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If you said yes to these questions, Rezūm water vapor therapy could be the answer you’re looking for.
Rezūm water vapor therapy is a non-surgical treatment for BPH that uses the natural energy stored in water vapor, or steam, to remove excess prostate tissue that is pressing on your urethra. (Which just means that it shrinks your prostate to a healthy size.)
You may be a candidate for Rezūm therapy if you are over 50 years of age with a prostate volume between 30 and 80 g. Rezūm works well for men whose BPH, or an enlarged prostate, involves the central zone and/or a median lobe. It’s an option for men who have tried watchful waiting and lifestyle changes and men who no longer want to take BPH medications. It’s also a good choice for men who don’t want an invasive surgical procedure.
After injecting anesthesia around the prostate, Dr. B-T will look inside the urine channel and visualize the prostate. He then targets several areas of the prostate blocking the flow of urine. Each targeted steam event only takes 9 seconds and releases short bursts of heated water vapor (steam). The number of 9-second treatments you will need will depend on the size of your prostate. Most patients only require 4-6 treatments — that’s less than 1 whole minute (if you’re interested in the math here).
Following the procedure, your body’s natural healing will do its job and reduce the size of the prostate by safely shrinking the treated tissue. Over time, your urethra will reopen and your urinary symptoms will improve.
Yes, the water is heated, but don’t let that concern you. Most patients feel only minor discomfort. Dr. B-T always injects lidocaine around the prostate to minimize discomfort. He also offers nitrous oxide (laughing gas) for patients with anxiety or worried that the lidocaine may not be enough for them. Dr. B-T will talk with you about anesthesia options to be sure you’re comfortable.
You will go home with a catheter, which we will remove in an office visit in three days. Your body will create an inflammatory response to the procedure, which may worsen your urinary symptoms before they get better. Symptoms gradually start improving in two weeks or so and will continue to improve for about three months.
You should be able to return to limited activity after the catheter is removed in three days. Depending on your job, you may be able to return to work at that time also.
Absolutely! Most men stop taking their medication within the first month after the procedure. Some of the best improvement includes men losing their sense of urgency and sleeping better at night. The prostate blocks the bladder from emptying out completely, so by opening the channel, men get better relief and no longer feel the need to know where the next bathroom is located.
All surgical procedures have risks, and Rezūm is no exception. Here are the most common side effects for Rezūm: