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RezūmTM Thermotherapy for Benign Prostatic Hyperplasia

What is it?

RezūmTM is a minimally-invasive office procedure intended to relieve bothersome symptoms of benign prostatic hyperplasia (BPH), otherwise knowns as enlarged prostate. The Rezūm system is a technology that uses hot, sterile water in the form of steam to treat obstructing prostate tissue in your urinary channel. This process is called thermotherapy.

The procedure involves passing a small camera through the urethra to the level of the prostate. Once at the prostate level, a radiofrequency generator heats up the water, and hot vapor is used to treat the prostate tissue. The camera is then removed, and the procedure is over in under 5 minutes.

This procedure has been validated in multiple studies to be safe and effective; the treated prostate tissue sloughs off, disobstructing the urine channel, and symptoms dramatically improve over a span of weeks to months. There is minimal bleeding and patients can be treated with a combination of local anesthesia to the prostate combined with Nitrous Oxide laughing gas.


Am I a Candidate for Rezum?

RezūmTM has been created as an alternative to daily medications, which can carry significant side effects. Additionally, it is much less invasive than a major surgical procedure like a transurethral resection of the prostate (TURP), which requires hospitalization and carries sexual side effects. Once treated, patients typically note dramatic improvements in urinary flow, can hold urine better during day or night, and can discontinue
medications for the longeterm.

Who cannot get Rezūm Treatments?

While RezūmTM is safe and effective for most men, certain situations will preclude treatment with this technology. Another type of treatment may be necessary if you have the following:

  • An Artificial Urethral Sphincter (AUS)
  • A Penile Prosthesis
  • Recurrent or Chronic Urinary Tract Infections
  • A Prostate Too Large for a Minimally-Invasive Procedure (rare)

Is Rezūm Safe?

Rezūm is a safe office procedure. All possible precautions will be taken while completing the procedure. Talk with your doctor if you are taking medications that thin your blood or if you take aspirin as these will need to be temporarily stopped.

After the procedure patients may note difficult or painful urination, blood in the urine or sperm, urinary frequency, or rarely the inability to urinate. These issues usually resolve with time and are not permanent. There are no reported cases of new onset erectile dysfunction after Rezūm. Repeat treatment of the prostate in the future is rare.

Frequently asked questions:

What is Benign Prostatic Hyperplasia (BPH)?

BPH is a condition when the prostate gland in the male reproductive tract increases in size and is not due to cancer. For more information on BPH, click here.

What are other treatment options for BPH?

Other treatments include medications and alternative surgical options. Dr. Dhir has expertise in performing GreenLight Laser Therapy,
Transurethral Resection of the Prostate (TURP), and UroLift.

How much does RezūmTM cost?

The cost of the procedure varies depending on your insurance company and benefits. Most insurance plans are covering this treatment, and if Rezum is right for you our trained staff will speak with your insurance provider to make the process of scheduling seamless.

How long will I have to stay in the hospital after RezūmTM?

You don’t have to stay at all! One of the benefits of this minimally-invasive procedure is that it can be done at your doctor’s office and you can go home immediately after.

How long until I can go back to work?

Most men return to their regular activity levels within a few days, but this is an individual decision that your doctor will discuss with you.