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Posted
7 hours ago, BuddyPish said:

Apparently, it really does matter where the surgeon injects the steam but I've not heard of erections being adversely affected.

Many men who've had this procedure say it took 6 months before their ejaculate returned to pre-operative levels.

 

Patient.info is a great resource but you need to play with the search term keywords for the best result.

If libido was lacking before, there's no reason why an operation would improve it since libido is mostly psychological, right?
Maybe consider TRT (Testosterone Replacement Therapy) but you should get blood work done first (PSA, testosterone levels etc) 
There are several clinics in Bangkok and Pattaya that offer managed programs but they're not cheap.

 

 

Thanks BP. Libido is gradually improving. As far as erection is concerned, I will try out the little helper called "cialis".
I am aware that Cialis lowers blood pressure. I may want to reduce or discontinue my blood pressure medication during "Cialis-Phases". Monitoring my blood pressure carefully during those phases and just see how it goes.


Shying away from any TRT procedures.

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Posted
On 10/14/2022 at 4:37 PM, Mark Nothing said:

I resolved the frequent night time urinations by not drinking liquids 4 hours prior to bedtime which results in 8 hours of uninterrupted sleep.  If your mouth is dry swish with water, but don't swallow. 

Wondering why "don’t swallow"

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Posted
1 hour ago, ThaiPauly said:

So it looks like diapers for life.

 

I wish that the procedure you had was offered to me 4 years ago, but it wasn't.

 

I hope your recovery goes well and that you enjoy a healthy sex life and be diaper and pain free forever now

Mine was ruined by the TURP op, and the last cystascope just over a year ago finally finished me off for good.

Even the strongest of the enhancement meds no longer give me the power to have any kind of meaningful sex life.

Thanks for sharing those facts.

I always suspected this to be the end result for many chancing a TURP in Thailand.

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Posted
On 3/2/2023 at 4:17 PM, msbkk said:

I would like to post my update regarding my experience with Rezum . It has been 1 months since the procedure and 2 weeks since removal of the catheter.

After removal of catheter urine flow was weak with burning pain and quite some bleeding for several days. I wore adult diapers during that time and the diapers had to be changed twice daily because of all that blood. During the first few days there was nagging urgency and frequency to urinate often.

 

Within 8 days bleeding had stopped and frequency/urgency was very manageable. Urine flow had improved considerably, already stronger than before Rezum. Today urine flow test was done and it was good, doctor Suntchai said it was like textbook and further improvement should gradually come within the next 2-3 months. Most of his patients come to complain during the first few weeks because after treatment the prostate is swollen and usually leads to

more severe symptoms than before. This was not the case for me. Overall I am pleased since the end of week 3.

 

Risk to keep in mind for a while are possible infections  because the prostate is still inflamed and it is easy for bacteria to enter the area. And in rare cases the inability to urinate, mostly caused  by the inflammation in combination with infection.

 

 

That's good to hear how about the. Other big question getting the leg over is that side of the equipment operating at the correct levels if you know what I mean. 

  • 2 weeks later...
Posted
On 3/5/2023 at 4:46 PM, msbkk said:

I can only guess the meaning of this strange question......My answer is that there are not any side effects detectable from my side, everything is in good working condition ????????

Did you request Dr Suntchai or did he automatically take you as a patient?

Do you remember how many cc your prostate was?

Am I understanding the only pain you experience is the catheter while moving about and peeing during and after its removal?

 My dr up here only performs TURPS  , I asked him about the  Resume and my prostate size , he says its ok to go to see Dr Suntchai!

 

Posted
8 minutes ago, riclag said:

Did you request Dr Suntchai or did he automatically take you as a patient?

Do you remember how many cc your prostate was?

Am I understanding the only pain you experience is the catheter while moving about and peeing during and after its removal?

 My dr up here only performs TURPS  , I asked him about the  Resume and my prostate size , he says its ok to go to see Dr Suntchai!

 

I made an appointment with Dr. Suntchai because at BNH he is the specialist for Rezum procedure and urological surgeries . I went there to get a second opinion about my case. My prostate had a size of around 50 gr and he considered me as a not difficult case. I mentioned previously that I also had intense pain while sitting on chairs or other hard surfaces for several days (beginning on day 3 after the procedure). 

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Posted
17 minutes ago, msbkk said:

I made an appointment with Dr. Suntchai because at BNH he is the specialist for Rezum procedure and urological surgeries . I went there to get a second opinion about my case. My prostate had a size of around 50 gr and he considered me as a not difficult case. I mentioned previously that I also had intense pain while sitting on chairs or other hard surfaces for several days (beginning on day 3 after the procedure). 

Thanks for the quick reply! 
I m trying to decide to get this done before I go to the States for a short visit in late May !

