Rezum Treatment – A New Treatment For An Enlarged Prostate?

by Dr. Donna Schwontkowski
Reading Time: 4 minutes
Rezum Treatment

Have you noticed that treatment options for enlarged prostate are increasing?

Rezum Treatment

One of the latest is called Rezum treatment (pronounced ree-zoom). This is a type of radiofrequency treatment that is used to treat the prostate tissue that is enlarged. It’s been approved by the US FDA since 2015.

What’s pretty amazing about the Rezum therapy is that it is a simple outpatient therapy that can be done in the office. No general anesthesia is needed. No medications with unpleasant side effects are needed.  It’s considered a minimally invasive procedure.

What Exactly Occurs With The Rezum Treatment?

Here’s how it works:

What Happens to the Symptoms of BPH?

You’re probably wondering, “Well, what about the symptoms? Do they improve or not?”

The answer is yes, they do. In fact, in most men there’s a noticeable improvement within two weeks. Patients report that they won’t get up during the night as much within a very few weeks. Getting up during the night is disruptive for your sleep. And without a good night of sleep, you age faster than ever.

Patients report they’re a lot more happier because the nagging urinary tract symptoms are gone. Full effects are seen within 4-6 weeks.

Your next question may be, “What about urination and sexual intercourse?” Are these disrupted in any way, shape or form?

The answer is no, they remain intact.

Side Effects of the Procedure

There are a few side effects of the procedure:

  • blood in the urine
  • sperm in the urine
  • pain or discomfort
  • increased desire to urinate

These side effects resolve shortly after the procedure.

Your doctor may tell you to continue taking the remainder of your Flomax medication after the procedure, but this depends on your doctor’s recommendation.

Rezum was created because doctors weren’t happy about the other techniques that are available for treatment of prostate enlargement.

Notice in the chart below some of the reasons why they weren’t satisfied with the gold standard of these methods and medications for treatment:

What Do the Studies Say About Rezum?

A UK study published in 2018 reported on a 5-year follow-up of the results of Rezum treatments showed an improvement of symptoms on the international scale (called the IPSS) from 19.4 to 8.6. This is pretty significant!

Rezum Treatment

Retreatment rates were between 3 and 5% but no cases of ejaculatory dysfunction were caused by the method. In fact, the scientists reported that the ejaculatory bother score improved by 31% compared with baseline.

Twenty-seven percent of the patients studied achieved clinically relevant differences in erectile dysfunction in one year.

However, Rezum treatment won’t sample the tissue of the prostate for prostate cancer. The TURP method, on the other hand, finds anywhere from 4.1 to 16.7% of the cases. Thus, Rezum is not particularly suitable for those men who have urinary retention or have large prostate volumes.

How To Find a Doctor That Does Rezum Treatment

Since not all patients are chosen for the procedure, it’s best to simply check with a qualified health practitioner that can discuss the Rezum treatment with you. Use the link below to find a doctor that is trained fully in the procedure:

Physician Locator

Wishing you good health,

Dr. Donna


Dr. Donna Schwontkowski received a Doctorate in Chiropractic Medicine (D.C.), from the National College of Chiropractic, Lombard, IL, in Dec. 1990. 

In addition to running a medical practice, Dr Donna has had a long and distinguished career as a medical teacher, both running courses at various universities and also as a published author of several books and as a television presenter on health issues.


Rezum Treatment – A New Treatment For An Enlarged Prostate?
4.1 (81.82%) 11 votes

 

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  1. ronald siedler

    I am convinced that the Rezum will not be as effective as the HoLEP operation. Removing tissue from an enlarged prostate merely by treating with hot water will not remove nearly as much tissue as is the case with the HoLEP or the TURP.
    These latter operations also offer the advantage of producing tissue for an exteriour biopsy.

  2. Garry

    was it painful? did u get the option of sedation during the procedure ? has it effected sexual performance .?

    • Ben Ong

      Hi Garry, I have not personally undergone the treatment so can not speak for its effects. However as discussed in the article by Dr. Donna, one study found that retreatment rates were between 3 and 5% but no cases of ejaculatory dysfunction were caused by the method. In fact, the scientists reported that the ejaculatory bother score improved by 31% compared with baseline. Twenty-seven percent of the patients studied achieved clinically relevant differences in erectile dysfunction in one year. If you would like to discuss this in further detail you can contact our team at [email protected]. It may alos be advisable to discuss the treatment with your Doctor.

  3. Scott

    Had the Rezum treatment the 14th of December. Had a Foley Catheter for 1 week. I had not been on Flomax before but used it for 2 weeks to make sure my urine flow was good (had no desire to get another Foley put in just in case) So at this time, any blood spotting is pretty much gone (still use a depends at night just in case–I am LDS and it sucks to get blood out of white undergarments) During the day no issues.
    What I was told would happen–happened. The first few days (post Catheter removal) lots of trips to the bathroom at night. (at this point that is slowing down) the main issue now is when the urge to urinate happens, its like find a place–like right now. the most irritating thing at present is that at the end of my urine stream and when I first wake up in the morning is the burning sensation when I am finishing peeing. I have found that Ibuprofen is my best friend 1 time a day. For whatever reason at nite, not so much. I am due to see the Doctor for my 1 month followup next week.

    • james reece

      what were your PSA during the treatment period?

      • Scott

        It was 3.2. That being said, I am due for my yearly physical, and the Doctor told me not to worry about a high PSA now, because it will be. Said check it in 6 months.

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