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Dear Dr. Roach: Could you give your opinion on the REZUM procedure for enlarged prostate? In February 2016, I underwent the traditional TURP surgery, but with very little success. My new urologist recommended the REZUM for me. -- S.G.
Answer: REZUM is a brand name for a type of needle procedure that uses heat energy to destroy excess prostate tissue.
It is used for men with benign enlargement of the prostate, and is an alternative to traditional surgery (like a transurethral resection of the prostate). It is especially useful in men who don't respond well to medications.
I contacted the manufacturer of the device, who told me they have no data in men who have already had a TURP procedure, so unfortunately I can't comment on that particular situation.
When I hear about someone who did not respond well to a TURP surgery, I wonder if the problem was instead with the bladder. Before you consider another procedure, ask your urologist about having a urodynamic study, which is designed to sort out whether the problem is in the bladder, the prostate or both.
The booklet on the prostate gland discusses enlargement and cancer. Readers can obtain a copy by writing:
Dr. Roach
Book No. 1001
628 Virginia Dr.
Orlando, FL 32803
Enclose a check or money order (no cash) for $4.75 U.S./$6 Can. with the recipient's printed name and address. Please allow four weeks for delivery.
Dr. Roach regrets that he is unable to answer individual letters, but will incorporate them in the column whenever possible. Readers may email questions to ToYourGood
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