist. My new Urologist told me that he had discontinued using the Rezum procedure due to the problems that most of his patients encountered with this Procedure
@garygrow8373
Ай бұрын
I had the exact same experience. Absolute agony during the procedure and for 30 days afterward. My new urologist said he also discontinued doing Rezum due to patient problems. Three years later and I am having the same problems. Exploring HOLEP as my next step. Rezum îs a horrible, brutal procedure that is palliative at best.
@jackfromthe60s
11 күн бұрын
My Rezum results are excellent. Urine flow increased 3-4 times. Urinary retention is gone. Sleep through most nights. No sexual side effects at all.
@frankeasterling3402
2 жыл бұрын
Sounds delightful. I can put up with getting up 3 -4 times a night for a long, long time to avoid something like this.
@benhill452
2 жыл бұрын
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....
@frankeasterling3402
2 жыл бұрын
@@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
2 жыл бұрын
- Wish we could just have the damn thing removed entirely... 😒
@frankeasterling3402
2 жыл бұрын
@@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.
@jamescalifornia2964
2 жыл бұрын
@@frankeasterling3402 - True. I lost weight and that did help. Less pressure on the gland I suppose...
@rogerevans425
Жыл бұрын
A urologist friend told me that procedures like those mentioned and TURP should nowadays be thought of as second choice, and that PAE should be regarded as initial choice, as it is cheaper and quicker and will resolve most problems. However he said most of his colleagues would not agree because they believe, as Urologists, they should be performing such procedures, and, in the UK, TURP is regarded as the "gold standard" even though it has far too many side effects.
@jamescalifornia2964
Жыл бұрын
PAE . . . ❓️
@rogerevans425
Жыл бұрын
@@jamescalifornia2964 Prostatic Artery Embolism - it's a radiological procedure where small plastic particles are used to block the arteries feeding the prostate. Done by a radiologist, not Urologist, There are YT videos about it
@jamescalifornia2964
Жыл бұрын
@@rogerevans425 -- Thanks. I'll check into it 👌
@loununya9251
Жыл бұрын
I had PAE twice and unfortunately my veins took over when my arteries were blocked. Great results for about 6 months then the little veins took over. I may be in the minority, it may work well for others.
@jamescalifornia2964
Жыл бұрын
@@loununya9251 - Yes , collateral circulation. Thanks for the information 👍
@ScrewballMcAdams
7 ай бұрын
Very informative. Thanks, Dr. Malik.
@InfusionFotoMpls
Жыл бұрын
I had a PAE painless and my results are amazing!!!
@checkeredflagfilms
Жыл бұрын
I can say my results were significant not what I'd call amazing. But beats any turp and it's side effects.
@InfusionFotoMpls
Жыл бұрын
@@checkeredflagfilms how long ago did you have the pae and how big was your prostate??
@katazack
Жыл бұрын
Glad yours worked. It did nothing for me.
@InfusionFotoMpls
Жыл бұрын
@@katazack how large was is your prostate?? Urolift sometimes doesnt work as well as TURP.. Have you talked to your radiologist about having it redone??
@katazack
Жыл бұрын
@@InfusionFotoMpls It is around 80, maybe a little larger. I'm going to try aquablation if I'm a good candidate.
@gshantz3141
Жыл бұрын
Seems everybody has a different experience. I had a TURP and after all the bleeding and healing, it helped tremendously -- for only a few months. It gradually returned to very limited flow. Sadly, NOBODY told me that ejaculation would be totally history. Also ED has become extreme, but I don't know how much is a result from the TURP, and how much is from diabetes. Very disappointing.
@go4it129
11 ай бұрын
That’s one reason I never considered TURP
@jimd6641
10 ай бұрын
I truly sympathize with you. I've been to several urologists, and virtually all of them fail to explain possible side effects of the various procedures they've put me through. It seems to be pretty common among doctors in that specialty.
@oldguardmd
Жыл бұрын
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?
@pontificusvascillious5287
Жыл бұрын
chronic inflamation - metabolic dysfunction - insulin resistance - high glucose - what you eat
@williamhastings4491
Жыл бұрын
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.
@jdholbrook33
Жыл бұрын
@@pontificusvascillious5287 Truth!
