Rezum

Rezum

Rezum water vapor therapy is a safe and effective in-office option designed to transform your BPH treatment experience. Rezum improves your urinary symptoms better than medication can, without surgery.
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Alternative to BPH medications

Noticeable symptom improvement within few weeks

Simple in-office therapy

Preserves sexual and urinary functions

Why choose Rezum?

Rezum water vapor treatment is performed in San Antonio by our urologists for enlarged prostate. Dr Kella is experienced with over 150 cases of Rezum. The doctor can then perform this BPH procedure in the office in a few minutes. Rezum improves urination, eliminates the need for BPH medication, and avoids retrograde ejaculation sexual side-effects.
Using only a few drops of water, Rezum delivers targeted, controlled doses os thermal energy in water vapor (or steam) directly to the prostate tissue that is causing your BPH symptoms. 
This treatment significantly improves in BPH symptoms- including urinary frequency, irregular flow, urgency, weak stream, straining and getting up at night to urinate.

Expert in Rezum

Dr. Naveen Kella has been honored as a Center of Excellence provider in Rezum due to his extensive experience in this treatment. If you are considering this in-office procedure, it is important to choose a provider who has been recognized for their success.

The Urology Place - Why Choose Rezum or Urolift?

Rezum Testimonial from Dr. Kella's Patient at 4 weeks post procedure

Rezum Testimonial from Dr. Kella's Patient at 3 months post procedure

Quick 5-Part Overview

In this short series, Board Certified Urologist, Dr. Naveen Kella will discuss the following:
1. What is Benign Prostatic Hyperplasia (BPH)?
2. How common is BPH?
3. Why does he offer Rezūm to his patients?
4. What results have you seen with other patients who have chosen Rezūm?
5. How does Rezūm work?

How does Rezum work?

Rezum water vapor therapy works by using a small, controlled burst of thermal energy to send sterile steam into the prostate tissue. The steam rushes around the overgrown cells in the prostate, then transforms to water. The heat from the steam breaks down cell walls, causing the cells to stop functioning and the tissue to shrink.

Is Rezum painful?

Rezum is done in our San Antonio office. Any procedure can provoke anxiety. We take steps to minimize any pain and anxiety. For this water based treatment, we perform a prostate local block. In addition, we offer nitrous gas and oral medication to make Rezum painless as possible.

Excellent 5 year results with Rezum

Is Rezum Effective? 

In our experience, patients are very satisfied with their urinary symptoms at 3 month follow up. We do have patients who have noted less ejaculate afterwards. This may be due to the fact that there is less tissue as well.

The FDA approved therapy has 5 year follow up with excellent results.  Dr. Naveen Kella has experience with over 150 Rezum cases in San Antonio.

Dr Kella has found most of his patients to be very satisfied with Rezum therapy. In studies, there is an 11 point improvement in symptom scores, even 5 years after the procedure. Only surgery does better.

How is Rezum different from surgery?

Dr Kella performs Rezum in the office. This can save time and significant money. Patients walk out after the procedure. Tissue is not cut. This decreases the chance of sexual side effects such as retrograde ejaculation. You may notice some decrease in ejaculate volume, but is should be less than with surgery. You will need a catheter for at least 72 hours after the procedure. There should be little to no bleeding after the procedure. Rezum results are nearly as good as surgery without some of the side effects and costs.

How does Urolift and Rezum compare?

Both therapies are FDA-approved. Urolift can be done in the office, but Dr Kella performs to do the procedure with some light sedation in the operating room. Rezum has a small chance of worsening your volume of ejaculate. Urolift should not affect your function at all. Urolift does not eliminate tissue. Rezum will actually eliminate tissue. Urolift has a quick recovery period. Rezum requires a catheter for a few days and some patients may require a few weeks before starting to experience improvement.  Dr Kella has done hundreds of each procedure and can help with making your decision.

Resume Your Life with Rezum

One of our awesome patients shares his personal experience with Rezum and how the procedure helped him get back to his life again.

Quick 10-Part Overview

In this short series, Board Certified Urologist, Dr. Naveen Kella will discuss the following:
1. How does Rezūm work?
2. What is the success rate with Rezūm?
3. How long will my BPH symptom relief last?
4.What is the healing process my body will go through?
5. Will I experience discomfort during or after the Rezūm procedure?
6. Do I need to stop any current medications prior to the Rezūm procedure?
7. Will I need to take any new medication before or after my Rezūm procedure?
8. Will the Rezūm procedure effect my sexual function?
9. When will I be able to go back to work?
10. When will I be able to exercise after the Rezūm procedure?

Compare Rezum to other BPH treatments we offer

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  • What symptoms can be improved?

    Rezum water vapor therapy treats enlarged prostate with a few drops of water. Rezum can improve frequency, hesitant stream, urgency, straining and night time frequency.

  • How do I prepare for Rezum?

    You will get a prescription to take an antibiotic for a few days, starting the day before the procedure.


    You need to get off blood thinners like aspirin or coumadin one week prior. This needs to be discussed with the doctor.


    You will take a Fleets Enema at home prior coming to the office. Fleets are available without prescription, over the counter at any drugstore.


    If prescribed by your doctor, you can take a pain or anxiety medication right before the procedure. Nitrous gas is very helpful as well and does not require a driver to take you home.

  • How can I make Rezum as painless as possible?

    The treatment is in our San Antonio office and usually quick. We offer oral medication and nitrous gas, in addition to a prostate block.

    Nitrous gas is available for a nominal fee.

  • Does Rezum water therapy hurt erections or urinary control?

    No. Rezum water vapor therapy has a very low chance to  hurt erectile function or urinary control long term. There is an increase in symptoms, usually for 3 weeks or so until the swelling settles down from the procedure. Some patients report a decrease in their ejaculation volume, but it does not affect the ability to get an erection or have an orgasm.

  • Do I need to wear a urinary catheter after Rezum?

    We recommend a catheter for a few days after the procedure. The treatment can cause some swelling of the prostate. This makes the urinary tube more restricted. The catheter allows the bladder to remain empty. If you do not want a catheter, we could teach you how to self-catheterize with a super slick in and out catheter. We obviously will discuss this more in person.

  • Is there bleeding after Rezum?

    There is little to no bleeding during the procedure. You may notice some blood in or around the catheter for a couple of days. Let us know if you experience anything of concern.

  • Can you give me more research data about Rezum?

    The water vapor therapy has 5 year data showing the treatment lasts. The Prostatic Urethral Lift (PUL) Study is the largest, multi-center, randomized study showing 5 year results. PUL patients had relief in their quality of life by nearly 50% at 1 month and this remained unchanged at 5 years. Urine flow also was improved by over 40% even at 5 years.  This represents over 140 patients who had Rezum and 66 patients who did not.

  • Does insurance cover Rezum in San Antonio?

    Most insurances cover the procedure. If your insurance does not cover the procedure, your out of pocket cost will be around $3500. We offer quick pay discounts. This may be considerably cheaper than long term medications or your possible deductibles for surgery in the hospital.

  • What urinary side-effects are there after the procedure?

    Rezum can make your symptoms worse for a few weeks after the procedure. Usually this improves within 3 weeks. The water vapor initially causes the prostate to swell. Patients usually wear a catheter for a few days until the swelling decreases.

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