What is Rezum? Rezum Treatment – Dr. A. Kadir Tepeler, MD

Water Vapor Therapy

Rezum therapy is a form of treatment that has received FDA certification in the USA in 2015, and that shrinks the prostate by using natural water vapor energy.

Prostate tissue, which has grown and compressed the urinary canal, is destroyed by using special water vapor created with radiofrequency energy.

After the procedure, the prostate tissue shrinks within 3-12 weeks.


How Is It Diagnosed?

It is entered through the urinary canal at the tip of the penis with a thinner specially developed camera system. Enlarged prostate tissue is examined and measurement is made. It is planned where the process will be applied. The water vapor created by the energy transferred from the radiofrequency energy source is transferred into the prostate tissue with a needle.

This needle is guided by the surgeon in an apparatus system that is used specifically for each patient. The surgeon advances this needle into the prostate tissue to the points he has determined, and within 9 seconds, energetic steam is scattered into the prostate tissue. Needles can penetrate up to 10 mm into the prostate tissue. After the procedure, necrosis (death) begins in the prostate cells.

The process is completed in about 10-15 minutes. After the procedure, a catheter is usually inserted temporarily and then the catheter is removed. After the procedure, patients can return to their homes on the same day.

With steam injection, the enlarged prostate tissue shrinks and shrinks, making the urine flow easier and stronger. Studies have shown that at the end of 6 months, there is a 28% decrease in prostate volume.

Who Is Rezum The Most Appropriate Treatment For?

  • Patients with benign prostate who do not benefit from drug treatments
  • Especially patients with prostate smaller than 80-100 grams (middle or lateral lobe)
  • Patients who are not suitable for general-spinal anesthesia due to concomitant heart-lung diseases
  • Patients who do not want sexual complaints (regressive ejaculation) caused by drugs or prostate surgeries

Who Is Not Applicable?

-Like all surgical treatments, Rezum should not be applied in patients with active urinary tract infections. However, infection treatment can be applied after treatment with appropriate antibiotics. It is not recommended to be used in patients who have a penile prosthesis for erectile dysfunction.

What Kinds of Advantages Does the Rezum Procedure Have Compared to Other Methods?

  • The procedure takes a short time and the patients are discharged on the same day.
  • Returning to normal life is much faster.
  • Side effects are much less
  • Can be applied under local anesthesia - prostatic block
  • It can also be applied to people with serious illnesses
  • Back ejaculation (retrograde ejaculation), which is common in other surgical methods, is not observed. A decrease in semen volume of 1.5-2.9% has been reported.

Does the Rezum Technique Have a Disadvantage?

  • The effect does not appear suddenly. After the procedure, the prostate tissue shrinks over time. During this period, the previous complaints of the patients may continue. They may need to continue on their previous prostate medications.
  • Success may not be achieved in a single session in patients with large prostates (80-100gr and above). Additional sessions may be required. Although rare, case reports applied to prostate larger than 100 g are reported in the medical literature.

Is Anesthesia Needed During the Procedure?

The procedure can be performed with different types of anesthesia according to the patient's condition or preference. It can be applied under local anesthesia, periprostatic block, spinal or sedation. The type of anesthesia is decided together by the anesthesiologist.

Are There Any Side Effects of the Rezum Procedure?

The side effects of the procedure are much milder compared to other techniques. Catheter can be applied to patients who cannot urinate due to edema that will occur after the procedure, but it is removed after a few days. Burning in urination, frequent urge to urinate and light bleeding are observed especially in the first weeks. After intercourse, blood can be seen in the semen, especially in the first 6 weeks.

Do Young Patients Need Re-operation?

In the longest follow-up study in the literature, approximately 4.4% of patients required reoperation after 5 years. However, this rate is much lower than other minimally invasive methods (Urolift (13.6%), TUNA (14-51%) and TUMT (9-21%).

The information on this page has been prepared to enlighten patients. Please contact our doctor to get comprehensive information about diagnosis and treatment.”

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