Rezūm Water Vapor Therapy
A Minimally Invasive Solution for BPH: Safe, Effective, and Drug-Free Treatment at SDC Prostate Research & Training Centre
How Rezūm Water Vapor Therapy Works: A Modern Approach to BPH Treatment
Rezūm Water Vapor Therapy is a minimally invasive procedure that harnesses the natural power of water vapor to safely reduce excess prostate tissue. By delivering steam to the targeted area, it relieves pressure on the urethra, providing effective relief from BPH symptoms without surgery.
Rezūm Therapy is a convenient, outpatient procedure typically performed at our SDC Prostate Research & Training Centre. The treatment takes just one short appointment.
Each 9-second session releases sterile water vapor into the targeted prostate tissue. As the steam penetrates, it releases stored energy, shrinking the excess tissue. The number of treatments depends on the size of your prostate, which will be determined by your doctor.
Your body’s natural healing response gradually absorbs the treated tissue, opening up the urethra and relieving BPH symptoms. Many patients start noticing improvements within two weeks, with maximum benefits seen in up to three months. Results may vary depending on individual cases.
- Consultation: Meet with our specialists at SDC Prostate Research & Training Centre to assess your condition and determine the appropriate treatment plan.
- Treatment: Experience the convenience of Rezūm Therapy, a quick, outpatient procedure where sterile water vapor is applied to the targeted prostate tissue.
- Recovery: Enjoy the gradual relief from BPH symptoms as your body absorbs the treated tissue and your urethra opens up, with noticeable improvements often starting in as little as two weeks.
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Rezūm Procedure
The Rezūm Water Vapor Therapy treats benign prostatic hyperplasia (BPH), a condition where the prostate enlarges, potentially blocking the urethra and causing issues with urination or ejaculation. This advanced procedure uses steam to reduce excess prostate tissue and alleviate BPH symptoms effectively. Long-term results are promising, and the procedure can be repeated if BPH symptoms return in the future.
What Conditions Are Treated with the Rezūm Procedure?
The Rezūm Water Vapor Therapy at SDC Prostate Research & Training Centre is designed to treat benign prostatic hyperplasia (BPH). BPH is a condition where the prostate gland, located near the bladder and in front of the rectum, enlarges. This enlargement can block the urethra, leading to symptoms that impact urination and ejaculation. While BPH is most common in individuals over 50, it can also develop in younger men.
Who is Not a Good Candidate for Rezūm?
Healthcare providers at SDC Prostate Research & Training Centre may advise against Rezūm Water Vapor Therapy if you have:
- Kidney Function Complications: Existing kidney issues may affect the suitability of the procedure.
- A Urethral Implant: A urethral implant might interfere with the therapy.
- A Very Large Prostate: Prostates larger than 80 grams may not be suitable for this treatment.
Procedure Details
The Rezūm procedure addresses BPH, a condition where the prostate grows, potentially blocking the urethra and affecting urination and ejaculation. BPH is commonly seen in individuals over 50, though it can also begin earlier.
What happens during the Rezūm procedure?
Rezūm Water Vapor Therapy is performed at SDC Prostate Research & Training Centre in a convenient office setting. Prior to the procedure, you will be asked to use the restroom. A local anesthetic will be administered to numb your urethra and prostate, ensuring comfort during the treatment.
A urologist will then insert a specialized handheld device through your urethra. This device has a thin tube with a tiny needle at the end. The needle releases steam into the enlarged areas of your prostate, targeting and destroying excess prostate cells, which leads to the shrinkage of these areas.
After the procedure, you will use a urinary catheter for several days to help manage any swelling.
How long does Rezūm therapy take?
Rezūm Water Vapor Therapy at SDC Prostate Research & Training Centre typically lasts about 30 minutes. Each treatment session takes approximately 10 seconds, with up to 15 treatments administered during a single procedure.
Risks / Benefits
Rezūm Water Vapor Therapy offers numerous benefits for treating BPH, including symptom relief and a quick recovery. However, like any medical procedure, it also has potential risks. Understanding both the benefits and risks will help you make an informed decision about whether Rezūm Therapy is right for you.
What Are the Potential Benefits of Rezūm Therapy?
Rezūm Water Vapor Therapy is a safe and effective treatment for BPH, known for its long-term benefits. Key advantages include:
- Eliminating the need for BPH medications.
- Noticeable symptom improvement within a few weeks.
- Preservation of sexual function.
- Outpatient procedure allowing same-day discharge.
- No requirement for general anesthesia.
- Quick recovery time.
- Option to repeat the procedure if symptoms recur.
Understanding these benefits can help you evaluate if Rezūm Therapy is the right choice for managing your BPH.
How Successful Is the Rezūm Procedure?
Rezūm Water Vapor Therapy has a high success rate for treating BPH. Studies indicate that fewer than 5% of patients require additional procedures or surgeries within five years of the initial treatment. Additionally, about 10% of patients may need to take prostate medications during this period. Overall, Rezūm Therapy offers a reliable and effective solution for long-term symptom relief.
How Many Years Does Rezūm Last?
