Rezum Experience

[Pumpuynarak]

On 6/21/2023 at 10:53 AM, 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

 

I've searched their website and cannot find any reference to the above offer, is it an old offer or current ?

[xylophone]

1 hour ago, Pumpuynarak said:

I've searched their website and cannot find any reference to the above offer, is it an old offer or current ?

Sorry I can't help you there as I really don't know, because this "offer" was sent to me by the friend I spoke about, who is in Canada at the moment, and he is hoping to come back here to have that done??

 

However you did say that you had telephoned them (BNH) and that they still did the iTind procedure, only now perhaps the price has gone up – – perhaps another enquiry via their website as to the cost?

[Pumpuynarak]

Thanks for your reply, i'm going to call them in a mo so will get up to date info on pricing etc.

I've scheduled an appointment tomorrow with the urologist that carried out my Turp procedure to update him on my situation and that it would appear to have been unsuccessful as my urine flow is virtually back to where it was prior to the Turp and above all else i've started to feel constant discomfort/slight pain in my lower stomach.

 

[Pumpuynarak]

Just spoke to BNH urology dept and they confirmed the following pricing -

Rezum - 200K + 14K pre testing

Itind     - 200K + 14K pre testing

PVP      - 220K to 240K + 14K pre testing

 

They offered me an appointment with Dr Suntchai and i informed them i will contact them again after i have seen my urologist in Korat.

Regarding going abroad for treatment, i would prefer to not have to do that if i can avoid but thanks for your helpful suggestion, its always an option.

 

[xylophone]

7 minutes ago, Pumpuynarak said:

Thanks for your reply, i'm going to call them in a mo so will get up to date info on pricing etc.

I've scheduled an appointment tomorrow with the urologist that carried out my Turp procedure to update him on my situation and that it would appear to have been unsuccessful as my urine flow is virtually back to where it was prior to the Turp and above all else i've started to feel constant discomfort/slight pain in my lower stomach.

 

Hi Pumpuynarak,

 

Also, thank you for your reply, and I think it could be a help if you are able to publish the price on AN as I'm sure there could be others in similar situations to you (especially my friend in Canada, due back here soon).

 

So sorry to hear about your TURP not being very successful, and again, please let us know what the outcome of your visit to your urologist is, and hopefully it could be something as "minor" as a bladder infection, which can be easily cured. Having said that my TURP hasn't been that successful, although it's been many years since I had it,  although we are probably too late for the newer procedures, OR PERHAPS NOT in your case – – fingers crossed.

 

The more research I do and the more information I gather on prostate procedures, I've come to the conclusion that the TURP is a bit hit and miss with a percentage of side effects which are none too good; Rezum has its detractors because some recipients of this report side effects which last for months (leaking, blood etc) but  iTind and Urolift don't seem to have too many downsides, although one has to say that feedback on both of these is minimal.

 

Anyway, good luck in your visit and would love to know the outcome, as I'm sure would others on here.
 

[xylophone]

2 minutes ago, Pumpuynarak said:

Just spoke to BNH urology dept and they confirmed the following pricing -

Rezum - 200K + 14K pre testing

Itind     - 200K + 14K pre testing

PVP      - 220K to 240K + 14K pre testing

 

They offered me an appointment with Dr Suntchai and i informed them i will contact them again after i have seen my urologist in Korat.

Regarding going abroad for treatment, i would prefer to not have to do that if i can avoid but thanks for your helpful suggestion, its always an option.

 

You must be a mind reader.......thanks for the info, and I will pass it on to my friend.

[Pumpuynarak]

On 6/23/2023 at 10:45 AM, Pumpuynarak said:

I've scheduled an appointment tomorrow with the urologist that carried out my Turp procedure to update him on my situation and that it would appear to have been unsuccessful as my urine flow is virtually back to where it was prior to the Turp and above all else i've started to feel constant discomfort/slight pain in my lower stomach.

Well i saw my Urologist in Korat and had a good chat with him regarding my lower stomach discomfort, my poor urine flow and possible urine retention. He suggested my lower stomach pain could be as a result of the constipation i was still suffering from from time to time and i have to say that its all but disappeared the last few days.

