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.
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.
-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.
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.
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.
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.”