Rezūm Water Vapor Therapy is a relatively new procedure, with FDA approval granted in 2015. Medical outcome studies suggest that Rezūm Therapy effectively manages BPH symptoms for at least five years. As ongoing research continues, further data may provide additional insights into the long-term effectiveness of this therapy.
What Are the Potential Downsides of Rezūm?
While Rezūm Water Vapor Therapy is generally safe, it may come with some risks, including:
- Pain or Discomfort: You may experience pain or discomfort during urination or ejaculation.
- Increased Urination: There may be a need to urinate more frequently or with greater urgency.
- Blood in Urine or Semen: Hematuria (blood in urine) or hematospermia (blood in semen) can occur.
- Urinary Tract Infection (UTI): There is a risk of developing a UTI.
- Dry Ejaculation: Some men may experience dry ejaculation, where semen is not released during climax.
- Urethral Strictures: Narrowing of the urethra can develop.
- Bladder Stones: There is a potential for bladder stones to form.
These potential downsides should be discussed with your healthcare provider to ensure that Rezūm Therapy is the right choice for you.
Recovery and Outlook
After Rezūm Water Vapor Therapy, most patients experience a relatively quick recovery. While some discomfort and temporary symptom worsening may occur initially, significant improvements in BPH symptoms typically start within a few weeks and continue to enhance over the following months. Your healthcare provider will guide you through the recovery process and monitor your progress to ensure optimal outcomes.
How Long Will It Take to Feel Better After Rezūm Therapy?
After Rezūm Water Vapor Therapy, you may experience a temporary worsening of BPH symptoms during the first few weeks. However, many patients begin to notice improvements in their symptoms after several weeks. It may take up to three months to see the full benefits and significant relief from symptoms.
Is There Anything I Can Do to Make the Rezūm Procedure Easier on Me?
To aid your recovery after Rezūm Water Vapor Therapy, consider the following recommendations:
- Rest: Allow your body time to heal by resting at home for at least a day post-procedure. While it’s okay to drive yourself home and walk short distances, avoid strenuous activities such as running, heavy lifting, and bike riding for a few weeks.
- Avoid Sexual Activity: Refrain from sexual intercourse and masturbation for a few days to support healing in the treated area.
- Drink Plenty of Fluids: Staying well-hydrated, especially with water, helps flush out any blood from your urine.
- Avoid Irritating Fluids: Limit intake of caffeinated drinks (tea, coffee, energy drinks), carbonated beverages (seltzer water, soda), and citrus juices (orange juice, grapefruit juice), as these can irritate your bladder.
Rezūm Water Vapor Therapy typically provides effective symptom relief for at least five years. Studies and clinical outcomes indicate that the therapy maintains its benefits over this period, although individual experiences may vary.
Rezūm Therapy is a minimally invasive treatment for benign prostatic hyperplasia (BPH). It utilizes water vapor (steam) to target and shrink excess prostate tissue, which helps relieve symptoms associated with BPH, such as difficulty urinating and frequent urination. The procedure is performed through the urethra, eliminating the need for incisions or stitches, and is typically done in an outpatient setting with local anaesthesia.
Rezūm Water Vapor Therapy may have some side effects, including:
- Pain or Discomfort: You may experience pain or discomfort during urination or ejaculation.
- Increased Urination: There might be a need to urinate more frequently or with greater urgency.
- Blood in Urine or Semen: Hematuria (blood in urine) or hematospermia (blood in semen) can occur.
- Urinary Tract Infection (UTI): There is a risk of developing a UTI.
- Dry Ejaculation: Some patients may experience dry ejaculation, where no semen is released during climax.
- Urethral Strictures: Narrowing of the urethra may develop.
- Bladder Stones: There is a potential for bladder stones to form.
These side effects are generally manageable and should be discussed with your healthcare provider to ensure the procedure is right for you.
The cost of Rezūm Water Vapor Therapy typically ranges from 2 to 3 lakhs INR. This cost may vary based on factors such as the healthcare provider, location, and any additional services or follow-up care required. It’s advisable to check with your healthcare provider for a detailed estimate and to confirm what costs are covered by your insurance.
In India, the cost of Rezūm Water Vapor Therapy generally ranges from 2 to 3 lakhs INR. This price may vary depending on the healthcare facility, the expertise of the provider, and any additional services included. It’s best to consult with your healthcare provider for an accurate cost estimate and to discuss any insurance coverage options.
In Kerala, the cost of Rezūm Water Vapor Therapy typically ranges from 2 to 3 lakhs INR. This cost can vary depending on the specific healthcare facility and any additional services provided. For an accurate estimate, it’s recommended to consult with local healthcare providers or clinics offering Rezūm Therapy.
Rezūm Water Vapor Therapy is generally considered highly successful for treating BPH. Studies show that fewer than 5% of patients require additional procedures or surgeries within five years of the initial treatment. Additionally, about 10% of patients may need to continue taking prostate medications during this period. Overall, Rezūm Therapy offers a reliable solution with long-term symptom relief for many individuals.
Rezūm Water Vapor Therapy is designed to be minimally invasive and typically involves minimal pain. Local anesthesia is used to numb the area, which helps reduce discomfort during the procedure. Some patients may experience mild discomfort or pain during and after the therapy, but this is usually manageable with over-the-counter pain relievers and tends to subside as the healing process progresses. If you have concerns about pain or discomfort, it’s best to discuss them with your healthcare provider before the procedure.
