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Treating BPH Comparing HoLEP, Rezum, and UroLift 

Grand Rounds in Urology
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1 окт 2024

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Комментарии : 111   
@John-hq6em
@John-hq6em 9 месяцев назад
A major negative of Urolift is it completely precludes the use of MRI to scan for prostate cancer. It also prevents the use of MRI for guiding biopsy of the prostate, putting you back to the sketchy process of random biopsies. The Urolift implants create large blind spots in MRIs of the prostate, eliminating the value of the MRI. This is a huge drawback that no one seems to mention until it’s too late. I know this from personal experience, unfortunately.
@John-hq6em
@John-hq6em Год назад
Avoid Urolift like the plague! I should have heeded the huge number of negative reviews. A completely disastrous experience. Intensely painful recovery, and I’m left worse off than before.
@jimanderson2518
@jimanderson2518 4 года назад
Wow that my friends is exactly why the internet is a positive tool Thanks for posting Hope you know how much that helps people . 👍🙏
@valeo6820
@valeo6820 3 года назад
Always ask your urologist whether he/she has financial interest in using particular treatment method/ equipment. Most urologists have financial agreements with companies rewarding them for using their equipment.
@richardfadle5921
@richardfadle5921 2 года назад
Great thinking!!!! Or they co own the clinic. Or if just a employee they get bonus if doing one way over another! Even pharmacists get rewards for pushing one drug over another! Human greed: human nature for the almighty because ck rules all!
@richardfadle5921
@richardfadle5921 2 года назад
For the almighty buck rules all!! I meant to say!
@sunilgarg9506
@sunilgarg9506 Год назад
As if he is going to tell you
@mgmovassaghi1733
@mgmovassaghi1733 Год назад
The operating urologist gets bright from the sales people I experience that while my urologist was doing eurolift on me. He destroyed my livelihood. I used to get up two or three times a night before now I'm getting up 3:00 to 4 times and sometimes five times after the Euroleft. This procedure is a hoax
@mgmovassaghi1733
@mgmovassaghi1733 Год назад
While he was doing procedure on me the salesman was in the room
@eugenebdotson7363
@eugenebdotson7363 11 месяцев назад
Be careful for what you wish for you maybe disappointed in the end !
@Rockinrn
@Rockinrn Год назад
Very few surgeons perform HoLEP due to the steep learning curve.
@fredcdobbs823
@fredcdobbs823 3 года назад
No mention of Aquablation in comparison studies. Considered definitive therapy by GRU?
@stephenwcarter6919
@stephenwcarter6919 3 года назад
The best concise and comprehensive discussion on comparative treatment therapies for BPH
@slava1959
@slava1959 3 года назад
Urolift worked me for only two years and then urgency returned. I did try to talk to urolift but they refused to talk to me. Any ideas on how to extend the life span of my urolift implant working for me again which is sitting idle inside of me?
@robertstancliffsr9575
@robertstancliffsr9575 2 года назад
I only got a year from my Urolift....also, the procedure, once I woke up from having it done, hurt something awful and while I left the hospital on the same day (without a catheter), I had to go to a hospital emergency room that night and get one installed. All of this hurt terrible....and I peed blood and clots for 4 weeks. Now, a year later, something else needs to be done.........
@GeorgeDaymondLush
@GeorgeDaymondLush 5 лет назад
An excellent and simple presentation that anyone should be able to absorb
@jamesreedy1517
@jamesreedy1517 5 лет назад
The most complete overview that I have seen on the Internet.
@MarkJohnson-zy4fd
@MarkJohnson-zy4fd 2 года назад
Regarding Rezum: “Typically four or five treatments…”. From experience, when the moronic doctor performs FIFTEEN treatments, as he did on me, things go poorly. Boston Scientific, IMO, has paid insufficient attention to the dangers of over-treatment.
@LonskiBig
@LonskiBig 4 года назад
...Those medication cost figures are way out of whack....A person could get by on generic terazosin 5mg (2 qd) and add atenolol to calm any heart- racing tendencies for about $50 for 3 months...and cheaper if you picked them up in Mexico....
