“It’s time to pull the trigger…” My wife and I sat in silence, stunned after hearing this. I had anticipated some reassuring words and a suggestion to return in a year, not this. For the past 18 months, I had been on a program of active surveillance for a low grade, low volume prostate cancer. We were now sitting in front of Dr. Eric Klein, Chairman of Urology at the Cleveland Clinic and expert in prostate cancer treatment, hearing these words.
This is actually quite informative. I put this together in 2011. I hope you enjoy and possibly share with someone newly diagnosed.
Heretofore urologists have been leery to do any procedure on a radiation treated prostate cancer patient. Since Rezum does not cut tissue it may become a procedure for both the patient wanting to improve urination before radioactive seeds and to improve the voiding pattern is this is exacerbated by seeds.
Conclusions: Convective water vapor thermal therapy provides durable improvement to LUTS for 12 months and urinary flow while preserving erectile and ejaculatory functions.
Note: Most all of the treatments for enlarged prostate cause retrograde ejaculation. Because the prostate channel is opened with procedures to allow a better stream, in doing this the semen is not propelled forward and stays in the urethra. It is then voided out at the next urination. Medically this not an issue but some men do not like the fact that it happens. Retrograde ejaculation has not been noted in Rezum therapy. In addition Rezum in some cases improved sexual function which at this time is unexplained.
Convective Water Vapor Energy Tx (Rezum) of LUTS Preserves Sexual Function
Urology – October 30, 2016 – Vol. 34 – No. 9
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This is a real scenario and shows the complexity of managing certain situations about the prostate. Part of the problem is the common misconceptions about the prostate and prostate cancer. As well all the things you read in the paper or hear on TV about new studies showing that the PSA is unreliable and is used too often by Urologists and in turn resulting in too many men being biopsied and then subsequently being treated…and subsequently as a result negatively affecting their lives with incontinence and impotence.
So imagine you are in the exam room with your doctor in the above situation and your urologist is walking you through the fine line of doing just the right amount of tests or procedures to determine if you have prostate cancer. The bottom line is that if you have cancer and this is found out a year after your office visit…you’d be…
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Since all of the treatments for Prostate Cancer have similar cure rates at 15 yrs many patients base their choice of treatment on the potential for side effects.
- If you absolutely could not tolerate total incontinence don’t choose surgery as this has the biggest risk for that complication.
- If you are worried that you could be totally impotent as a possibility don’t choose surgery. I am not saying it will occur you just have a higher chance of total loss of erectile function with surgery as opposed to radiation.
- Radiation negatively affects erections but not quickly or dramatically. It has a negative effect over time.
- Radiation patients don’t have total incontinence but do get urgency and frequency.
You get the drift…my advice?
Choose the treatment that you feel gives you the best chance of cure with the least side effects that matter most to you i.e. a patient…
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