Yes, Rezūm Water Vapor Therapy can have side effects, though they are generally manageable. Potential side effects include:
- Pain or Discomfort: You might experience pain or discomfort during urination or ejaculation.
- Increased Urination: There may be an increased need to urinate or more urgent urination.
- Blood in Urine or Semen: Hematuria (blood in urine) or hematospermia (blood in semen) can occur.
- Urinary Tract Infection (UTI): There is a risk of developing a UTI.
- Dry Ejaculation: Some patients may experience dry ejaculation, where semen is not released during climax.
- Urethral Strictures: Narrowing of the urethra can develop.
- Bladder Stones: There is a potential for bladder stones to form.
These side effects are typically temporary and should be discussed with your healthcare provider to ensure you are well-informed about the risks and how to manage them.
Rezūm Water Vapor Therapy and Transurethral Resection of the Prostate (TURP) are both effective treatments for benign prostatic hyperplasia (BPH), but they have different characteristics:
Rezūm Therapy:
- Minimally Invasive: Uses steam to shrink excess prostate tissue.
- Procedure: Outpatient with no need for general anesthesia.
- Recovery: Generally quicker with fewer complications.
- Side Effects: Typically includes mild discomfort, increased urination, and possible blood in urine or semen.
TURP:
- Invasive: Involves surgically removing part of the prostate tissue.
- Procedure: Typically requires hospitalization and general anesthesia.
- Recovery: Longer recovery period with potential for more significant side effects.
- Side Effects: Includes risk of bleeding, infection, and longer-term sexual function issues.
Which is better depends on individual factors such as the size of the prostate, overall health, and personal preferences. Rezūm may be preferable for those seeking a minimally invasive option with a quicker recovery, while TURP might be recommended for more severe cases of BPH. Consulting with a healthcare provider will help determine the most suitable treatment based on individual needs and medical conditions.
The “15-second prostate treatment” typically refers to the specific duration of each individual steam application during the Rezūm Water Vapor Therapy. During the procedure, a handheld device releases steam into targeted areas of the prostate for about 9 to 10 seconds per application. This process may be repeated multiple times depending on the size and condition of the prostate. Each treatment session is designed to deliver controlled bursts of steam to reduce excess prostate tissue and alleviate BPH symptoms effectively.
Rezūm Water Vapor Therapy generally has a low failure rate. Studies show that fewer than 5% of patients require additional procedures or surgeries within five years of the initial treatment. While some individuals may experience a return of symptoms or require ongoing medication, Rezūm Therapy is considered effective with a high success rate for long-term symptom relief.
One of the newest treatments for an enlarged prostate (BPH) is Rezūm Water Vapor Therapy. Approved by the FDA in 2015, this minimally invasive procedure uses steam to shrink excess prostate tissue and alleviate symptoms of BPH.
Another emerging treatment is Prostatic Urethral Lift (PUL), which involves placing small implants to hold back the prostate and improve urine flow.
Both treatments are designed to be less invasive compared to traditional surgical options like TURP (Transurethral Resection of the Prostate) and offer benefits such as quicker recovery times and fewer complications. Consulting with a urologist can help determine the best treatment based on individual conditions and needs.
Typically, Rezūm Water Vapor Therapy involves a single treatment session, which may include multiple steam applications. Each application lasts about 9 to 10 seconds and targets specific areas of the prostate. The total number of steam applications within a single session depends on the size of the prostate and the severity of the symptoms.
In some cases, additional treatments may be required, but this is determined based on individual needs and how well the initial treatment addresses the symptoms. Your healthcare provider will assess the situation and recommend any follow-up treatments if necessary.
Recovery time after Rezūm Water Vapor Therapy is generally quick. Most patients experience a short recovery period, often resuming normal activities within a few days. Here’s what to expect:
- Initial Recovery: Most individuals can return to light activities and work within a few days.
- Symptom Improvement: Some may notice symptom relief within a few weeks, with full benefits taking up to three months.
- Activity Restrictions: It’s advisable to avoid strenuous activities, heavy lifting, and sexual intercourse for a few weeks post-procedure.
Your healthcare provider will offer specific guidelines and follow-up recommendations to ensure a smooth recovery.
Rezūm Water Vapor Therapy may not be recommended for individuals with the following conditions:
- Kidney Function Complications: Issues with kidney function that could impact the procedure’s safety and effectiveness.
- Urethral Implant: Presence of a urethral implant that might interfere with the treatment.
- Very Large Prostate: Prostate size over 80 grams, which may exceed the treatment’s effectiveness.
If you have any of these conditions or other concerns, consult with your healthcare provider to determine the most appropriate treatment options for your specific situation.
Candidates for Rezūm Water Vapor Therapy typically include individuals who:
- Have Benign Prostatic Hyperplasia (BPH): Rezūm is designed to treat symptoms related to BPH, such as difficulty urinating, frequent urination, or weak urine flow.
- Have a Prostate Size Within Treatable Range: Generally, Rezūm is suitable for prostates that are not excessively large (usually up to 80 grams).