  • 3 weeks later...
Posted

How big is too big a prostate and not suitable for the Rezum procedure? Just had a look at my last diagnosis a few weeks ago and my prostate was 68.6ml.

Posted
6 hours ago, giddyup said:

How big is too big a prostate and not suitable for the Rezum procedure? Just had a look at my last diagnosis a few weeks ago and my prostate was 68.6ml.

Generalk guideline is <80 so size wise you would be a fit.

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  • 3 weeks later...
Posted
On 10/13/2022 at 7:08 PM, BuddyPish said:


The price was 200k but my insurer covered that and the cost of the cystoscopy which is 40k

 

Did you have Thai health insurance for expats? Curious as I am pretty sure that with my history of the problem in USA I would not be eligible for insurance coverage for the treatment.

 

I certainly am hoping Rezum may be the way to go.. minimally invasive as opposed to TURP

Posted
On 3/13/2023 at 8:12 AM, riclag said:

Thanks for the quick reply! 
I m trying to decide to get this done before I go to the States for a short visit in late May !

Did you go ahead and have the procedure? Would be curious as to the results and your experience also. Thank you kindly.

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Posted
8 hours ago, likerdup1 said:

Did you have Thai health insurance for expats? Curious as I am pretty sure that with my history of the problem in USA I would not be eligible for insurance coverage for the treatment.

 

I certainly am hoping Rezum may be the way to go.. minimally invasive as opposed to TURP

Yes I did.
Thai insurers may not be able to delve into your US medical history but I could be wrong.

You should get a urologist to evaluate your suitability for the Rezum procedure.
If your prostate is too large, he might recommend something else.


Acquablation works on a similar principle except it doesn't utilise vapour; just water.

It does have the benefit of being suited to larger prostates and also extremely targeted so there's less chance of permanent side effects like ED or EjD.
Sadly, it wasn't available in Thailand last time I checked.

Posted
9 hours ago, likerdup1 said:

Did you have Thai health insurance for expats? Curious as I am pretty sure that with my history of the problem in USA I would not be eligible for insurance coverage for the treatment.

 

I certainly am hoping Rezum may be the way to go.. minimally invasive as opposed to TURP

 

A Thai insurer would likely not accept you.  But a Thai issued policy is not recommended and not necessary in order to be covered in Thailand.

 

An international insurer (expat policy) might accept you but would definitely exclude all prostate related conditions.

 

 

 

 

Posted
9 hours ago, likerdup1 said:

I certainly am hoping Rezum may be the way to go.. minimally invasive as opposed to TURP

As I think I mentioned on another post, if I had my time again, and judging by the mixed feedback from those who have had the Rezum treatment, I would certainly opt for Urolift, even if it meant travelling to another country to have it done.

 

IMO it would be worth investigating an overseas hospital which carries it out (Singapore, India etc) and determining the cost of everything all up. After all, you have the rest of your life to consider.

 

Good luck in whatever you decide to do.

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Posted
14 hours ago, likerdup1 said:

Did you go ahead and have the procedure? Would be curious as to the results and your experience also. Thank you kindly.

I have a trip to the states in late May,I decided to wait until I come back from the states!

Thanks for asking 

  • 2 months later...
Posted
On 4/17/2023 at 1:37 AM, likerdup1 said:

Did you go ahead and have the procedure? Would be curious as to the results and your experience also. Thank you kindly.

I met with Dr Suntchai at the BNH hospital June 15.

My first  impression was that he was

very confident, his English was very good! 
I asked how many procedures he had done , he replied 50.

He asked about my condition and I told him I’ve been on meds Diox and Finn for 8 years and that my urine flow was slow and that I get up every 2 hrs to pee at night.He asked how big my Prostate was , I said my urologist up here in Sakon gauged it by 3 fingers.

He suggested we do a ultrasound to confirm the size , it was 83 !

He said my Prostate is large but it would be no problem for the Rezum procedure and suggested that the catheter be in for two weeks after the procedure, to lessen the chance of urinating problems that are associated with the Rezum effects.

I scheduled the procedure on August 8 ! 200k and a 14k blood and heart tests 2 days prior to TheRezum procedure.

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Posted
20 minutes ago, riclag said:

I met with Dr Suntchai at the BNH hospital!

My first  impression was that he was

very confident, his English was very good! 
I asked how many procedures he had done , he replied 50.

He asked about my condition and I told him I’ve been on meds Diox and Finn for 8 years and that my urine flow was slow and that I get up every 2 hrs to pee at night.He asked how big my Prostate was , I said my urologist up here in Sakon gaged it by 3 fingers.

He suggested we do a ultrasound to confirm the size , it was 83 !

He said my Prostate is large but it would be no problem for the Rezum procedure and suggested that the catheter be in for two weeks after the procedure, two lessen the chance of urinating problems that are associated with the Rezum effects.

