Rezum therapy in Dubai with our Rezum Expert Dr.Fouad Khoury
Dr. Fouad Khoury’s exceptional skills and extensive experience in urology, particularly in the innovative Rezum treatment; have made him a trusted authority in the field.
As a Rezum proctor, he has been chosen by Boston Scientific to provide comprehensive training and guidance to other healthcare professionals interested in incorporating Rezum therapy into their practice.
Dubai, known for its commitment to medical advancements and providing cutting-edge treatments; has become the destination for this significant collaboration.
Dr. Khoury’s visit to Dubai as a Rezum proctor reflects the global recognition of his expertise and the growing demand for Rezum therapy worldwide.
During his visit to Dubai, he conducted training sessions and lectures, sharing his knowledge, techniques, and insights regarding Rezum therapy with healthcare professionals; through these interactions, he gave other urologists the knowledge and abilities they needed to administer Rezum therapies successfully, guaranteeing patients received the best possible care.
45 gr prostate with failure to improve symptoms on medical treatment.
Taking into consideration the patient’s age and sexual activities; he was insisting on undergoing a procedure to relieve his symptoms while preserving EJACULATION.
A 5 minutes prostate procedure (REZUM) as shown in the video, was done by our Rezum Expert Dr.Fouad Khoury under local anesthesia.
There is no need for the patient to sleep in the hospital, or to be hospitalized.
Best Prostate Treatment in Lebanon and Middle East With Dr. Fouad Khoury
In this interview Dr. Fouad El Khoury talked about the best prostate treatment in Lebanon and Middle East: Rezum water vapor therapy; which makes it possible to perform a prostate surgery in 5 minutes to treat benign prostatic hyperplasia (BPH); while preserving ejaculation and sexual function.
What is benign prostatic hyperplasia (BPH)?
BPH is the most common prostate problem in men, especially at the age of 50 and over. It is a condition in which the prostate, a gland of normal volume 18 to 20g and which has the role of secreting a liquid that accompanies the sperm to nourish it, grows in size in the transitional zone.
BPH is also called benign prostatic enlargement and affects the urinary system; on the other hand, the congestion of the prostate does not cause urinary problems because it is located in the peripheral zone.
Having BPH does not seem to increase the risk of developing prostate cancer, but a man who has BPH may have undetected cancer at the same time.
BPH Symptoms
In BPH, the prostate gland surrounds the urethra or the enlargement of the prostate can lead to the blockage of the urethra so you can develop urinary problems: difficulty urinating, low stream of urine, frequent urination at night, constant need to urinate, dark reddish urine, weak lower limbs, back pain…
BPH Treatment
1-Medication:
The first step and decision are to take a drug.
The options include:
-Alpha-blockers: These medications relax bladder neck muscles and muscle fibers in the prostate, so the patient can urinate without any problem. But the alpha-blockers can cause a delayed ejaculation (the seminal fluid goes back into the bladder).
-Medications that reduce the volume of the prostate but cause erectile dysfunction.
-Medications for erectile dysfunction (Cialis): these drugs given every day can also cause relaxation of the muscles of the bladder.
Medication may not have a good prognosis for life, sometimes it may last for 6 months.
2-Surgical treatment:
When the treatment by medications failed, the urologist assumed a surgical treatment:
–Transurethral resection of the prostate (TURP): This operation is usually performed under general anesthesia, a surgeon passes an instrument called a resectoscope through the opening of the penis and into the urethra and rises towards the prostate to remove the excess prostate tissue. But the disadvantage is that the patient who takes anticoagulants must stop them before the operation, and this surgery causes a problem in ejaculation.
– Rezum water vapor: 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.
Once you have made the decision to have the Rezūm water vapor therapy you will have some pre-procedure instructions to follow, which may include:
-The procedure itself is quick and simple, taking only a single office visit.
-Depending on the size of the prostate, the procedure consists of two to seven injections, each nine seconds long.
-Upon arriving, you will be instructed to eliminate urine, and the bladder is then checked. If there is still more urine in the bladder, it’s drained to avoid having to drain it during the procedure.
-Both the prostate and the penis are numbed. The Rezūm device is inserted, a needle is deployed, and vapor is injected into the prostate for nine seconds. This vapor disperses between cells, then cools, releases heat, and gently disrupts the prostate’s cells.
Because of the initial swelling, a catheter is then inserted, which will remain for two to five days; the catheter is hooked to a bag that stays on the leg and is covered by pants.
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.
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.
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