- Prefer Minimally Invasive Options: Those looking for a minimally invasive alternative to surgery, with a quicker recovery and less risk of complications, may be good candidates.
- Do Not Have Contraindicating Conditions: Candidates should not have severe kidney function issues, a urethral implant, or other conditions that may interfere with the procedure.
A thorough evaluation by a healthcare provider is essential to determine if Rezūm is the appropriate treatment for your specific condition and medical history.
Yes, a urinary catheter is typically used for several days following Rezūm Water Vapor Therapy. The catheter helps to drain urine while the prostate heals and reduces swelling. Your healthcare provider will remove the catheter once it is no longer needed, which is usually within a few days after the procedure. The use of a catheter helps to manage urinary function during the initial recovery period and ensures proper healing of the treated area.
Rezūm Water Vapor Therapy may lead to a reduction in PSA (Prostate-Specific Antigen) levels over time. PSA levels can be elevated due to benign prostatic hyperplasia (BPH), and as Rezūm reduces the size of the prostate and alleviates symptoms, PSA levels may decrease.
However, PSA levels are influenced by various factors, and a decrease in PSA after Rezūm therapy does not guarantee a specific outcome. It’s important to have regular follow-ups with your healthcare provider to monitor PSA levels and overall prostate health.
After Rezūm Water Vapor Therapy, difficulty urinating can be attributed to several factors:
- Post-Procedure Swelling: The treated prostate tissue may swell, temporarily narrowing the urethra and making urination more difficult.
- Inflammation: The procedure can cause inflammation in the prostate and surrounding tissues, leading to urinary discomfort.
- Healing Process: As the prostate tissue heals and shrinks, it may cause temporary changes in urinary function.
- Catheter Removal: If a catheter was used during recovery, its removal might contribute to temporary urinary difficulties.
These issues are generally short-lived, and many patients see improvement as they continue to recover. If problems persist, it’s important to follow up with your healthcare provider.
Rezūm Water Vapor Therapy is designed to be minimally invasive and is generally safe for the urethra. However, there are some potential risks:
- Temporary Irritation: The procedure may cause temporary irritation or discomfort in the urethra due to the insertion of the device and the application of steam.
- Minor Injury: In rare cases, there could be minor injury or inflammation of the urethra.
These issues are usually temporary and resolve as the body heals. If you have concerns about potential damage to the urethra or experience persistent symptoms, it’s important to discuss them with your healthcare provider to ensure appropriate care and management.
Here’s a step-by-step overview of how Rezūm Water Vapor Therapy is typically performed:
Preparation:
- Pre-Procedure Instructions: You will be advised to use the restroom before the procedure.
- Anesthesia: A local anesthetic is applied to numb the urethra and prostate to minimize discomfort.
Procedure Setup:
- Device Insertion: A urologist inserts a specialized handheld device with a long, thin tube into the urethra.
Steam Application:
- Steam Delivery: The device releases steam (water vapor) into the targeted areas of the prostate. Each steam application lasts about 9 to 10 seconds.
- Treatment Duration: Depending on the size of the prostate and the severity of symptoms, multiple steam applications may be administered during the procedure.
Post-Treatment Care:
- Catheter Use: A urinary catheter may be placed temporarily to help with urine drainage and reduce swelling.
- Recovery Instructions: You will receive instructions on managing post-procedure symptoms and when to follow up with your healthcare provider.
Follow-Up:
- Monitoring: Your healthcare provider will schedule follow-up visits to monitor your progress, assess symptom relief, and address any concerns.
Rezūm is typically done on an outpatient basis, meaning you can usually go home the same day.
There are several non-surgical methods available to manage and reduce an enlarged prostate (BPH):
Medications:
- Alpha Blockers: These medications relax the muscles around the prostate and bladder neck, improving urine flow. Examples include tamsulosin and alfuzosin.
- 5-Alpha-Reductase Inhibitors: These drugs, such as finasteride and dutasteride, help shrink the prostate by blocking the hormone responsible for prostate growth.
- Combination Therapy: Sometimes, a combination of alpha blockers and 5-alpha-reductase inhibitors may be used for better results.
Lifestyle Changes:
- Dietary Adjustments: Eating a balanced diet rich in fruits, vegetables, and whole grains can support prostate health.
- Regular Exercise: Engaging in regular physical activity may help alleviate symptoms and improve overall well-being.
- Fluid Management: Limiting fluid intake in the evening can help reduce nighttime urination.
Minimally Invasive Procedures:
- Rezūm Water Vapor Therapy: Uses steam to reduce excess prostate tissue, relieving symptoms without the need for traditional surgery.
- Prostatic Urethral Lift (PUL): Involves placing small implants to hold back the prostate and improve urine flow.
Thermal Therapies:
- Transurethral Microwave Thermotherapy (TUMT): Uses microwave energy to destroy excess prostate tissue.
- Transurethral Needle Ablation (TUNA): Employs radiofrequency energy to remove excess prostate tissue.
Herbal Supplements:
- Saw Palmetto: Some studies suggest that this herbal supplement may help with BPH symptoms, though evidence is mixed.
Consulting with a healthcare provider is essential to determine the most appropriate treatment based on individual symptoms and medical history.
