Treatment Options if REZUM procedure Does not Help or Stops Working
If you have any questions, to schedule a consultation, please contact us or call/text: 1-646-663-4044.
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We offer affordable prices with or without insurance. Same-day virtual video appointments and in-person appointments are available.
REZUM – Does it Work for Everyone?
REZUM is an effective procedure that offers numerous advantages to many men with an enlarged prostate. It works for many men but not for all men. The success of treatment depends on patient characteristics including the severity of symptoms, size of the prostate, and severity of blockage caused by an enlarged prostate.
What Can Be Done If REZUM for BPH Does Not Work?
While many men experience an improvement of urinary symptoms after the REZUM procedure, some men experience no improvement or insufficient benefit from the REZUM procedure. Other men who obtain significant benefit from the REZUM procedure may subsequently experience deterioration of urinary problems caused by BPH sometimes as soon as 1-2 years after the procedure or later, 3-5 years after the procedure.
Did you know? Dr. Shteynshlyuger has performed over 500 surgeries and procedures for enlarged prostate, including Rezum, Urolift, prostate enucleation, laser ablation of the prostate, and TURP. He performs over 100 prostate procedures a year.
Determining the Cause of REZUM Treatment Failure
It is important to determine the cause of urinary symptom recurrence or failure after the REZUM procedure to provide adequate benefit. Sometimes the reason may be simply inadequate treatment but other times symptoms may be caused by a different problem such as the overactive bladder, bladder stones, bladder cancer, or urethral stricture.
Treatment Options if REZUM Procedure Does Not Work.
At New York Urology Specialists we have experience treating men after failure or inadequate benefit of the REZUM procedure.
Fortunately, most treatment options used for the treatment of enlarged prostate remain available. The choice of treatment depends on full evaluation, the severity of the blockage, and patient preferences.
Repeat the REZUM Procedure?
While repeating REZUM is an option, typically repeating the same procedure will not lead to dramatically improved results. If REZUM failed to deliver once, it is typically a sign that it is unlikely to perform dramatically better if repeated.
Minimally Invasive Options for BPH
Among minimally invasive options, Urolift for BPH is a procedure that has shown to be effective for men with an enlarged prostate. Urolift can be performed for many but not all men who did not benefit from REZUM. The advantage of Urolift in this situation is that it can be performed in the office under local anesthesia; typically there are no sexual side effects and recovery is fast. Men can expect to experience moderate improvement in symptoms after the Urolift procedure. The procedure takes about 15 minutes to perform.
Prostate enucleation is an effective treatment option for men regardless of prostate size. HOLEP is a prostate enucleation procedure performed with a holmium laser.
Prostatic artery embolization can also be performed and may be effective for some men. Aquablation for BPH with AquaBeam is another new option for some men with an enlarged prostate who fail treatment with Rezum.
Medications for BPH
Medications such as Rapaflo, Uroxatral, and Flomax can be tried and may often improve symptoms if not tried prior to REZUM. Finasteride can be tried but it typically takes 3-6 months to see maximum benefit. Cialis 5 mg daily for BPH is another option that may relieve mild-to-moderate symptoms of BPH after REZUM for BPH procedure.
Surgical Treatment Options for Enlarged Prostate if REZUM procedure does not help
Surgical treatment options typically provide the most relief of symptoms. While open or robotic suprapubic prostatectomy typically provides the best improvement of symptoms, it is a more invasive procedure with a longer recovery. For most patients, an equally effective treatment option is a relatively new procedure called laser enucleation of the prostate.
Other treatment options after REZUM include traditional TURP, bipolar TURP, Plasma button TURP, various laser ablation procedures such as Greenlight Laser, HOLAP/HOLEP – Holmium laser procedures).
The actual choice of the procedure after REZUM is determined by the size and anatomy of the prostate as well as patient preferences. At New York Urology Specialists we are able to offer all procedures listed in this article. At many hospitals only one or two technologies are available and the patient’s choice is limited by the procedure/treatment.
Read Real Stories of Men who Underwent Treatment of Enlarged Prostate (BPH) at New York Urology Specialists
We offer treatment for prostate problems, including slow urine stream, frequent urination at night, difficulty emptying the bladder, and other problems to patients within driving distance to our offices as well as from other states and countries. Our patients come from New York, New Jersey, Pennsylvania, Connecticut, and over 70 countries worldwide.