@tomtai8165
Жыл бұрын
Farmer industry - same Mafia. Why she not looking for symptom??????? Ofcourse not want lose money.
@seascape35
6 ай бұрын
In the future, I think the transrectal biopsy will also be seen as barbaric.
@eddygwartney9325
Жыл бұрын
HOLep. That’s the way I went (with a 250g+ prostate.) Rough first 10 days … Healing well and quite happy with it. This is an informative video. But I’m happy with the way I went.
@10yoss
Жыл бұрын
What you are not told about Urolift: the stainless steel urethral tabs which are part of the Urolift implant can become calcified and result in an infection. If for any reason these implants have to be removed they can remove only the portion of the implants inside the prostate. The stainless steel tabs which are outside the prostate stay there.
@John-hq6em
Жыл бұрын
I had Urolift. My experience has been horrific. Intensely painful recovery, completely lost ability to urinate a day after the procedure and had to get a catheter. Amazingly, they installed the catheter incorrectly, which caused more problems. No improvement in stream. Urethra damaged/scarred so my pee sprays everywhere. Apparently I now have to sit to pee for the rest of my life. I wouldn’t recommend it to anyone.
@allanroberts2483
Жыл бұрын
My experience as well. From what was touted as a simple non-evasive procedure, I ended up with blood vessels having to be burnt off, had a catheter and my urination has never been the same again and not any improvement. Would NEVEr recommend this procedure to anyone.
@tomtai8165
Жыл бұрын
Where you go? In the Jungle?HoLep is the best.
@Robert-yb8is
Жыл бұрын
What is wrong with sitting to urinate, lots of advantages you rest more , no splashing, etc. What do we do when we go #2 do we only crap, no we crap and pee all while we sitting down so what's wrong with sitting to pee,
@billiebob2363
Жыл бұрын
@Robert-yb8is well at home, probably little to no problem. However, if you're shopping or dining out, the ratio of urinals to toilets is rarely in your favor.
@MikeAnn193
2 жыл бұрын
How timely, I've been thinking about Urolift recently, especially after my urologist suggested it could help my BPH. This was a lot of useful information, thank you! I just wish you had summarized the two in a side-by-side comparison table.
@russelhoward1742
Жыл бұрын
I had this done a year ago Tell him don't wait what you choose to do ,,,,, but if you don't it leads to bladder infections and stones I put off for two years I was actually bleeding I had 4 of them ,,tell him not to be afraid but look at it like an investment for yourself and your marriage
@stevedolyniuk3358
Жыл бұрын
For me it was a waste of time. Only lasted for two & one half months.
@alfonsobenitez8574
Жыл бұрын
MikeAnn193. I am 69 yo. Had the Urolift done in Austin Texas les then ten years ago. It didn't do me any good. Maybe it had to do with the Dr who i think just graduated from Med School, and he was working under another Urologist, but the Urolift didn't do me any good at all. I continued to get up many times at night, i am still having that issue today. I was thinking of having a convective water vapor treatmen, i was diagnosed with prostate cancer two years ago and 3 month today. The Urolist wanted to take me to the butcher shop right away. He mentioned that it was urgent to get the ptostate removed, i fired the AH, changed my diet, no more sugar, processed food, no red meat unless is grass fed, lots of brocolli, spinach and others vegetables. I juice every morning organic vegetables beets, carrots, green apple and celery hearts together. I also went and got treated with a holistic Dr and got Ozone and oxigen intravenous. But i still have the issue with frequently getting up to go to the bath room at night, affecting my sleep tremendously.
@rafamerengues8935
Жыл бұрын
@@stevedolyniuk3358 you did urolift?
@billman6364
Жыл бұрын
@@rafamerengues8935 she said ulift last 5yr
@jamesowidi7081
Жыл бұрын
Thank you for making the message simple and clear
@jhjh3249
2 жыл бұрын
Please answer this question Dr how do we find a qualified Dr who actually care about their patients health they way you do in our own areas ?
@roynewling6599
2 жыл бұрын
Go online do your research
@Leo-jw4ex
2 жыл бұрын
Good luck..We're all in the same boat...Not all doctors are created equally...