Rezūm Water Vapor Therapy generally has a high success rate for treating benign prostatic hyperplasia (BPH). Here’s what you can expect:
- Effectiveness: Studies show that Rezūm effectively reduces BPH symptoms for many patients. Significant symptom relief is often reported within a few weeks, with continued improvement over time.
- Long-Term Results: Approximately 70-80% of patients experience substantial symptom relief and improved quality of life. Most patients do not need additional procedures within five years.
- Re-Treatment Rate: Less than 5% of patients may require additional procedures or surgeries within five years.
Individual results can vary, so it’s important to discuss expectations and outcomes with your healthcare provider.
While Rezūm Water Vapor Therapy is generally effective, there are some reasons why it might not achieve the desired results:
- Inadequate Tissue Removal: If the steam doesn’t adequately target or destroy enough prostate tissue, symptoms may not improve significantly.
- Prostate Size: If the prostate is too large (over 80 grams), Rezūm may not be as effective, and additional treatments might be necessary.
- Individual Variability: Patient responses can vary due to individual differences in anatomy, overall health, or how the body heals.
- Complications: Issues such as infection, inflammation, or scarring can impact the success of the procedure.
- Improper Follow-Up: Lack of proper follow-up care or not adhering to post-procedure recommendations can affect outcomes.
It’s crucial to have a thorough consultation with a healthcare provider to assess suitability and manage expectations.
Here’s a step-by-step overview of how Rezūm Water Vapor Therapy is inserted and performed:
Preparation:
- Pre-Procedure Instructions: You will be asked to empty your bladder before the procedure.
- Anesthesia: Local anesthesia is administered to numb the area, including the urethra and prostate, to minimize discomfort during the procedure.
Device Insertion:
- Insertion of the Device: A urologist inserts a specialized handheld device with a long, thin tube (the scope) into the urethra.
- Positioning: The device is carefully positioned within the urethra to target the enlarged areas of the prostate.
Steam Delivery:
- Steam Release: A tiny needle or nozzle extends from the end of the device and releases sterile steam (water vapor) into the targeted prostate tissue.
- Treatment Duration: Each steam application lasts about 9-10 seconds. The number of steam applications depends on the size of the prostate and the severity of the symptoms.
Completion:
- Post-Procedure Care: After the procedure, you may have a catheter temporarily placed to help with urine drainage and reduce swelling.
- Recovery Instructions: You will receive guidance on managing symptoms and follow-up care.
Rezūm is typically performed on an outpatient basis, allowing patients to go home the same day.
The most successful prostate treatment depends on the condition being treated and individual patient factors. Here’s a summary for the two main conditions:
For Benign Prostatic Hyperplasia (BPH):
Surgical Treatments:
- Transurethral Resection of the Prostate (TURP): Considered the gold standard for severe BPH, TURP involves removing excess prostate tissue and has a high success rate in relieving symptoms.
Minimally Invasive Treatments:
- Rezūm Water Vapor Therapy: Offers effective symptom relief with a good success rate and fewer side effects compared to traditional surgery.
- Prostatic Urethral Lift (PUL): Provides a less invasive option with effective symptom relief for many patients.
Medications:
- Alpha Blockers and 5-Alpha-Reductase Inhibitors: Effective for managing symptoms and reducing prostate size, though they may take time to show benefits.
For Prostate Cancer:
Surgical Treatments:
- Radical Prostatectomy: Highly successful for localized prostate cancer, involving the removal of the prostate gland.
Radiation Therapy:
- External Beam Radiation: Effective for treating localized prostate cancer.
- Brachytherapy: Involves implanting radioactive seeds directly into the prostate, also effective for localized cancer.
Hormone Therapy:
- Effective for controlling and managing advanced prostate cancer by reducing hormone levels that fuel cancer growth.
Targeted and Immunotherapy:
- Effective for certain types of advanced prostate cancer, focusing on specific cancer cells or stimulating the immune system.
The choice of treatment should be personalized based on the patient’s condition, health status, and preferences. Consulting with a healthcare provider is crucial to determine the most suitable and successful treatment option.
Yes, Rezūm therapy can be repeated. While it is effective for long-term relief of benign prostatic hyperplasia (BPH) symptoms, some patients may experience a recurrence of symptoms over time. If this happens, the procedure can be repeated to further reduce prostate tissue and alleviate symptoms. Studies show that fewer than 5% of patients require a repeat procedure within five years after their initial Rezūm treatment.
The safest prostate procedure, especially for benign prostatic hyperplasia (BPH), often depends on the patient’s specific health needs, the size of the prostate, and the desired recovery time. Generally, the following are considered some of the safest options:
Rezūm Water Vapor Therapy:
- Minimally invasive, uses water vapor to shrink excess prostate tissue.
- Preserves sexual function and involves minimal risks with a quick recovery.
Prostatic Urethral Lift (UroLift):
- Minimally invasive, places small implants to hold the prostate tissue away from the urethra.
- No tissue is removed, and it has a very low risk of side effects with rapid recovery.
GreenLight Laser Therapy:
- Uses laser energy to remove excess prostate tissue.
- Safe for patients who are at higher risk for surgical complications, with minimal bleeding and fast recovery.
