What is Rezum water vapor therapy?
Recently approved by the FDA in 2015, makes it possible to perform a prostate surgery in 5 minutes while preserving Ejaculation And Sexual Function.
This operation consists of throwing steam through an instrument into the enlarged area of the prostate; the vapor carries energy that will be diffused into the molecules which will be killed and discarded by the immune system.
It lasts 5 to 10 minutes under local anesthesia and the number of vapor ejections depends on the volume of the prostate.
Who Is a Good Candidate for Rezum?
Men who experience urinary outflow blockage due to benign prostatic hyperplasia in the central zone and/or a median lobe are candidates for rezum.
For men with prostate volumes between 30 cm3 and 80 cm3, Rezum is advised.
Rezum can also be recommended to men with chronic medical conditions, and of advanced age, as an alternative to other more invasive BPH surgeries.
This procedure is not recommended for patients with a urinary implant or who have a penile prosthesis.
This therapy is an excellent choice for men:
1- who are unable or unwilling to take BPH medications.
2- who are unwilling to try alternative BPH treatments.
3- who are unable to undergo treatments requiring general anesthesia due to their medical issues.
Benefits of Rezum water vapor therapy
- The procedure doesn’t cause complications, no need to be hospitalized.
- Fast recovery: Return to daily activities in a few days, improvement of symptoms after 2 weeks.
- Relatively painless.
- Symptoms continue to improve for up to 3 months.
- A good prognosis of up to 15 years.
- This procedure doesn’t cause sexual dysfunctions.
After the procedure, the patient will leave with a sonde Foley (or a catheter).
The catheter typically stays in for 3 to 7 days depending on the size of your prostate gland. Once the catheter is removed after Rezum procedure, most men can void. There are a subset of men who may not be able to void if the bladder is not ready to go yet and may need the catheter replaced. When the catheter first comes out it is very common to feel like you have a urinary tract infection with burning with urination, increased urinary frequency and urinary urgency. These symptoms typically improve over a 2 to 3 week period of time. If these symptoms persist then you should come in for a urine check to make sure you do not have an infections.