 

When i questioned him as to why my Turp procedure was an apparent failure when others was a success he said not all patients problems were the same and Turp recipients responded differently.

He suggested he prescribe me some meds to help with the urine retention/flow for the next four weeks, so he prescribed Ucholine 10mg tablets (Bethanechol Chloride 10mg) and i have an appointment for two weeks time to see how i am. He also stated if there was no improvement he would schedule a cystoscope to have a lookie.

 

As a matter of interest i asked him what my PSA was and he produced a printed report stating it was 1.237 which was well below the 4 unacceptable level.

 

Here's hoping my next visit is positive......

 

   

[xylophone]

2 hours ago, Pumpuynarak said:

Well i saw my Urologist in Korat and had a good chat with him regarding my lower stomach discomfort, my poor urine flow and possible urine retention. He suggested my lower stomach pain could be as a result of the constipation i was still suffering from from time to time and i have to say that its all but disappeared the last few days.

 

When i questioned him as to why my Turp procedure was an apparent failure when others was a success he said not all patients problems were the same and Turp recipients responded differently.

He suggested he prescribe me some meds to help with the urine retention/flow for the next four weeks, so he prescribed Ucholine 10mg tablets (Bethanechol Chloride 10mg) and i have an appointment for two weeks time to see how i am. He also stated if there was no improvement he would schedule a cystoscope to have a lookie.

 

As a matter of interest i asked him what my PSA was and he produced a printed report stating it was 1.237 which was well below the 4 unacceptable level.

 

Here's hoping my next visit is positive......

 

   

Some good news in amongst that lot, because if the pain was caused by constipation, then that's an easy fix, and as I suffer from it almost constantly, prune juice does it for me!

 

Don't know what to make about his answer to your question regarding the apparent failure of your Turp, but then maybe you will be lucky!

 

I was prescribed the Ucholine tablets for my lack of bladder emptying, but they made no difference whatsoever, so let's hope your outcome is more positive.

 

Great to hear that your PSA is low.    

[riclag]

On 2/13/2023 at 1:14 PM, msbkk said:

I would also like to share my experience with Rezum precedure done at BNH hospital. I was in and out of the hospital within exactly 4 hours.

During the procedure (Cystoscopie plus Rezum) I was not awake and catheter was in place when wakening up. I almost immediately experienced

some discomfort because of the catheter whenever moving.

 

The good thing is really that the treatment is outpatient and I could return home and was able to walk short distances.  It is highly recommended to 

buy a pack of adult diapers and wear them because of blood not only in the urine bag but dripping out of the urethra as well. A slight burning pain is to be expected from time to time.

 

Starting on the third day i experienced quite some pain when sitting on chairs or hard surfaces longer than 20 minutes. Sitting on my sofa or armchair was 

however possible without issue. 

 

After 1 week I was given the option to remove the catheter. However, at that time I felt  some pain and decided to wait another week, even as mentioned the catheter was very inconvenient and sometimes painful. Today the catheter was removed (close to 2 weeks after Rezum), during removal i had a strong burning pain lasting 2 or 3 seconds. I was told to wait in the hospital until after 2 times of urination to see if there are any problems with that. Urination was ok, but not particularly strong with lots of blood coming out. Some hours later the bleeding seems to be less. Frequency and urgency of urination is annoying so far.

 

Next appointment will be in 2 weeks and I will keep you updated. All expenses were paid by my insurance passportcard (luckily  i have in and outpatient coverage which is very expensive but since some time already I am glad to have it because of several issues and the Rezum coverage was confirmed within less than 24 hours).

Im going next month for the procedure! 
Forgot to ask the Dr , so I’ll ask you.

I will be staying at the Le Siam Hotel 300 meters up from the BNC  .

Could you have walked this distance ,post op?

[kwilco]

It's a shame that you have to go through different doctors etc to get all this done.

[msbkk]

8 hours ago, riclag said:

Im going next month for the procedure! 
Forgot to ask the Dr , so I’ll ask you.

I will be staying at the Le Siam Hotel 300 meters up from the BNC  .

Could you have walked this distance ,post op?

