What is best prostate treatment for my BPH? 

i’ve been doing so much research and this has been the most informative to the point video I’ve seen yet. thank you for this great presentation to help people like me suffering from enlarged prostate

THANK YOU DOC!!!!! This IS the BEST BPH Video I've seen so far! I have been so under educated on this problem that I didn't even recognize the symptoms and now I have urine retention and have to self catheter Every Time I need to void, while I research for my choices of treatment! CRAZY This has slammed into my life in a VERY serious way in a seemingly 6 week period of time! I'm a 22yr retired Navy Vet! I've heard of the way VETS get treated after serving, but now I'm experiencing the BOTTOM of the list Attitude in the MILITARY Medical insurance world! This VERY educational video is SO Helpful to me and I thank You Sir.

Brilliant presentation.I had Rezum procedure in June 2022,couldn’t be happier with results.

What a great video. I’ve been researching options and this the first video that really describes all the options in a clear concise way. Thank you.

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 !!!!!

Im 34 years old I’m getting HOLEP March 5th for my enlarged prostate 55 cm…I can’t wait to get my sanity back! ❤

This is an excellent video. I only wish Dr. Gonzalez lived in Newport Beach California.

This presentation was incredibly informative. Thank you Dr. Gonzalez

Thanks. I have to watch this again, and save it for future reference.

Very nice presentation sir

Thank you..doc.

Thanks for the excellent video!

Excellent presentation and very educational! Thanks!

#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 !!!!!

Thanks Dr. Gonzales. Great video presentation that helps me in making a right decision .

Aquablation is the one im looking into👍👍👍👍👍

Very informative. Thanks

Very informative and well explained video.

Thanks the best present I have seen thanks from Philadelphia

Thank you for a very informative video. Greatly appreciated.

Thank you doctor. 68 and having Green light treatment in three weeks. Your video was very educational and confirmed I'm making the right choice.

Thank you for the video. What is the risk of incontinence with the various procedures?

Im opting for aquablation

Thank you for this excellent and thorough presentation. I'll be having procedures soon to evaluate my BPH condition, and this is extremely helpful to me in better understanding the options that will be available depending on my test results, along with my age and health conditions. My only concern is that the practice may be focused on using UroLift as the only solution they will offer - but I hope that won't be the case.

Excellent informational video, Dr. Gonzalez! Today I was able to set up a new patient appointment with your office for May 2. I live in Port Isabel, Texas, which is about a 7 hour drive to your office. I’m eager to meet you and I look forward to you helping me restore my quality of life.😊 Regarding anticoagulants, do you consider prophylactic 81mg aspirin in the same space for laser treatment as a Plavix or Eliquis? Thank you for all that you do!!

Great presentation. What are the newer ones being developed? Thanks

the difficulty in the decision matrix is normalizing the effect for patients already taking multiple prostate/bladder related meds. If one would stop taking all those meds for a few weeks, what would the symptom risk/reward look like?

Excellent presentation, but you did not mention Prostatic Artery Embolization. Why is that the case. Thank you.

Great presentation. My only question is that you compared 5 year Rezum and Urolift efficacy data and then compared it to 2 & 3 year PVP, TURP, and aquablation data. Would you agree that is not an "apples to apples" comparison?

Excellent presentation. I went to your Houston Methodist website but I could not find information on prostate treatments. I know it must be hidden there (somewhere?) but I couldn't find it. Please provide a direct link that points specifically to prostate treatments. Thank you.

The risk/benefit chart is very helpful. Where would Prostatic artery embolization (PAE) be placed on that chart?

Hello Dr. Gonzalez - A few questions, if I may: 1. My urologist has not done a digital rectal exam, although he did feel my prostate and I've had an MRI. Is the digital rectal exam a necessary diagnostic tool at this point? 2. I have an enlarged prostate which MRI showed there are spots with a score of "3", so inconclusive for cancer. Can a biopsy be taken simultaneously with a resection, or should the biopsy be done first? I'd rather only go "under" once. 3. I've been looking at Aquablation very favorably, but there are ZERO urologists in my state who do it. If I traveled for the procedure, what tests would a doctor such as yourself want to see in advance in order to streamline the process? I've tried 4 different medications. Three of them had intolerable side effects, and the 4th simply doesn't do anything for me. Thanks.

Thank you Doctor. I have to ask. Which treatment modality would you elect if you were faced with the need for treatment. You may not be able to answer but it is difficult to navigate these various processes because various institutions have spent large amounts of money to establish a particular treatment that they are then vested in.

What about a Prostate Artery Embolization procedure? It cuts off blood supply, does not cause errectile dysfunction, quick recovery.

When someone is referred from out of town to your hospital, how many trips will they normally have to make to Houston from start to finish with surgery and what is the time frame?

Had two Urolift sessions over the years, now yet again must relieve the restrictions. Probably have at least 10 pins in my prostate. What kind of complications does this present during these laser procedures? Which of them would work around this problem? HoLep looks best to me, because it removes the entire prostate tissue, so there is apparently no chance of having to go thru it again.

Unfortunately, he didn't address the problem of urinary frequency. Whst if someone's flow is not the issue but they are urinating 30-40x per 24 hours. What's the best treatment in that case?

Why wasn’t Prostate Artery Embolization (PAE) mentioned? Is that not considered a viable option?

Wanting more sedation with rezum.

HUMANITY FIRST

What about PAE treatment

Who does the surgery the surgeon or the trainees? Do use ga or spinal?

What about PAE

Informative but the distracting music is a big mistake.

Remove the prostate

Doctor I have 54 years old and my prostate is bad, I don't have cancer but the PSA are high, is between 11.2, 12.4, 11.75, I have a fairly narrow urethra and the size of the prostate is 80 ml. I had 2 biopsies and two MRIs in three years. After 3 doctors now I have a new one and he has proposed surgery, in your experience which procedure would be a good option? Rezum or Urolift? THANK YOU DOCTOR!!!!

My urologist recommend the urolift for my bph. But says I need general anesthesia for the procedure due to it being very painful is this true?

Hello from Vancouver Canada, im 62 general healthy i was in the Philippines when it hit me like a Freight Train had a few beers within 5 hrs i couldn't piss 1 drop went to Emergency 6 am they treated me very well my 1st Catheter, blood test, prostate exam, scan all in 2 hrs $ 150. Canadian 😮. 3 days before flying back to Vancouver i have now had 4 different Catheters 2 popped !! Made in China. Canada's Health Care is DISGUSTING !! 😡😡 NO HELP !! I've never been sick or need help my prostate is pretty big !! It's going 5 months now as of September 5th. There's only 2 places in Canada Aquablation Onterio & Montreal Medical doesn't cover 😡 prices from $ 6,500 to $ 19,000. And a waiting list ☹️ I've been thinking going to the Philippines but if you can do it for a far price. Hope to hear back from you, thanks.

You lost all of your credibility by not mentioning EMBOLIZATION, which is also approved by the FDA. This tells me you are focused on your money making scheme and not the patient choices or health. Embolization is indeed the least evasive of all of the procedures. Why dont you talk about embolization?????

How about AEP??