I scheduled the procedure on August 8 ! 200k and a 14k blood and heart tests 2 days prior to TheRezum procedure.

That is only slightly over the maximum recommended size so should be okay. Normally, treatment is for between 30 and 80g. Hope it works out for you. I am still happy with the results. Was it as effective as I'd initially hoped? No, but still a good improvement. If I went back in time, would I still have the treatment? Yes, for sure and will do it again in a few years if necessary.  

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Posted
15 minutes ago, GarryP said:

That is only slightly over the maximum recommended size so should be okay. Normally, treatment is for between 30 and 80g. Hope it works out for you. I am still happy with the results. Was it as effective as I'd initially hoped? No, but still a good improvement. If I went back in time, would I still have the treatment? Yes, for sure and will do it again in a few years if necessary.  

Hi again GarryP, long time no hear from and I hope you are well.

 

Just looked at your post and it coincided with a friend of mine who is in Canada at the moment having prostate problems, and he tells me that the iTind procedure/device is now carried out at the BNH hospital by that very same Dr you mentioned, and he knows this because he's been researching his options when he comes back to Thailand!

 

Looks like there are three options at the moment, aside from the TURP, with Rezum, Urolift and iTind looking to treat one's prostate. And there is more information about these on the net, although none of them will help me now because my bladder appears to have stopped working and the good doctor at Bumrungrad couldn't do anything for me, and had no idea why the bladder wasn't working any more – – so a nightly insertion of the catheter is needed in order to get some sleep. And believe it or not, I've gotten used to it now.

 

Good luck my friend.

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Posted
13 hours ago, xylophone said:

Hi again GarryP, long time no hear from and I hope you are well.

 

Just looked at your post and it coincided with a friend of mine who is in Canada at the moment having prostate problems, and he tells me that the iTind procedure/device is now carried out at the BNH hospital by that very same Dr you mentioned, and he knows this because he's been researching his options when he comes back to Thailand!

 

Looks like there are three options at the moment, aside from the TURP, with Rezum, Urolift and iTind looking to treat one's prostate. And there is more information about these on the net, although none of them will help me now because my bladder appears to have stopped working and the good doctor at Bumrungrad couldn't do anything for me, and had no idea why the bladder wasn't working any more – – so a nightly insertion of the catheter is needed in order to get some sleep. And believe it or not, I've gotten used to it now.

 

Good luck my friend.

But how does one know which procedure is the most appropriate for oneself, if a hospital/urologist does'nt do all of these procedures then you will only be advised of procedures that they can do.

My Turp procedure that i had carried out in January this year is beginning to prove itself not to be very effective as i'm urinating more now than i was immediatley after the procedure. I also believe my bladder is not emptying fully as i'm only squirting urine not an even flow and i can see me needing more treatment in the not too distant future. At the mo i think i'm ok as i don't have any pain which would indicate an infection that would require immediate treatment.

Any helpful comments would be appreciated, thanks. 

Posted
18 minutes ago, Pumpuynarak said:

You mention BNH hospital, i will do some research regarding BNH and Dr Suntchai but do you know if they carry out all the procedures that are available ?

I'm sorry, I don't know about that, but they are advertising the iTind procedure at a one-off cost of 70,000 baht, that having a time limit on it I think

 

image.thumb.jpeg.9631f6d7cf2d0342bbe36e7bcb3b0a32.jpeg

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Posted
21 minutes ago, xylophone said:

I'm sorry, I don't know about that, but they are advertising the iTind procedure at a one-off cost of 70,000 baht, that having a time limit on it I think

 

image.thumb.jpeg.9631f6d7cf2d0342bbe36e7bcb3b0a32.jpeg

Thanks for that ????

I've just phoned them and they confirm they do Turp, Rezum, Itind and PVP, apparently they don't do Urolift or they did'nt understand me.

So all in all along with Dr Suntchai its probaly my best option if i do need another procedure carried out.

That price for the Itind certainly looks good if that is the most appropriate for my problem.

 

 

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Posted
22 hours ago, Pumpuynarak said:

Thanks for that ????

I've just phoned them and they confirm they do Turp, Rezum, Itind and PVP, apparently they don't do Urolift or they did'nt understand me.

So all in all along with Dr Suntchai its probaly my best option if i do need another procedure carried out.

That price for the Itind certainly looks good if that is the most appropriate for my problem.

 

 

Have you ever considered travelling to another country to get the Urolift procedure done? Esp as a couple of other posters have had goood experiences with treatment in India, and as I recal at a hospital in Kolkata.

 

I ask this because I have just found the following information regarding it: –

 

https://apac.urolift.com/


And available in....
Asia Pacific
Australia
India
Japan
Singapore
Hong Kong


I will keep this on file for possible future use for myself.


Best of luck, Xylo
 

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