Rezum for benign prostatic hyperplasia (BPH)
I am 66 years old and have been diagnosed with BPH. I tried Alfuzosin unsuccessfully. My urologist recommended Urolift, but I have concerns about the procedure. Previously he had mentioned Rezum for prostates between 30 and 90 ml. Mine is 28 ml and he did not think this would be a problem. He is a younger doctor and this is a relatively new procedure. I expressed concern that since the procedure kills cells with steam would there be a danger of damaging the urethra, too much prostate, or the outer cover of the prostate. He said this would not happen. I have looked on line for resources that address this issue without success. Any assistance getting assurance that the doctor is correct is appreciated.
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Instead of me jabbering on and on about how I understand the procedure, here is an informative video. It's about 30 minutes long.
I'll also add a Mayo Clinic Minute video and article about steam treatment for benign prostatic hyperplasia
@scwhandyman, it seems like you're looking for more indepth information. Here is a clinical review that provides an overview of the technique and evaluation of its safety and efficacy.
– Rezum: a new transurethral water vapour therapy for benign prostatic hyperplasia https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6180381/
Dutesteride did not work for me. I opted for the Urolift and it was a waste of time. The option is now Rezum or Green Light (HoLEP). Any thoughts?
Butt pain upon sitting starting day 2 after rezum shoots a bit down leg. At first bilateral now more unilateral also dull pain in left groin .
Is this just usual post op edema or inflammation or more permanent as per literature?
Hello @ron55 and welcome to Mayo Clinic Connect. I am sorry to hear of your post-op pain.
I located a discussion on a similar topic that I wanted to bring you into, so you will notice that I have moved your post here: https://connect.mayoclinic.org/discussion/rezum/
I did this so you may connect more easily with members such as @wpasternak @jakedduck1 and @scwhandyman who have been part of this discussion previously.
Have you called in your symptoms to your doctor yet?
No it's the first week plus had two days off for weekend.today I contact him .
Where is the gold standard for getting answers on REZUM? Size of prostate, age pre post expectations etc etc.
According to this web information:
– Treatment for Benign Prostatic Hyperplasia (BPH) – Rezum https://prostatematters.co.uk/treatments-for-bph-and-where-to-get-them/treatment-for-bph-rezum/
REZUM treatment is "indicated for men 50 years and older with a prostate volume of ≥ 30cm3 and ≤80cm3. The Rezūm System is also indicated for treatment of prostate with hyperplasia of the central zone and/or a median lobe."
And in the fine print at the bottom of the company's website on this page:
The Rezūm System is intended to relieve symptoms, obstructions, and reduce prostate tissue associated with BPH. It is indicated for men ≥ 50 years of age with a prostate volume 30cm3 ≤ 80cm3. The Rezūm System is also indicated for treatment of prostate with hyperplasia of the central zone and/or a median lobe.
I had a urolift 2 years ago and all well till 12/8/22. Lot of blood when peeing. ER said a possibility of a mass in my prostate. Urologist did the scope but couldn’t be sure. Quickly did a TURP/TURB with several biopsy’s to check for cancer. NO CANCER!! Did a another scope to see why so much pain. It’s due to turp & biop. This Wednesday I am having the REZUM procedure. NOT looking forward to this again. You know, the pain, cath, and the worse of all the damn spasms!! Had many spasms after turp. I’m told all will be well after the Renuz. I am 68 with underlying health problems. Otherwise in fair health. Wish me luck. L W
Oooh L W, my husband just went thru the urolift so I can sympathize. I hope all goes well. Vicki