Transurethral Needle Ablation (TUNA):
- Radiofrequency energy heats and destroys excess tissue in a less invasive manner.
- Considered safe with a relatively low risk of complications.
Among these, Rezūm and UroLift are often considered the safest due to their minimally invasive nature and low complication rates. However, the best choice should be made in consultation with a healthcare provider based on individual circumstances.
There isn’t a specific “best drink” that can directly shrink the prostate, but certain drinks may support prostate health and help alleviate symptoms of benign prostatic hyperplasia (BPH). These include:
Green Tea: Contains antioxidants like catechins, which may help reduce inflammation and potentially slow the growth of prostate tissue.
Water: Staying hydrated is essential for prostate health. Drinking plenty of water helps flush the urinary system and prevent urinary tract infections.
Pomegranate Juice: Rich in antioxidants, pomegranate juice may support prostate health and reduce oxidative stress, which can contribute to prostate enlargement.
Tomato Juice: Tomatoes are high in lycopene, a powerful antioxidant that may help protect the prostate and slow BPH progression.
Cranberry Juice: Known for supporting urinary health, cranberry juice may help reduce urinary symptoms related to BPH.
It’s also important to avoid or limit caffeine, alcohol, and sugary beverages, as these can irritate the bladder and worsen BPH symptoms. Always consult with a healthcare provider for personalized advice.
There is no definitive “permanent cure” for prostate enlargement (benign prostatic hyperplasia or BPH) that guarantees the condition won’t recur, but several treatments can offer long-term relief. The most effective options depend on the severity of the symptoms and individual health conditions. Here are some long-term or potentially permanent treatment options:
Surgery:
- Transurethral Resection of the Prostate (TURP): The “gold standard” for BPH treatment, this procedure removes excess prostate tissue and provides lasting relief for most patients. However, it is invasive and carries risks like bleeding and sexual side effects.
- Simple Prostatectomy: Used for very large prostates, this surgery involves removing part of the prostate and is a more permanent solution for severe BPH.
Minimally Invasive Procedures:
- Rezūm Water Vapor Therapy: This therapy uses steam to shrink prostate tissue and offers long-term relief with minimal side effects. It’s a less invasive alternative to surgery.
- UroLift: Implants are placed to hold the enlarged prostate tissue away from the urethra, improving symptoms without removing tissue. The procedure can offer long-term relief with minimal side effects.
- GreenLight Laser Therapy: Uses laser energy to remove excess tissue, providing long-lasting symptom relief with minimal bleeding and quicker recovery compared to TURP.
Medications:
- While not permanent cures, medications like alpha-blockers (e.g., tamsulosin) and 5-alpha reductase inhibitors (e.g., finasteride) can manage symptoms and reduce prostate size over time. These require ongoing use.
While surgery and minimally invasive procedures offer more permanent relief, BPH can recur, and treatment may be needed again. Consulting a urologist for personalized treatment options is essential.
Stage 2 prostate cancer, also called localized prostate cancer, means the cancer is confined to the prostate but may be larger or more aggressive than in Stage 1. Fortunately, it is highly treatable and often curable, especially if detected early.
Common treatment options for Stage 2 prostate cancer include:
Surgery:
- Radical Prostatectomy: Removal of the entire prostate gland. This can be a curative option for many men with Stage 2 prostate cancer.
Radiation Therapy:
- External Beam Radiation Therapy (EBRT): High-energy beams are targeted at the prostate to destroy cancer cells.
- Brachytherapy (Internal Radiation): Radioactive seeds are implanted in the prostate to kill cancer cells over time.
Active Surveillance:
- For some men with less aggressive Stage 2 prostate cancer, active surveillance (monitoring the cancer without immediate treatment) may be an option, particularly if they have a slow-growing tumor.
Hormone Therapy (Androgen Deprivation Therapy):
- In combination with radiation therapy, hormone therapy may be used to shrink the tumor and lower the chances of cancer progression.
Prognosis:
The outlook for men with Stage 2 prostate cancer is generally very good. Many patients can live cancer-free for many years after successful treatment. However, individual outcomes depend on the cancer’s aggressiveness (Gleason score) and how early it is treated.
Consultation with an oncologist or urologist will provide the best personalized treatment options.
The “gold standard” prostate surgery for treating benign prostatic hyperplasia (BPH) is Transurethral Resection of the Prostate (TURP). TURP is widely considered the most effective and commonly performed procedure for men with moderate to severe symptoms of prostate enlargement.
Key Features of TURP:
- Procedure: During TURP, a surgeon inserts a resectoscope through the urethra and uses electrical energy to remove excess prostate tissue that is blocking urine flow.
- Effectiveness: It provides significant and lasting relief of BPH symptoms, including improved urinary flow and reduced frequency or urgency to urinate.
- Recovery: TURP is minimally invasive as it doesn’t require external incisions, and most patients recover within a few weeks.
TURP has long been the benchmark against which other prostate surgeries and treatments are compared because of its proven success in providing long-term symptom relief. However, newer minimally invasive procedures (such as Rezūm Water Vapor Therapy or UroLift) are gaining popularity due to shorter recovery times and fewer side effects, especially related to sexual function.