@greatgandalf5233
@greatgandalf5233 4 года назад
Excellent presentation with a great review of current procedures!
@petermontgomery4317
@petermontgomery4317 4 года назад
Very informative and comprehensive. Thanks
@Agapenutrition
@Agapenutrition 2 года назад
Very nice presentation, just what I was looking for; however, I didn't see any information on any of the MRI-guided laser ablations such as those offered by Halo Diagnostics, Tulsa-Pro. or Thulium laser. They would appear to offer a very rapid recovery compared to the Rezum treatment. Would appreciate hearing your thoughts on those options.
@piyasaini8578
@piyasaini8578 2 года назад
CAC Sheet Dhara Syrup is the ayurvedic formulation of Ajwain satv, Peppermint, and Mushak kapoor that balances the vata and pitta dosha. The syrup has coolant properties thus it is very beneficial to cure abdominal pain, discomfort, and improves the metabolism of digestion.
@panostheodoulou1166
@panostheodoulou1166 5 месяцев назад
I thought Rezum has risk of non ejaculation, however Urolift does not have that risk
@TheEddiedudley
@TheEddiedudley 4 года назад
Great information and well explained.
@eugenebdotson7363
@eugenebdotson7363 11 месяцев назад
I had rezum and the tissue was not removed, No ejaculation for my manhood !
@richardfadle5921
@richardfadle5921 2 года назад
Most doctors do hav a money interest!
@ClassicalGuitarist
@ClassicalGuitarist 3 года назад
Very informative and useful. Thanks.
@fpftraining
@fpftraining 5 лет назад
Very informative.
@eleveneleven6638
@eleveneleven6638 8 месяцев назад
Urolift completely and permanently destroyed my life !!!! Now I am faced with my new urologist wanting to do another surgery (greenlight) to correct to the botched UROLIFT procedure. I am told I would have to self catheterize everyday possible for the rest of my life. My symptoms now are WORSE than before Urolift. Please be advised and don't say I didn't warn you if you get this procedure !!!!!
@unclefester9113
@unclefester9113 3 года назад
Morcellated ? Interesting word. Interesting procedure ( please explain )
@Whicheverworks
@Whicheverworks 5 лет назад
Thank you for a good presentation.
@eugenebdotson7363
@eugenebdotson7363 11 месяцев назад
Rezum, you will lose your manhood !
@mattmilroy3575
@mattmilroy3575 10 месяцев назад
Do the dctors put you out of conciencesness
@jefferymcleodbeyoursfalway3170
@jefferymcleodbeyoursfalway3170 11 месяцев назад
So what they are doing is removing the tissue inside the prostate turp it's cut out aquablation it steamed too kill it holep is a laser too burn the tissue
@kimpliny
@kimpliny 4 года назад
A detail and comprehensive comparison among all the options for treating BPH. Wish it also includes TURP, which I just received 3 weeks ago. I am happy about the procedure but having a catheter with me for 9 days in total felt really miserable. Overall, this video has re-confirmed me that I have made the right choice for my BPH.
@luigi5890
@luigi5890 3 года назад
Some time has passed, do you still feel the same about the TURP?
@marksakowski9272
@marksakowski9272 Год назад
Did it involve a total destruction of your urethra??And you call it "the right choice"???Amazing.
@kimpliny
@kimpliny Год назад
@@marksakowski9272 Yes, I still call it the right choice as of today. I have had no problem urinating since the surgery. I was even surprised that I could have no problem with ejaculation after the surgery, because I was told by my surgeon it won't happen after this surgery. I asked my surgeon about it, and he replied to me that he could do nothing about it, and it was pure luck. Hope this helps.
@MartinNyberg
@MartinNyberg 3 года назад
Why not include TURP?
@Stinsonddog
@Stinsonddog 3 года назад
Dr Cheney is fantastic. I have seen him in action and if you want a HoLep you should come to Mayo and have him do the surgery.