Dr. Suntchai is the specialist at BNH. Please keep in mind that you will need some time for a pre-examination to find out if the procedure is

the correct one for your case. If possible bring your medical reports with you or submit them in advance.  After that BNH will need a few days  in preparation time. But I guess you are in contact with the hospital already and have the required informations. A 300 m walk directly after the op might be possible but I would advise to use the help of some hospital staff to help you with that, either by wheelchair or call a taxi. You have to keep in mind that you just woke up and will feel a bit unstable during walking. The last thing you want

is to fall down on your way to the hotel. You will also feel the catheter with every step.

[Rhys]

Thanks for the report and insights.  Did any night time accidents occur...?  That is so frustrating and worrying not to say embarrassing.  However the cause too predictable... had fluids before sleeping.. then the dreams..  RX, NPO at 10pm no issues. 

 

Do you have Kidney stones or Chronic Kidney Disease as well?

 

Anyway, good to hear your health is better and you have a handle on this.

 

No midnight ladies.

Cheers mates

 

 

[riclag]

4 hours ago, msbkk said:

Dr. Suntchai is the specialist at BNH. Please keep in mind that you will need some time for a pre-examination to find out if the procedure is

the correct one for your case. If possible bring your medical reports with you or submit them in advance.  After that BNH will need a few days  in preparation time. But I guess you are in contact with the hospital already and have the required informations. A 300 m walk directly after the op might be possible but I would advise to use the help of some hospital staff to help you with that, either by wheelchair or call a taxi. You have to keep in mind that you just woke up and will feel a bit unstable during walking. The last thing you want

is to fall down on your way to the hotel. You will also feel the catheter with every step.

Yes, forgot to mention that I already met the Doctor and that  the hospital performed a ultrasound . Also forgot to mention that Im having several required preliminary tests  a couple of days earlier at that hospital.
Thanks for your advise.

[thefed]

FYI regarding Urolift, this procedure is only good for a certain shape of your prostate. Your doctor should check before doing this procedure. I changed doctor in order to have this done. I was not a good candidate and could not have this procedure.

[xylophone]

14 minutes ago, thefed said:

FYI regarding Urolift, this procedure is only good for a certain shape of your prostate. Your doctor should check before doing this procedure. I changed doctor in order to have this done. I was not a good candidate and could not have this procedure.

Thank you for that information on the Urolift procedure because I have a friend who is investigating these procedures, but he was in Canada at the time and couldn't find it there, and there doesn't appear to be anyone in Thailand who does it??

 

I believe he has settled for the iTind procedure in BNH, however the advertised price of 70,000 baht has increased significantly to over 200,000 baht, so perhaps the lower price was an introductory offer?

 

He is scheduled for the procedure in early August, so I will post the procedure routine and outcome for anyone else who might be considering it.

[Pumpuynarak]

On 6/26/2023 at 12:29 PM, Pumpuynarak said:

Well i saw my Urologist in Korat and had a good chat with him regarding my lower stomach discomfort, my poor urine flow and possible urine retention. He suggested my lower stomach pain could be as a result of the constipation i was still suffering from from time to time and i have to say that its all but disappeared the last few days.

 

When i questioned him as to why my Turp procedure was an apparent failure when others was a success he said not all patients problems were the same and Turp recipients responded differently.

He suggested he prescribe me some meds to help with the urine retention/flow for the next four weeks, so he prescribed Ucholine 10mg tablets (Bethanechol Chloride 10mg) and i have an appointment for two weeks time to see how i am. He also stated if there was no improvement he would schedule a cystoscope to have a lookie.

 

As a matter of interest i asked him what my PSA was and he produced a printed report stating it was 1.237 which was well below the 4 unacceptable level.

 

Here's hoping my next visit is positive......

 

   

 

On 6/26/2023 at 3:09 PM, xylophone said:

Some good news in amongst that lot, because if the pain was caused by constipation, then that's an easy fix, and as I suffer from it almost constantly, prune juice does it for me!

 

Don't know what to make about his answer to your question regarding the apparent failure of your Turp, but then maybe you will be lucky!

 

I was prescribed the Ucholine tablets for my lack of bladder emptying, but they made no difference whatsoever, so let's hope your outcome is more positive.

 

Great to hear that your PSA is low.    

Update guys......

I cancelled my appointment because i'm peeing ok at the mo but i am visiting the loo a couple of times a night and 5/6 times during the day , not a constant flow all the time just 6/7 spurts but i have no pain or discomfort so i can't see that i would have an infection due to urine retention.