Yes, Rezūm Water Vapor Therapy is available in India, though it is relatively new and not as widely available as more established treatments like TURP. Some specialized urology centers and hospitals offer Rezūm therapy, particularly in major cities and advanced healthcare facilities.
For instance, the SDC Prostate Research & Training Centre in Thrissur, Kerala, provides Rezūm therapy for benign prostatic hyperplasia (BPH). As awareness of minimally invasive options like Rezūm increases, more urology centers are expected to offer this treatment across India.
While exercise cannot directly reduce the size of an enlarged prostate (benign prostatic hyperplasia, BPH), regular physical activity can help manage BPH symptoms and improve overall prostate health. Here are some of the best exercises to support prostate health:
1. Kegel Exercises:
- How it helps: Kegel exercises strengthen the pelvic floor muscles, which can improve urinary control and reduce symptoms of BPH like frequent urination and leakage.
- How to do it: Contract the muscles used to stop urination (your pelvic floor muscles), hold for 5 seconds, then relax. Repeat 10–15 times, a few times daily.
2. Aerobic Exercises:
- Examples: Walking, jogging, swimming, cycling, or dancing.
- How it helps: Regular aerobic exercise helps reduce inflammation, improve circulation, and promote a healthy weight, which can alleviate BPH symptoms. Obesity and a sedentary lifestyle are associated with worsened prostate symptoms.
3. Strength Training:
- Examples: Lifting weights, resistance band exercises, or bodyweight exercises like squats and lunges.
- How it helps: Strength training improves overall muscle tone, boosts metabolism, and supports better bladder control, helping manage BPH symptoms.
4. Yoga:
- How it helps: Certain yoga poses, such as the Cobra Pose (Bhujangasana) and Hero Pose (Virasana), can improve circulation to the pelvic region and reduce tension, which may help ease BPH symptoms.
Benefits:
- Reduces stress: Physical activity lowers stress and anxiety, which can worsen BPH symptoms.
- Weight control: Maintaining a healthy weight through exercise can reduce BPH risk factors.
It’s important to consult with a healthcare professional before starting any new exercise regimen, especially if you have prostate concerns.
While Rezūm Water Vapor Therapy is generally considered safe and effective for treating benign prostatic hyperplasia (BPH), it does have some disadvantages and potential side effects:
1. Temporary Symptom Worsening:
- After the procedure, BPH symptoms such as urinary urgency, frequency, or difficulty may temporarily worsen for a few weeks before improving.
2. Urinary Retention:
- Some patients may need to use a catheter for a few days post-procedure due to temporary swelling of the prostate, which can obstruct urine flow.
3. Pain and Discomfort:
- Mild to moderate pain or discomfort, especially during urination, can be experienced for several days or weeks after the procedure.
4. Side Effects:
- Common side effects include:
- Blood in urine (hematuria)
- Blood in semen (hematospermia)
- Urinary tract infection (UTI)
- Painful urination (dysuria)
- Urinary incontinence (rare)
- Dry ejaculation (retrograde ejaculation)
5. Delayed Results:
- Symptom relief is not immediate and may take several weeks to a few months to become noticeable.
6. Potential Need for Repeat Procedures:
- Although the success rate of Rezūm is high, there’s still a chance that some patients may need a repeat procedure or additional treatment if BPH symptoms return after several years.
7. Not Suitable for All Patients:
- Rezūm is not recommended for men with certain conditions, such as:
- Prostates larger than 80 grams
- Those with urethral implants
- Patients with kidney function complications
8. Risk of Urethral Strictures:
- There is a small risk of urethral strictures (narrowing of the urethra) due to scarring from the procedure.
Though Rezūm offers a minimally invasive alternative to traditional surgery, it’s important to weigh these potential disadvantages with your doctor to determine if it’s the right option for you.A
The cost of Rezūm Water Vapor Therapy can vary widely based on location, healthcare facility, and specific patient needs. On average:
In India, the cost of Rezūm therapy typically ranges from ₹2,00,000 to ₹3,00,000 (approximately 2 to 3 lakhs). This range may include the procedure itself, pre-operative assessments, and follow-up care.
In the United States, the cost of Rezūm therapy can range from $8,000 to $15,000 or more, depending on factors such as the healthcare provider and insurance coverage.
It’s important to check with specific healthcare providers or institutions for the most accurate pricing and to understand what is included in the cost. Some insurance plans may cover part of the cost, so verifying with your insurance provider is also advisable.
Prostate Artery Embolization (PAE) and Rezūm Water Vapor Therapy are both minimally invasive treatments for benign prostatic hyperplasia (BPH), but they have different mechanisms and benefits. Whether one is better than the other depends on individual patient circumstances, including the size of the prostate, overall health, and personal preferences. Here’s a comparison:
Rezūm Water Vapor Therapy:
- Mechanism: Uses steam (water vapor) to destroy excess prostate tissue. The procedure involves inserting a device through the urethra to deliver steam to the prostate.
- Procedure: Usually completed in one short appointment, typically around 30 minutes.
- Recovery: Generally quick with many patients returning to normal activities within a few weeks. Some temporary symptoms such as urinary discomfort and urgency may occur.
- Effectiveness: Provides significant symptom relief for many patients. Symptoms may improve gradually over a few weeks to months.