@barkingbeanscoffee
@barkingbeanscoffee Год назад
@@user-fm4gv3es3l LOL like you have it done more than once? He was was great.
@jefferymcleodbeyoursfalway3170
@jefferymcleodbeyoursfalway3170 11 месяцев назад
I have a friend who is a doctor he did not want any of these so he went and had a robotic surgery too remove the prostate he said he did not trust his colleagues in urology
@eugenebdotson7363
@eugenebdotson7363 11 месяцев назад
The Elon musk procedure !
@bobabraham5060
@bobabraham5060 2 года назад
Would have liked to see robotic prostatectomy included as this is the choice those with
@scottnole8045
@scottnole8045 3 года назад
Impressive!
@mickanton7285
@mickanton7285 2 года назад
more information is now available which suggest Urolift for patient with enlarged median lobe
@pearlgarwood8474
@pearlgarwood8474 3 года назад
I have a very enlarged prostate ...what is the best treatment option. I am 74 years old and have prostate cancer with Gleason score 3+3
@kennyw871
@kennyw871 6 месяцев назад
You need to update this information in consideration of the PAE procedure. Thanks.
@MrCuddlyable
@MrCuddlyable Месяц назад
@kennyw871 PAE (Prostatic Artery Embolism) gave me a couple of year's relief but clearly did not prevent my prostate continuing to grow so that it is now inoperably large and I am bound to a catheter. However the PAE "intervention by radiologist" was tolerable without anaesthetic and we could chat during the procedure. I was home again the same day. The required skill set and the preparation MRI make this an expensive choice and, I suspect, make it unpopular with established urologists.
@xavier05
@xavier05 3 года назад
I wish these new minimal invasive techniques were available in Brazil
@peterbrown6867
@peterbrown6867 3 года назад
Hello. There is minimal invasive procedures in Sao Paulo. The procedure is prostatic artery embolization. Look it up.
@sangvong3396
@sangvong3396 Год назад
Urolift last 12 months. No good
@antoniocalderazzo593
@antoniocalderazzo593 3 года назад
Excellent its a great help quite comprehensive THANK YOU
@roberthowitt1005
@roberthowitt1005 Год назад
I had a Urolift and it was worthless.
@robertpapps3618
@robertpapps3618 Год назад
Excellent presentation, thanks much!
@AZSilverbug
@AZSilverbug 4 года назад
Great review... any comparison to the good old TURP? Or is the TURP far worse then any of the procedures reviewed?
@sonyjamia3051
@sonyjamia3051 4 года назад
Very well explained.
@davidanderson8469
@davidanderson8469 Год назад
Excellent presentation doctor.
@GWAYGWAY1
@GWAYGWAY1 3 года назад
In the UKthey have some NHS centres that use it but mostly private clinics. These private hospitals are using a scam with both urolift and rezum. They tell the patients that it must be under full general anaesthetic in a proper theatre . This makes the patient think it is a lot more serious than it is. The costs are therefore a lot higher than could be charged as an outpatient walk in therapy the quotes I got were £6400 or so. Rather than 2200USD
@cliffdariff74
@cliffdariff74 3 года назад
are not the procedures already tax paid health in UK?
@GWAYGWAY1
@GWAYGWAY1 3 года назад
@@cliffdariff74 Yes if you use the NHS, but all the NHS hospitals are closed because of the CV19 scam and I am forced to pay for a private clinic to get it done OR wait on a waiting list for at least two years until they might have cleared some off the list, I would have had it Last year otherwise and I cannot live like it with the BPH, tamsulosin kills me with GERD because of the pain of reflux at the slightest lifting or bending.
@davidscott3292
@davidscott3292 3 года назад
@@GWAYGWAY1 Things are getting going again. I've just had a turp at my local NHS hospital in the UK.