As this urologist can only carry out the Turp procedure (he's already done for me back in January) i can't see he's much use to me if indeed i need another procedure.

I'm still taking the meds he prescribed but i'm not convinced they are doing anything for me, i'm gonna stop taking them after today as i've run out, lets see how i react, i don't like taking meds for nothing !!!

[riclag]

17 hours ago, Pumpuynarak said:

 

Update guys......

I cancelled my appointment because i'm peeing ok at the mo but i am visiting the loo a couple of times a night and 5/6 times during the day , not a constant flow all the time just 6/7 spurts but i have no pain or discomfort so i can't see that i would have an infection due to urine retention.

As this urologist can only carry out the Turp procedure (he's already done for me back in January) i can't see he's much use to me if indeed i need another procedure.

I'm still taking the meds he prescribed but i'm not convinced they are doing anything for me, i'm gonna stop taking them after today as i've run out, lets see how i react, i don't like taking meds for nothing !!!

Good luck

Im scheduled for a rezum procedure on the 8th of August ! My biggest concern is having to have a catheter ( doctor recommended 2 weeks) in me!

[Pumpuynarak]

2 hours ago, riclag said:

Good luck

Im scheduled for a rezum procedure on the 8th of August ! My biggest concern is having to have a catheter ( doctor recommended 2 weeks) in me!

Thanks, and good luck to you on your Rezum procedure. Now i too was really concerned about the catheter that i had in place for 1 week but in reality it was no problem, i think you'll find you too will be fine but i agree the prospect of having something inserted in through your manhood is not something to look forward to.

 

Please keep up updated on your procedure and progress, its something that i find very helpful and informative and no doubt other boardies feel the same.

[msbkk]

5 hours ago, riclag said:

Good luck

Im scheduled for a rezum procedure on the 8th of August ! My biggest concern is having to have a catheter ( doctor recommended 2 weeks) in me!

It should not really be a big concern, you will get used to it. For me personally I felt some burning with every movement during the first few days. Uncomfortable yes, but not a big issue. And as I like to have a beer or two in the evening ???? I had to empty the urine bag during the nighttime 2-3 times, the best way is to but a plastic bottle near your bed so that you do not have to walk around for that. 

[likerdup1]

On 6/20/2023 at 2:55 AM, riclag said:

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! 
 

Thank you very much for your detailed Rezum experience. I'm a candidate for the procedure and have been trying to decide whether to wait awhile and get it done here in USA or go to BKK and have it done there (as I'm anxious to get back to LOS)

 

I've also been looking at iTind (removable expanding stint) I am a candidate with a smaller size prostate.

Anyone on the forum have that done? I'd be curious about experiences.

 

One thing that bothers me about BNH and Bumrungrad is that they have priced Rezum to be more than twice as much as it is out of pocket in the USA (at least one clinic in Portland Oregon offers it at $2800 dollars + usual prep visits etc.

 

at 200000 THB and a 34 baht /dollar conversion thats $5882 -- about $3000 USD more.. I can't figure it.

[Sheryl]

17 hours ago, likerdup1 said:

Thank you very much for your detailed Rezum experience. I'm a candidate for the procedure and have been trying to decide whether to wait awhile and get it done here in USA or go to BKK and have it done there (as I'm anxious to get back to LOS)

 

I've also been looking at iTind (removable expanding stint) I am a candidate with a smaller size prostate.

Anyone on the forum have that done? I'd be curious about experiences.

 

One thing that bothers me about BNH and Bumrungrad is that they have priced Rezum to be more than twice as much as it is out of pocket in the USA (at least one clinic in Portland Oregon offers it at $2800 dollars + usual prep visits etc.

 

at 200000 THB and a 34 baht /dollar conversion thats $5882 -- about $3000 USD more.. I can't figure it.

In addition to being less expensive in the US, there have been many more years experience with it in US than in Thailand where it was only recently introduced. And there are a wider range of other procedure  options as well.

 

As you are currently in US no question in my mind that you should get treated there before returning to Thailand. 

 

Re costs in Thailand remember that does not include managemengnof any complications. Worst case you could end up with a much, much  higher bill. 