@jhjh3249
2 жыл бұрын
@@roynewling6599 ty I would never thought of that only to say the dr might answer back with what kind of research and some questions to ask and things to look for in a urologist but again I would have have thought about doing research 😀
@roynewling6599
2 жыл бұрын
@@jhjh3249 most doctors have a rating’s page and a short video and patient reviews page
@woodstream6137
Жыл бұрын
@@roynewling6599 just hope they're in network too
@ImUsingtheLitterbox
2 жыл бұрын
I feel bad for all the guys who go through problems sexually but for me personally I just never gave a crap about sex. I always worked hard and made a lot of money. I never chased women, I served in the Army from 1993 to 2000 because I was kicked out of the house and forced to make my own way in life. I did that and it was tough but it made me a better man and it taught me things that I would have never learned if I had been under the wing of my parents my whole life. Being independent and healthy is a lot more rewarding than chasing after someone. I'm glad I made my life priority to be the best that I could be on my own and enjoy my life in the comfort of all that I earned through my own blood, sweat, and tears.
@MrGuitar1458
2 жыл бұрын
Great information as always. Thank you Dr. Malik!
@jeffsnider3588
Жыл бұрын
Well I spun the bottle and ended up with the Green Light Laser treatment.....Wow it was like nothing...So far it has worked well and no problems.....I would have this procedure again tomorrow if required. Show up at the hospital early in the morning, was leaving at noon with a catheter which was removed at the Urology office the next morning. Went home and my pee began to change from orange to yellow after 4 days. I did sense some burning the first time I went to pee but after that no problem.
@user-hl5rr6ix8u
10 ай бұрын
Dr Malik's videos are very impressive. Wish my urologist had been as informative.
@rustynail3630
Жыл бұрын
The issue I have with Uralift is that it doesn’t reduce the size of your prostrate. You prostrate continues to grow each year. With Rezum, you reduce the size of your prostrate by up to 40%.:with that being said, I had Rezum done and it was painful and I almost died. My urinary tract was blocked and I went to the ER. Was in the ICU for 3 days and needed dialysis.
@billman6364
Жыл бұрын
Thanks for that, Rezum is what my Dr does they make it sound like a piece of cake. Drs underestimate everything they do. hope youre better now
@jeff3575davison
Жыл бұрын
Would be nice to hear about "Aquablation". My prostate is too larger for Urolift and my Urologist does not recommend Rezum.
@jrm1946
6 күн бұрын
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)
@sillyrabbit734
4 ай бұрын
I had the Urolift procedure done 5 days ago - ended up in the emergency room because I couldn't pee and I desperately needed to. Begged and received a catheter thank god. Still passing A LOT of blood in my urine hoping to get the catheter out soon. It's been a process - after that, I get a implant to help with my ED. Hope that goes better.
@mrdave4714
2 жыл бұрын
Thank you Dr Rena for being amazing!
@johnmuir2960
Жыл бұрын
Can you comment on the new non- surgery procedure that shrinks the prostate please?
@herbertvonsauerkrautunterh2513
Жыл бұрын
I'm 46 and my sex life is just getting better so that's super important. If rather have the enlarged P than any dysfunction
@Pokingthebear999
2 жыл бұрын
When I was 50yr old, I had a partial prostatectomy done at the VA, needless to say I don't think about sex anymore.
@unequally-tempered
2 жыл бұрын
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
Жыл бұрын
This is why I feared the Urolift procedure. 5 years and I'm fine after the REZUM procedure. I highly recommend this!
@juancasillasjrfalu5888
Жыл бұрын
@@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 ?
@EricJohn2008
Жыл бұрын
@@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.
@juancasillasjrfalu5888
Жыл бұрын
Thk u Eric I appreciate your reply
@heimihenderson4543
Жыл бұрын
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
@InfusionFotoMpls
Жыл бұрын
my results are amazing from the PAE.... no urologist will ever recommend it....
@davidd9045
Жыл бұрын
@@InfusionFotoMpls why won’t they recommend it?
@midtwnscott
Жыл бұрын
@@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.
@robertvasquez240
Жыл бұрын
I have read that PAE is performed by vascular surgeons since they usually have to through an artery in your groin/thigh area.
@Tridhos
Жыл бұрын
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.
@MH55YT
5 ай бұрын
Thanks for the video and for making it easier to understand (for dummies like me). I appreciate you.
