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

Urolift vs Rezum for BPH? Urolift mechanically displaces the prostate by compressing it without destroying tissue. The REZUM procedure destroys prostate tissue using heat energy in the form of water vapor produced by the conversion of radiofrequency energy (RF) into heat.
Watch to know more about these procedures and what to choose if you have BPH.

Thanks for watching!!

References:

****Five year results of the prospective randomized controlled prostatic urethral L.I.F.T. study****

Final 5-Year Outcomes of the Multicenter Randomized
Sham-Controlled Trial of a Water Vapor Thermal Therapy for
Treatment of Moderate to Severe Lower Urinary Tract
Symptoms Secondary to Benign Prostatic Hyperplasia

****Prostatic urethral lift (UroLift) versus convective water vapor ablation (Rezum) for minimally invasive treatment of BPH: a comparison of improvements and durability in 3-year clinical outcomes****


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Rena Malik, MD is a urologist and pelvic surgeon on youtube to educate people about all things urology including erectile dysfunction, how to increase testosterone, problems with sex, premature ejaculation, urinary leakage, or incontinence, overactive bladder, urinary tract infections, prostate issues and more.

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DISCLAIMER: This video is purely educational and does not constitute medical advice. The content of this video is my personal opinion and not that of my employer(s). Use of this information is at your own risk. Rena Malik, M.D. will not assume any liability for any direct or indirect losses or damages that may result from the use of the information contained in this video including but not limited to economic loss, injury, illness, or death.

Chapters

00:00 Introduction
00:18 Symptoms of Benign Prostatic Hyperlasia
00:35 Storage Lower Urinary Tract Symptoms
00:52 What are Urolift and Rezum
01:34 Benefits of Urolift
01:51 Benefits of Rezum
02:14 Urolift Vs. Rezum
02:43 Wrap up

[grp]

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

[robinhuigen]

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

[SeniorChief]

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

Your videos are informative, and the information is invaluable.

Thank you.

[mikec]

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

[drgibson]

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

[yogivah]

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

[donb]

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

[lane]

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

[donholmes]

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

[askme]

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

[IPlayOneOnT.V.]

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

[ratnoinamaew]

Doc, you are an Angel, I love these short, sharp, informative vids.

[thomasgeorgecastleberry]

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

[orangeguy]

I had the holep procedure just six months ago. Best thing to have done!

[gofukursef]

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

[richard]

Aqua ablation video please

As you know your knowledge and presentation are greatly appreciated. I’m heading down the path of needing some prostate surgery.

The YouTube videos sure seem to say Aqua-ablation is the way to go. If so where are the comparative studies.

Please shine some light on aqua-ablation 😊

[ralphwaters]

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

[edyang]

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

[generalaccount]

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

[billiam]

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