 

 

[msbkk]

12 hours ago, likerdup1 said:

Thank you very much for your detailed Rezum experience. I'm a candidate for the procedure and have been trying to decide whether to wait awhile and get it done here in USA or go to BKK and have it done there (as I'm anxious to get back to LOS)

 

I've also been looking at iTind (removable expanding stint) I am a candidate with a smaller size prostate.

Anyone on the forum have that done? I'd be curious about experiences.

 

One thing that bothers me about BNH and Bumrungrad is that they have priced Rezum to be more than twice as much as it is out of pocket in the USA (at least one clinic in Portland Oregon offers it at $2800 dollars + usual prep visits etc.

 

at 200000 THB and a 34 baht /dollar conversion thats $5882 -- about $3000 USD more.. I can't figure it.

I guess you have to consider that here in Thailand the procedure is new and there are not so many patients treated this way. At least not yet. The hospitals have beginning investment costs for the machines as well as training of doctors. BNH for example had around 50 patients treated as per beginning of this year, Bumrungrad more than that. In the US Rezum treatment is much more common so that the investment is recovered much faster.

[xylophone]

1 hour ago, Sheryl said:

In addition to being less expensive in the US, therdme have been many more years experience with it in US than in Thailand wherd it was only recently introduced. And there are zma wider ranger of other procedure  options as well.

 

As you are currently in US no question in my mind that you should get treated there before returning to Thailand. 

 

Re costs in Thailand remember that does not include managemengnof any complications. Worst case you could end up with a much, much  higher bill. 

 

 

Have you been on the turps Sheryl.........hard to decipher aspects of your post!!!!!!

[xylophone]

47 minutes ago, xylophone said:

Have you been on the turps Sheryl.........hard to decipher aspects of your post!!!!!!

Meant to put a "fun" emoji after that comment........no disrespect meant Sheryl, just jesting as I value your posts very highly.

[likerdup1]

15 hours ago, Sheryl said:

In addition to being less expensive in the US, there have been many more years experience with it in US than in Thailand where it was only recently introduced. And there are a wider range of other procedure  options as well.

 

As you are currently in US no question in my mind that you should get treated there before returning to Thailand. 

 

Re costs in Thailand remember that does not include managemengnof any complications. Worst case you could end up with a much, much  higher bill. 

 

 

Thank you. Just wondering if there have been any bad Rezum experiences or iTind experiences at BNH that had complications there? 

 

I am almost positive I am a candidate for iTind which seems even less invasive than Rezum and no catheter necessary after treatment.

 

iTind is not offered on my insurance plan here in the USA and as I'm anxious to return to Thailand I was thinking I'd pay the money and go for iTind.

 

Any board members have iTind or Rezum experiences that went badly?  Complications worth noting?

 

BTW I have a small prostate so I'm a candidate for both procedures/therapies. Rezum and iTind.

 

I have been thinking of using Dr. Suntchai at BNH,

 

The urologist my insurance connected me with here in USA has had some bad reviews, not specifically for Rezum but for rushing appointments.. my apointment was rushed toward the end.... so I'm on the fence about all this. The urologist I saw here in USA is fairly new and has a history of rushing her appointments.

 

thanks for any further information.

[xylophone]

13 minutes ago, likerdup1 said:

Thank you. Just wondering if there have been any bad Rezum experiences or iTind experiences at BNH that had complications there? 

 

I am almost positive I am a candidate for iTind which seems even less invasive than Rezum and no catheter necessary after treatment.

 

iTind is not offered on my insurance plan here in the USA and as I'm anxious to return to Thailand I was thinking I'd pay the money and go for iTind.

 

Any board members have iTind or Rezum experiences that went badly?  Complications worth noting?

 

BTW I have a small prostate so I'm a candidate for both procedures/therapies. Rezum and iTind.

 

I have been thinking of using Dr. Suntchai at BNH,

 

The urologist my insurance connected me with here in USA has had some bad reviews, not specifically for Rezum but for rushing appointments.. my apointment was rushed toward the end.... so I'm on the fence about all this. The urologist I saw here in USA is fairly new and has a history of rushing her appointments.

 

thanks for any further information.

