Dr Sabarathnam Ananthram is a GP from Redditch who chose Rezum as his own treatment for an enlarged prostate. He explains why and how he has found the treatment.

Rezum Enlarged Prostate Dr Ananthram

“I’ve had benign prostatic hyperplasia (BPH) for and putting off having something done, carrying it around like a baby, always knowing where every toilet was located. The crux came one day when I was driving up to Manchester, which is about a two- hour journey from my home. I knew I was cutting it fine, couldn’t control the flow of urine and started to leak as I walked up the drive.

I chose Rezum for a number of reasons. The fact that it is a simple outpatient procedure made it much more appealing to me: no hanging around for a long time, no incisions or lasers. I knew about the TURP (trans urethral resection of the prostate) of course and that wasn’t a procedure I wanted to have.

What also appealed to me was that fact that Rezum does not affect sexual function, whereas other treatments cause retrograde ejaculation (the orgasm is dry and the ejaculate goes back into the body). It is an emotional response for me: the ejaculate should come out, not reflux into the body. Even though I am 69 and fertility is not something I would be concerned about, retrograde ejaculation doesn’t seem an acceptable side-effect of treatment. It was a clear advantage for me that Rezum does not produce this side-effect.

My view was that if Rezum could give me an improvement in my BPH symptoms of about 50 per cent, I would be satisfied. There is not yet sufficient data to know exactly how effective Rezum will be. If I had gone into treatment expecting 75 or 85 per cent improvement, I knew that I may be disappointed. But I thought overall, for a day case procedure with minimal side-effects, producing a 50 per cent improvement would be a success.

There is no pain from the procedure, either immediately afterwards or in the days that followed. I wore a catheter for seven days and that is the aspect you have to be prepared for. I found there was some pain from the catheter at the moment when I voided and also, even with the catheter in situ, I would experience the usual urge to pass urine and this was uncomfortable, especially towards the end of the first week.

Although my urine became clear within two weeks, there was some occasional blood in my urine for up to one month, when all the debris from the procedure is being passed out. This is normal but can seem worrying.

In my experience, there is no real change for the first four weeks. At this stage, you are still voiding surplus tissue that has been destroyed during the procedure and there is still some swelling. By five and six weeks, my symptoms improved noticeably, and I’d say I am now at about 30 to 40 per cent improvement. I expect to reach the 50 per cent improvement; I think that process is still ongoing.

Two weeks after having Rezum, I went to Munich to join my daughter and son-in-law. We went on a beautiful trip from Munich to Frankfurt, which meant one weeks travelling in a car and looking at the sights. Like many men with BPH, before treatment, I would have been more focused on finding the toilets than the views. I am very pleased to report that on this trip, I was looking at views and the toilets too [as it was just two weeks following Rezum], however soon I would not be worrying about the toilets. The point is that I ventured on a holiday abroad just two weeks following the procedure. I would recommend Rezum very strongly.”