What is Rezum treatment for enlarged prostate?

Water Vapor Therapy (Rezum)

Rezum is a new therapy for benign prostatic hyperplasia, or BPH. The treatment uses small amounts of sterile steam to deposit energy into the prostate, causing the prostate tissue to shrink. As the tissue shrinks, the channel becomes larger allowing for better urine flow. The procedure typically can be done safely in the doctor’s office and is a great advantage compared with costs of anesthesia and surgery in a hospital. If you have symptoms of BPH but don’t want to take medications for the rest of your life, you should consider Rezum. If you may need surgery because medications are not working, you should consider Rezum.

Dr Kella has performed nearly 100 Rezum cases, making him one of the most experienced urologists in the state. He is a proctor for the company and helps train other surgeons in the procedure.

How does Rezum water vapor treatment 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.  Thinning the tissue in this fashion relieves the prostate obstruction without ever cutting the tissue.

Unlike cutting tissue with other therapies such as TURP, Rezum does not cut. The architecture of the tissue stays intact. This explains why in the studies leading to approval of Rezum, patients did not report ejaculation problems. The patients also were happy with continence.

This therapy is now available in San Antonio.  Dr. Naveen Kella at The Urology Place performs the procedure. He will do an initial investigation to make sure you are a candidate, and can then perform this simple procedure in our office.

The videos to the right show Rezum testimonials from Dr. Kella’s patients at 4 weeks and 3 months post-procedure.

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Patient Testimonial on Rezum Therapy

This patient flew from Canada to see Dr. Kella for rezum therapy. He could not urinate prior to his rezum procedure with Dr. Kella, but did not want a typical surgery for his BPH. Here’s an email he shared with us on March 15, 2017:

Dr. Kella – 

Well, tomorrow marks exactly 3 months since I had the Rezum procedure performed with you. I want to say thank you for performing this procedure for me, and wanted to send you an update on how I’m doing. I am feeling much better overall, although I do still get slight pain when I urinate. But it gets better every day. My current urologist told me that it’s normal, which is also what you told me before the procedure – that the pain comes from the tissue healing. He said it occurs when people recover from TURP (transurethral resection of the prostate) surgery as well. He is a very experienced urologist; over 30 years. Unfortunately, he only performs TURP and green-light laser therapy and is not interested in these new technologies like Rezum, PAE, etc. But all in all he was happy with my progress. I can’t believe I went from not being able to pee without a catheter to being able to pee on my own. He also performed a pelvic scan and found that the results were good. Thanks again for all that you do.

-Your BPH patient from Canada

Frequently asked questions about Rezum Water Vapor Therapy

During your appointment, our first goal is to make sure you are a good candidate for Rezum. Our experience watching and measuring outcomes helps ensure that our patients choose solutions right for their specific condition and symptoms.

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

We perform a prostate block using ultrasound. A fiberoptic scope is placed into the urethral. The water vapor is then introduced in 9 second bursts. We inject the water vapor in areas of prostate enlargement. On average, it can take 5 or 6 treatments with water vapor. The total time of treatment is usually 5-6 minutes.

No. Rezum water vapor therapy does not hurt erectile function or urinary control. Some patients report a decrease in their ejaculation volume, but it does not affect the ability to get an erection or have an orgasm.

Yes, the therapy can be done in the office. We perform a prostate block using ultrasound. We can give oral valium as well. Patients can go home right after therapy. Most patients say they have the urge to urinate at times during the procedure.

We recommend a catheter for a couple 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.

There is little to no bleeding during the procedure. You may notice some blood in or around the catheter for a couple of days.

Rezum is a new therapy that has been approved. Data continues to be collected. The way Rezum works is by eliminating prostate tissue. This is a time proven way of treating the symptoms of enlarged prostate. 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.

Most insurances cover the procedure. If your insurance does not cover the procedure, your out of pocket cost will be around $3200. This may be considerably cheaper than long term medications or your possible deductibles for surgery in the hospital.

Dr Kella performs both Urolift and Rezum. Both procedures have 5 year data showing better results than medication. Both can be done under local anesthetic. Urolift can be done in the operating room as well. Urolift does not work for prostates with a so called “median lobe.” Dr Kella will need to perform a quick procedure to look inside the bladder and determine if Urolift or Rezum is possible. Dr Kella usually keeps a catheter for his Rezum patients for a few days due to initial swelling. His Urolift patients do not need a catheter. In short, both are excellent procedures. Patients should ask themselves, “Do I want to spend the rest of my life on medication?” Now, there is an option that does not require cutting or conventional surgery. Click here to see our page about Urolift.

Rezum in San Antonio for Enlarged Prostate

Call us today to see if you are a candidate for Rezum therapy (210) 617-3670

Rezum water vapor treatment is now available in San Antonio. Extensive experience watching and measuring outcomes helps ensure that patients choose solutions right for their specific condition and symptoms. The experienced doctors at The Urology Place will do an initial investigation to make sure the patient is a good candidate for Rezum treatment. Once this has been determined, the doctor can then perform this simple procedure in the office.

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