@GWAYGWAY1
@GWAYGWAY1 3 года назад
@@davidscott3292 At the moment I am sitting waiting for my op today, having a Rezum ,and costing me £5000 at private hospital in Chichester .The NHS has me on a waiting list of two years time. I could not carry on like that so have blown savings on it. There are it see s 4.8 million waiting for an appointment for seeing an NHS consultant, let alone t hose that haven't seen the GP. It is all a planned agenda.
@davidscott3292
@davidscott3292 3 года назад
I must have been lucky to get a cancellation at short notice. I had acute retention and a catheter in for 15 months, with numerous episodes of severe infection. Sounds like you've got a good, up-to-date procedure with the Rezum, less invasive than the turp. All the best.
@Falquiboy
@Falquiboy 2 года назад
any experiences with the rezum therapy?
@paradab6543
@paradab6543 2 года назад
i just had rezum about 5 month ago, it does not work for me. i will have holep surgery in the next 4 days. hopefully it will work!
@Hiker_Mike
@Hiker_Mike 4 года назад
Stricture rate @ 1 year out is 0.5 to 8.1%? What does that mean? Does it mean the risk of getting stricture(s) at 1 year is up to 8.1%? This is the reason I won't get HoLEP or TURP... strictures require additional *potentially serious* medical procedures to correct.
@Hiker_Mike
@Hiker_Mike 3 года назад
@@SharokD , After researching this for months, I'm going to get TURP. BPH symptoms are destroying my quality of life. I've suffered with BPH for 15 years now, I've had enough. I'm forced to take the risk of potential strictures/etc... I won't take BPH drugs and UroLift has too many unknowns w/r to long term improvement. I'll have TURP done Apr. 22nd, hopefully it works to eliminate the BPH symptoms.
@SharokD
@SharokD 3 года назад
@@Hiker_Mike If you are going to take the risk of getting strictures with TURP, why not do HoLEP, which is more like a permeant fix? I've heard people who did TURP ended up going for HoLEP later to clean it for good. Some places where they do HoLEP or TURP might have an option to use a resectoscope with diameter of 21FR (7mm) which reduces the risk of strictures. Usually they use a resectoscope with diameter of 26FR (8.66mm).
@Hiker_Mike
@Hiker_Mike 3 года назад
@@SharokD , The only option I have with my insurance is UroLift or TURP. I want HoLEP but can't afford the $20k out of pocket to get it. My doc uses the 26 FR diameter continuous flow resectoscope, if that doesn't provide good enough visibility, she moves up to the 28FR. The report I read suggested the 28FR might increase the chance of stricture but the data is not very clear/obvious there's a correlation. I suspect there are so many variables related to causing strictures that they will never pin down the actual cause(s). Same goes with UTI/infection post surgery, I suspect this is highly dependent on the nurses that install the catheters etc. but who knows. If my TURP only lasts 4 years, I'll get a UroLift tuneup using Medicare at 65.
@SharokD
@SharokD 3 года назад
@@Hiker_Mike TURP should last more than 4 years. I hope she doesn't need to go to 28FR, but worst case scenario strictures can be fixed later by Endoscopic Urethrotomy, which doesn't seem to be too serious.
@Hiker_Mike
@Hiker_Mike 3 года назад
@@SharokD , Yes, the TURP should last a long time but it depends on how aggressive the doc is with resection. My doc doesn't like to remove too much of the prostate, lowers risk of incontinence. So, in my case, I hope this TURP lasts 4 years. And yes, many times strictures can be repaired, I hope they don't use the 28FR.
@PODONGI0
@PODONGI0 Год назад
👍
@USCG.Brennan
@USCG.Brennan 5 лет назад
No mention of vitamin supplements. I've been using Saw Palmetto, Lycopene, Tumeric and Stinging Nettle Leaf (health food strores) for several years now and they've been working well for me.....and MUCH less expensive!! Just an idea for those just beginning to have these problems and maybe how to postpone anything invasive for awhile. ;-)
@Whicheverworks
@Whicheverworks 5 лет назад
Hi Curt, Interesting to hear about your experience with herbs and vitamins. I am having my situation evaluated in some days, and unless there is something more serious going on (cancer) i will also go for the natural treatments as a first choice. All the best.