@kebedegunjo9
Жыл бұрын
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.
@oldsnwbrdr
Жыл бұрын
While getting a prostate biopsy I asked my urologist if he could multitask. He said sure, and I asked about these alternative therapies as well as green laser. He said his clinic used to do them but weren’t nearly as effective as the good old TURP. I got one, put up with a couple days’ discomfort, and haven’t looked back. Where I once had a garden sprayer with no control over its setting, I now pee like a teenage racehorse. Just do it.
@rosaritobeachmexicorosarit687
Жыл бұрын
Can you tell me more about TURP I’m ? Take Up Resting Peter is what I am Thinking this procedure is
@PAfarmboy
Жыл бұрын
@@rosaritobeachmexicorosarit687 A transurethral resection of the prostate (TURP) is a surgical procedure that involves cutting away a section of the prostate.
@clwomble
Жыл бұрын
I had a TURP. Complete success. Had a catheter for 1 week after and began having bladder cramps. I had them for the last 2 days. I removed the catheter myself, per doctor instruction. The first time I peed - OMG, I can’t describe how good it felt to pee at a high flow rate again. I think the best description is it’s like coring an apple from the inside.
@Velo1010
Жыл бұрын
Any improvement in ejaculatory force, if any you had before?
@nvan78
Жыл бұрын
@@clwomble had this procedure as well 3 weeks ago. Went home without a catheter and no pain meds. So far all is good and happy to no longer have to take Flomax and Avodart, my PSA was 14.5 even with these drugs and also have low grade prostate cancer, Gleason 6.
@bareknuckle56
Жыл бұрын
I did the Urolift last year and the results are fantastic. The procedure was only 20 minutes, but I did have general anesthesia which was actually the worse part.
@Legnerps
Жыл бұрын
Why was the general anesthesia bad ?
@Nitro2Nitro
Жыл бұрын
Urolift typically last a year or so then the benefits are gone
@EricJohn2008
Жыл бұрын
@@Nitro2Nitro I"m going on 4 years after the REZUM procedure and doing great.
@michaelmelamed9103
Жыл бұрын
Worst
@brucehuddler7518
Жыл бұрын
@@Nitro2Nitro speculation opinion
@goransenjanovic3608
Жыл бұрын
I love these videos by Dr. Malik - I only wish they were a bit slower, in order to better absorb the information. Or just have little pauses from time to time, with partial summaries of the material discussed.
@user-ez1li8ml5b
Жыл бұрын
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.
@katazack
Жыл бұрын
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.
@cbuchner1
2 жыл бұрын
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.
@mpix8302
2 жыл бұрын
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!
@elrobo3568
Жыл бұрын
My urologist at the VA told me yesterday that over 50% of the uro lift procedure patients have to have them removed and undergo surgery. I have a normal prostate, but he wants to ream out the urethra because he says I have a curve restricting my flow. I am going to go to a second (non VA) urologist for a second opinion.
@brucehuddler7518
Жыл бұрын
Ask yourself Why is VA doing Urolift if it’s not successful? It depends on the Doctor.
@lewisamberg4640
Жыл бұрын
As I type this - I had the UROLIFT procedure done 5 hours ago. My prostate was bad plus I have a hernia - forcing myself to pee causes the hernia to bulge out. One thing at a time. I am hoping this Urolift works well. I was and am desperate. To the Doctor who made this video - you are awesome and explained everything so well I am left with no questions - only regret that I never found your video sooner. I hope you get a lot of followers - you have a way of delivering information in a soft manner that is awesome. Thank you for this video 🙏 And yes I did subscribe to your channel👍
@Bam-BamMoore-zz2vk
8 ай бұрын
‼️RENA IS THE BEST‼️
@roynewling6599
2 жыл бұрын
I had urolift no heat everything turned out great a little blood for three day’s then back to normal
@DeeDocker
2 жыл бұрын
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?
@richfrazier8756
Жыл бұрын
Had choice between eurolift and TURP (transurethral resection). I chose the latter. Glad I did. More invasive but better results.
@danielriccardi6408
11 ай бұрын
any side effects?
@Retiredtraveler1961
10 ай бұрын
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.