- 75-year-old Man Treated with Urolift Procedure after Rezum did not work
- 86-year-old man Treated with Prostate Enucleation After Rezum
- 53-year-old Man Treated with Prostate Enucleation (HOLEP) after Urolift Did Not Work
- 61-year-old Man Treated with Greenlight Laser and Tamsulosin
- 61-year-old Man with Intermittency and Weak Urine Stream Tamsulosin does not work
- 73-year-old Male with Abdominal and Perineal Pain – Bipolar TURP
- 73-year-old Man Treated with HOLEP (Holmium Laser Enucleation of Prostate)
- 73-year-old Man with Frequent UTI and Pain – Finasteride and Alfusozin Do Not Work
Why Choose New York Urology Specialists for Treatment of Enlarged Prostate Problems?
- All treatment is performed by a board-certified urologist experienced in treating men with symptoms of frequent urination, urinary urgency, urinary incontinence, and bladder pain using medical therapy, minimally invasive therapies, lasers, and open surgery.
- We are one of the few practices in the region to offer a full range of options for the treatment of urinary problems caused by an enlarged prostate in men.
- We offer treatment options for enlarged prostate, overactive bladder, UTI, and urinary incontinence in our office, which avoids the risks, costs, and recovery from general anesthesia.
- Extensive experience: Thousands of men have been treated successfully using medical therapy, surgery, and minimally invasive procedures such as Urolift procedure, Rezum surgery, Botox for overactive bladder, Interstim for frequent urination, and tibial neuromodulation.
- We offer diagnostic testing in our office, which avoids hospital costs.
- Confidential and Understanding Care. We understand that most of our patients desire privacy. We see patients with a variety of urological problems. Your reason for visiting us is entirely confidential.
- We are conveniently located within a 30-60 minute commute to men who are seeking BPH treatment in Manhattan, Brooklyn, Queens, Staten Island, Westchester, Long Island, Bronx, and New Jersey.
What do Prostate Problems Look Like?
You can find images of uroflow as well as before and after treatment images in our image gallery.
Scheduling Appointments for Enlarged Prostate Treatment at New York Urology Specialists
If you have any questions, to schedule a consultation, please contact us or call/text: 1-646-663-4044.
We have excellent reviews from patients and their partners. Information for out-of-state and international patients. Find out our office hours or directions to our office.
We offer affordable appointment prices with or without insurance. We offer weekday, weekend, and evening office hours.
Urinary Problems Are Treatable in Nearly Every Man and Woman
At New York Urology Specialists, our urologists are specially trained in the evaluation and treatment of urinary problems caused by enlarged prostate and BPH in men. We understand the challenges that urinary problems such as a slow stream, waking up at night, pain in the penis and perineum create for our patients, their relationships, and their self-esteem. We help you find a treatment for your urinary problems that fit your needs, lifestyle, and your preferences.
Urologists are doctors specializing in the treatment of men with symptoms caused by prostate enlargement, including frequent urination, poor urine flow, frequent UTI, blood in urine, urinary incontinence, urinary problems caused by an enlarged prostate, prior surgery, neuropathy, chemotherapy, and radiation. By virtue of our experience and skill, we are able to offer an effective treatment option for nearly every man and woman who desire an effective treatment for their urinary problems. We offer medical and surgical treatment for men’s prostate problems.
We specialize in minimally invasive, highly effective treatment for symptoms of bladder pain, urethral burning, pelvic discomfort, incomplete bladder emptying, urinary frequency, and urgency.
We Treat Some of the Most Complex Men’s Health Problems Including:
- Erectile dysfunction in men for whom oral pills do not work.
- Penile Pain During Sex
- Impotence in men with diabetes.
- Burning during urination
- Premature Ejaculation
- Frequent urination
- Urinary retention
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Schedule an Appointment with Dr. Shteynshlyuger:If you have any questions, to schedule a consultation, please contact us or call/text: 1-646-663-4044.
We have excellent reviews from patients and their partners. Information for out-of-state and international patients. Find out our office hours or directions to our office.
We offer affordable appointment prices with or without insurance.