By: Geraldus Sigap
Rezum Vapor Therapy uses the natural power of water vapor to treat the root cause of benign prostatic hyperplasia. This innovative procedure involves injecting steam into the prostate tissue through a small device. The steam releases thermal energy, which disrupts the cells in the overgrown prostate tissue, causing them to shrink over time. As the excess tissue diminishes, the urinary tract becomes less obstructed, and symptoms improve significantly.
One of the most remarkable aspects of Rezum therapy is its simplicity and efficiency. There is no need for major surgery or prolonged recovery periods. For men who are reluctant to undergo invasive treatments or deal with the side effects of long-term medication use, Rezum offers a middle ground—a safe and effective way to address prostate enlargement without disrupting their lives.
Benefits of Rezum Vapor Therapy
Rezum therapy is rapidly gaining popularity because of its numerous benefits. One of the key advantages is its ability to preserve normal prostate function. Unlike some surgical procedures that can lead to complications such as incontinence or sexual dysfunction, Rezum focuses on targeted treatment, sparing the surrounding tissues. This precision reduces the risk of unwanted side effects, making it a preferred option for many men.
One of the most significant advantages of Rezum Vapor Therapy over traditional prostate surgeries is its ability to avoid some of the most feared side effects, such as retrograde ejaculation and erectile dysfunction. Retrograde ejaculation, where semen flows backward into the bladder instead of exiting through the urethra during ejaculation, is a common complication of conventional prostate surgeries like transurethral resection of the prostate (TURP). This side effect can be distressing for many men, particularly those who value preserving their sexual function.
Rezum stands out because it targets only the overgrown tissue causing urinary obstruction, sparing the delicate structures responsible for normal ejaculation. This precision helps maintain a man’s natural ejaculation and erectile function. Unlike traditional surgeries, which may disrupt the nerves and muscles essential for sexual health, Rezum minimizes damage to surrounding tissue. For men concerned about their quality of life after prostate treatment, this is a compelling benefit of Rezum therapy.
While Rezum offers numerous advantages, patients should be aware that there are some downsides to consider. One of the most common post-procedure requirements is the temporary use of a catheter. After the procedure, the prostate tissue begins to swell slightly before it shrinks. This swelling can obstruct the flow of urine, necessitating a catheter for a few days to a week in most patients. While the idea of using a catheter may be uncomfortable for some, it is a temporary measure to ensure proper bladder drainage as the prostate heals. Patients are usually given clear instructions and support from their medical team to manage this phase smoothly.
Clinical Evidence Supporting Rezum Therapy
Clinical studies have consistently demonstrated the effectiveness of Rezum vapor therapy. Research shows that most patients experience a 50 percent or greater improvement in their symptoms after the procedure. These results are not just short-term; follow-up studies have confirmed sustained benefits for up to five years and beyond.
The simplicity of the procedure also contributes to its success. Since there is no need for general anesthesia, the risks associated with the treatment are significantly reduced. For patients with pre-existing health conditions that make surgery or medication a challenge, Rezum provides a safer alternative with a lower risk profile.
When to Consider Rezum Therapy?
Rezum therapy is an excellent choice for men who have mild to moderate symptoms of benign prostatic hyperplasia. It is particularly effective for those whose prostate enlargement has not yet reached a stage requiring more aggressive intervention. Men who have not found sufficient relief from medications or wish to avoid the side effects associated with pharmaceutical treatments are ideal candidates for this innovative therapy.
Additionally, Rezum is a viable option for men who may not be suitable for traditional surgeries due to health concerns or personal preferences. The quick recovery time and low risk of complications make it an attractive alternative to other treatment methods. Rezum Vapor Therapy is most effective within a specific prostate volume range. Clinical evidence suggests that it works best for men whose prostate volume falls between 30 and 80 milliliters. For patients with very large prostates—typically exceeding 120 milliliters—Rezum may not provide optimal results. In such cases, alternative treatments or surgeries might be more appropriate.
It is essential for patients to undergo proper evaluations to determine whether their prostate size is within the ideal range for Rezum therapy. Diagnostic imaging and consultation with a skilled urologist can help guide patients toward the most effective treatment options.
What to Do Before Undergoing Rezum
Before proceeding with Rezum Vapor Therapy, patients should prepare by completing a series of diagnostic tests and evaluations. These preliminary steps are critical to ensure the treatment is suitable and safe for their specific condition.
- Blood Work and PSA Levels:
- Doctors typically request a blood test to measure the patient’s prostate-specific antigen (PSA) level. Elevated PSA can indicate prostate issues such as benign prostatic hyperplasia or, in some cases, prostate cancer. Evaluating PSA levels helps ensure that Rezum therapy is the right choice.
- Diagnostic Imaging:
- An ultrasound or magnetic resonance imaging (MRI) scan of the prostate is often performed to assess the size, shape, and condition of the prostate gland. These images allow the urologist to determine if the patient’s prostate volume falls within the ideal range for Rezum.
- Medical History and Symptom Assessment:
- A thorough review of the patient’s medical history and current symptoms is also part of the preparation. This includes discussing any urinary issues, medications, and prior treatments that could impact the procedure’s success.
- Patient Counseling:
- Patients will also receive detailed instructions about what to expect during and after the procedure. Understanding the temporary need for a catheter, the recovery timeline, and potential outcomes ensures patients are fully informed and confident about their decision.
RS Abdi Waluyo is proud to offer Rezum Vapor Therapy as part of its commitment to providing cutting-edge, patient-centered care. The hospital’s experienced urologists have undergone specialized training to perform this innovative procedure with precision and care, ensuring the best possible outcomes for their patients.RS The hospital’s urology specialists prioritize patient comfort and safety, ensuring that every procedure, including Rezum therapy, is performed with the highest standards of excellence.
Resources
- REZUM: A gentle treatment of benign prostate enlargement (BPH) [Homepage on the Internet]. CUROS Urol. Zent. Köln. [cited 2025 Jan 16];Available from: https://curos-urologie.de/en/rezum-a-gentle-treatment-of-benign-prostate-enlargement-bph/
- Haga K, Akagashi K, Tobe M, et al. One hundred cases of Rezum water vapor thermal therapy for benign prostatic hyperplasia: Real-world data at a single institution in Japan. Int J Urol Off J Jpn Urol Assoc 2024;31(12):1337–1342.
- Winkler T, Klot CAJ von, Madersbacher S, Kuczyk MA, Wolters M. Rezum water vapor thermal therapy for treatment of lower urinary tract symptoms: A retrospective single-centre analysis from a German high-volume centre. PloS One 2023;18(1):e0279883.