@mcanderson3511
@mcanderson3511 4 года назад
It was mentioned early on in the video.
@USCG.Brennan
@USCG.Brennan 4 года назад
@@Whicheverworks You betcha, it's working great for me (3 years now).
@USCG.Brennan
@USCG.Brennan 4 года назад
@@mcanderson3511 Thanks.....I didn't hear that, so I'll listen to this again.
@Whicheverworks
@Whicheverworks 4 года назад
@@USCG.Brennan Thanks a lot for your reply ! Two more questions: What do you use for Lycopene (foods og supplement, if so what kind ?) I see there are many producers of Saw Palmetto, to different prices... Do you have any experience to share regarding which to use ? Thanks again Terje
@dolorespallares2735
@dolorespallares2735 2 года назад
‘Urolift’ comes out, for me, as being the best solution. Price/value seems less high than ‘Rezum’. Very good information. Pity speaking non-stop and quite fast.
@billsheehy1
@billsheehy1 5 лет назад
Very good presentation
@HH-uz9qe
@HH-uz9qe Год назад
One of the best of numerous analyses on the subject; audio needs some improvement
@hawaiidoves
@hawaiidoves 4 года назад
Would Holep, be useful with someone with complete retention?
@Tridhos
@Tridhos 5 лет назад
Why nothing about prostate artery embolization PAE which seems to be producing some good results? However good and interesting presentation.
@robkeast9091
@robkeast9091 5 лет назад
PAE results are very dependent on practitioner experience. It's a very difficult procedure due to the complicated vascular anatomy in that area. If you go that route, make sure your IR has plenty of experience.
@azppmd
@azppmd 4 года назад
Not recommended by the AUA 2018 guidelines.
@alswearingen323
@alswearingen323 4 года назад
I had PAE, but one side was too tortuous to do. so only one side was successful. Improvement was quite noticeable and no side effects. I went from urinating every hour at night to twice a night. However, IPSS went from 21 down to 16. Had both sides been done, I'd have expected even better results. So, I still take Alfuzosin (which other than orthostatic hypotension, has no side effects), along with Tadalafil. Seriously considering Rezum for at the least the side which was not done, to see if I can get off the Alfuzosin, at least.
@alswearingen323
@alswearingen323 4 года назад
@@azppmd Yeah, they probably still hold TURP as the standard of care. Guaranteed to basically ruin your sex life. Maybe if I was 90 years old . . .
@jaymumford5749
@jaymumford5749 4 года назад
PAE is done in by a radiologist and not in urology so it actually takes a patient procedure and business away from urology department. I discovered PAE on my own as urology was not forthcoming. Interesting isn't it.
@westfield90
@westfield90 5 лет назад
Is TURP no longer done or considered?
@azppmd
@azppmd 4 года назад
TURPs are still done commonly.
@alswearingen323
@alswearingen323 4 года назад
When you consider what it does to one's sex life, I considered it, for about 2 seconds.
@johnnyhorizon8368
@johnnyhorizon8368 3 года назад
@@alswearingen323 have sought another treatment?
@alswearingen323
@alswearingen323 3 года назад
@@johnnyhorizon8368 Hey John. I went for Aquablation. NO side effects.
@edenadam872
@edenadam872 5 лет назад
not clear >>>>. u CANNOT TEACH
@robkeast9091
@robkeast9091 5 лет назад
I thought it was a great presentation. It was not designed for non-medical listeners, however.
@Mr406Galaxie
@Mr406Galaxie 4 года назад
It was very clear >>>> u CANNOT LEARN
@alswearingen323
@alswearingen323 4 года назад
I think it's pretty clear. This guy specializes in HoLEP.
@Mr406Galaxie
@Mr406Galaxie 4 года назад
@@alswearingen323 Nothing wrong with that. He presented the other options very well in his presentation. Ultimately the decision is up to the patient which procedure he chooses to have done.
@cliffdariff74
@cliffdariff74 3 года назад
he is not teaching, dummy.
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