A friend of mine here in Phuket saw the iTind offer price at BNH of 70,000 baht and wanted to go ahead with it after researching Rezum, but his problem with passing water seems to have gotten a lot better so he is not going with any of these procedures at all!

 

Anyway, before he actually cancelled the iTind procedure, the price had shot up to around 200,000 baht, so he wasn't too keen, and was thinking about researching options in India for iTind or Urolift...........

 

As I recall there have been some comments here regarding Rezum and they haven't overall been that complementary.
 

[riclag]

BNH  hospital Bangkok.Arrived @ 10:45 for  11:00 appointment on the 8th of August.They prep me with 

IV to administer antibiotic and knockout medication and took my vitals , blood pressure was high , usually its normal.

Spoke to the doctor beforehand about Bph medication , he suggested i continue another two months!

Went up to the op room shortly thereafter  , more vitals taken while starting the antibiotics drip within minutes they put my feet in the stirrups and slowly administered the knockout juice . No pain at all .

I woke with some pressure where the catheter is and started drinking water!

Met with the doctor again he confirmed everything went well  during the procedure ! He used 9 vapor injections and  scheduled a catheter removal in 9 days!

Little bit of  burning & pressure in my manhood and abdomen.

I went to pay the 200k package price and the billing clerk tried to charge a extra 10k ! Had to voice my concerns and the nurse took care of it and straightened out the matter.

I ‘ll keep posting in a couple of days.

Hope that helps 

Good luck

[GarryP]

21 minutes ago, riclag said:

BNH  hospital Bangkok.Arrived @ 10:45 for  11:00 appointment on the 8th of August.They prep me with 

IV to administer antibiotic and knockout medication and took my vitals , blood pressure was high , usually its normal.

Spoke to the doctor beforehand about Bph medication , he suggested i continue another two months!

Went up to the op room shortly thereafter  , more vitals taken while starting the antibiotics drip within minutes they put my feet in the stirrups and slowly administered the knockout juice . No pain at all .

I woke with some pressure where the catheter is and started drinking water!

Met with the doctor again he confirmed everything went well  during the procedure ! He used 9 vapor injections and  scheduled a catheter removal in 9 days!

Little bit of  burning & pressure in my manhood and abdomen.

I went to pay the 200k package price and the billing clerk tried to charge a extra 10k ! Had to voice my concerns and the nurse took care of it and straightened out the matter.

I ‘ll keep posting in a couple of days.

Hope that helps 

Good luck

In many cases, post treatment it gets worse before it starts to get better, depending on your healing response. If it happens to you, just ride out the storm and take comfort in knowing that things will improve eventually (speaking from experience).   

[Pumpuynarak]

14 hours ago, riclag said:

BNH  hospital Bangkok.Arrived @ 10:45 for  11:00 appointment on the 8th of August.They prep me with 

IV to administer antibiotic and knockout medication and took my vitals , blood pressure was high , usually its normal.

Spoke to the doctor beforehand about Bph medication , he suggested i continue another two months!

Went up to the op room shortly thereafter  , more vitals taken while starting the antibiotics drip within minutes they put my feet in the stirrups and slowly administered the knockout juice . No pain at all .

I woke with some pressure where the catheter is and started drinking water!

Met with the doctor again he confirmed everything went well  during the procedure ! He used 9 vapor injections and  scheduled a catheter removal in 9 days!

Little bit of  burning & pressure in my manhood and abdomen.

I went to pay the 200k package price and the billing clerk tried to charge a extra 10k ! Had to voice my concerns and the nurse took care of it and straightened out the matter.

I ‘ll keep posting in a couple of days.

Hope that helps 

Good luck

Thanks for your post, very helpful and informative. Looking forward to more updates.

[riclag]

A rezum balloon from the Bnh lobby.

I forgot to mention I got a hotel up the Soi from the Hospital ( 300m).

I thought i would walk back after but changed my mind on advice from others! So I took a tuc tuc !Dont get out of a  appointment their after 2pm!  There’s a school next door,when school gets out the police make  the Soi a one way!

The tuc tuc took 45 minutes of going around the opposite way , only to be brought to the beginning of the Soi jamb with bumper to bumper traffic. So I ended up walking 100 meters to the hotel! Small complaint but beware!