@galaxianx01
Жыл бұрын
I was diagnosed with BPH 2 weeks ago. Im 54. I was given the medication but didn't take it. Instead I went home and fully water fasted for 3 days. Since then I've effectively gone zero carb and ditched alcohol completely. I noticed a big difference after the first 3 days in that I could pee much better, but the burning sensation took a few more days to recede. By day 6-7 all symptoms had more or less gone. I didn't have sex or ejaculate for about 12 days. The first one was a bit painful. But since then all has been well. Its amazing how we men can try to avoid doing the right thing until it affects our ability to pee and cum. Lesson learned. Im low low carb all the way now.
@flexiblestrategist9922
Жыл бұрын
I'm going for an MRI 19th December since my PSA level is 5.8 when a man my age (56) should be 3.5. The urologist felt a slight enlargement but I won't opt for suergery IF it gets to that. I don't drink alcohol and drink lots of water everyday anyway. I've been drinking water all my life.
@alfonsobenitez8574
Жыл бұрын
@@flexiblestrategist9922 What a High PSA Level Means if It’s Not Prostate Cancer A high PSA level can be the first sign of prostate cancer, but it can also be a sign of a less-serious condition. Find out why else you may have an abnormal PSA reading.  By Chris Iliades, MDMedically Reviewed by Justin Laube, MD September 6, 2017 Check this out. A high PSA doesn't alwsys means you have cancer. I am 69 yo. Last year on December 1 had a PSA of 3.7, this week i got blood work and it came out at 4.9, i had sex Wednesday night with my wife, got my blood work on Friday at 8 am. I changed my diet, but gaving frequency of urination at night when i go to bed.
@jeffreystreich5352
7 ай бұрын
I agree..Food,alcohol, dairy, chemicals and much more all affect the prostate in some way..even constipation and stress. My main thought is none of these doctors dont want to tell us the reasons for inflammation of the prostate. They say enlarged prostate..not inflammated prostate. So why dont they tell us ways to fix this issue...because..they would not have a business then..doing tests, profits from medication referrals, surgery money, after care. Once you engage in surgery..you are a life patient. You will be seeing them for the rest of your life.
@reedschrichte800
7 ай бұрын
The processed food industry is poisoning us... or more accurately, making it very cheap and easy and quite delicious for us to poison ourselves.
@budwise7332
5 ай бұрын
Hi. What are the symptoms?
@trinispur3787
Жыл бұрын
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?
@bobbender5858
2 жыл бұрын
I had a Urolift about five years ago. Only a slight improvement in my case.
@e-5ruben807
Жыл бұрын
I had the Rezum procedure done 02/2023 and the catheter removed about thirty days later. The procedure went well and I'm able to urinate without problems. It has been a blessing for me. Also, eating pumpkin seeds and drinking green tea help. Thanks for the information Dr. Malik.
@smdmf
Жыл бұрын
any sexual differences?
@e-5ruben807
Жыл бұрын
@@smdmf I'm able to have sex no problem but I'm still on Finasteride per Dr.
@jackclubs6919
11 ай бұрын
30 days with catheter seems long is that a mistake ?
@e-5ruben807
11 ай бұрын
@@jackclubs6919 No, after the Rezum procedure you become swollen from the procedure. Make sure the swelling went down first. Its been 6 months and doing well.
@danielriccardi6408
11 ай бұрын
omg that sounds horrible and you actually had to have a catherter in for a month? what about infection?
@1948Seamus
Жыл бұрын
Would you do a video on The Prostatic Artery Embolism procedure?
@renemorales9169
Жыл бұрын
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
@RickHoot-gc4zu
8 ай бұрын
I’m having the urolift done in January 2024. Hopefully the success rate is on my side. The VA at first said it’s not a life changing medical procedure. That it’s a cosmetic procedure. But after several months and many emails along with doctors appointments. They are paying for it.
@cskaplan
Жыл бұрын
I had urolift. It was failure. You don't want to do this in a doctors office, it's real surgery. It worked for about a month and then I was back on meds in order to urinate again. Even worse, the 8 pins they put in me caused a lot of discomfort and I had trouble sitting. After a year I had aqua ablation procedure and that has worked better. They also were able to remove most of the urolift pins so I can sit and ride my bike again. It's a bloody procedure with a long recovery but it was worthwhile for me.
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