- Side Effects: Possible side effects include pain, blood in urine or semen, urinary tract infections, and temporary worsening of symptoms.
- Suitability: Effective for moderately enlarged prostates and can be used for patients who are not candidates for other treatments.
Prostate Artery Embolization (PAE):
- Mechanism: Involves blocking the blood vessels supplying the prostate, which reduces its size and alleviates symptoms. A catheter is inserted into the femoral artery and guided to the prostate’s blood vessels to inject embolic agents.
- Procedure: Typically performed under sedation or light anesthesia. It is a less invasive procedure with no need for direct contact with the prostate.
- Recovery: Recovery time is generally similar to Rezūm, with many patients resuming normal activities within a week. PAE may have fewer immediate complications but can involve longer-term follow-up.
- Effectiveness: Can be highly effective, especially for larger prostates or patients who cannot undergo other procedures. Results can vary, and symptom relief may take several months.
- Side Effects: Potential side effects include pelvic pain, bleeding, and, in rare cases, infection or non-targeted embolization affecting other tissues.
- Suitability: Often considered for larger prostates or patients with specific contraindications for other BPH treatments.
Choosing Between Rezūm and PAE:
- Rezūm may be preferred for its straightforward approach and quick recovery, especially for moderate enlargement.
- PAE may be chosen for larger prostates or when other treatment options are not suitable. It offers the benefit of a non-surgical approach without direct prostate contact.
Consulting with a urologist will help determine the most appropriate treatment based on individual health factors and treatment goals.
Rezūm Water Vapor Therapy is generally well-tolerated, but some patients may experience discomfort or mild pain during and after the procedure. Here’s what you might expect:
During the Procedure:
- Anesthesia: Local anesthesia or sedation is used to numb the area, so you shouldn’t feel pain during the procedure itself. The sensation of the steam being delivered to the prostate may be felt, but it is usually not described as painful.
After the Procedure:
Post-Procedure Discomfort: It’s common to experience mild discomfort, which can include:
- A burning sensation during urination
- Frequent urination
- Blood in the urine or semen
- Pain or discomfort in the pelvic region
Pain Management: Over-the-counter pain relievers and a prescribed catheter (for a short period) can help manage these symptoms. Most patients find that these side effects are temporary and improve within a few weeks.
Recovery:
Recovery Time: The initial recovery period may involve some discomfort, but this generally subsides as the prostate heals and the inflammation decreases.
Long-Term Pain: Long-term pain is rare. The majority of patients find that any discomfort resolves as they heal, and the procedure’s benefits outweigh the initial discomfort.
If you experience severe or persistent pain following the procedure, it’s important to contact your healthcare provider for evaluation and management.
Rezūm Water Vapor Therapy is generally effective and safe, but there are potential risks and complications, as with any medical procedure. Here’s a detailed overview of what could potentially go wrong:
Possible Complications:
Temporary Worsening of Symptoms:
- Issue: Symptoms such as urinary urgency, frequency, or discomfort may temporarily worsen after the procedure.
- Management: This usually resolves with time. Following the post-procedure care instructions can help alleviate these symptoms.
Pain and Discomfort:
- Issue: Mild to moderate pain or discomfort during urination or ejaculation can occur.
- Management: Over-the-counter pain relievers or prescribed medications can help manage this discomfort.
Blood in Urine or Semen:
- Issue: Presence of blood in the urine (hematuria) or semen (hematospermia) is common.
- Management: This is generally temporary and should resolve on its own. Ensure adequate hydration to help flush out blood.
Urinary Tract Infection (UTI):
- Issue: Risk of infection in the urinary tract due to the procedure or catheter use.
- Management: Antibiotics may be prescribed to prevent or treat infections.
Urinary Retention:
- Issue: Difficulty urinating or retention of urine might occur due to temporary swelling of the prostate.
- Management: Use of a catheter for a short period may be necessary until normal urination resumes.
Dry Ejaculation:
- Issue: Some patients experience retrograde ejaculation, where semen does not exit the body during orgasm.
- Management: This is usually a permanent change but does not affect sexual pleasure.
Urethral Strictures:
- Issue: Narrowing of the urethra (urethral strictures) due to scarring.
- Management: May require further treatment or dilation if strictures occur.
Bladder Stones:
- Issue: Formation of stones in the bladder due to changes in urinary flow.
- Management: Medical treatment or removal of stones may be required if they cause symptoms.
Infection or Inflammation:
- Issue: Risk of infection or inflammation in the prostate or surrounding tissues.
- Management: Treatment with antibiotics and anti-inflammatory medications may be needed.
Long-Term Considerations:
- Re-treatment Needs: In some cases, symptoms may return after several years, requiring additional procedures or alternative treatments.
- Variable Outcomes: Not all patients will experience the same level of symptom relief, and individual responses can vary.
Follow-Up Care:
Regular follow-up appointments are essential to monitor recovery and address any potential complications. If you experience severe or unusual symptoms, contacting your healthcare provider promptly is crucial for appropriate management.
After Rezūm Water Vapor Therapy, a catheter is often used temporarily to help with urinary drainage as the prostate heals. Here’s a general overview:
Typical Duration for Catheter Use:
- Duration: A catheter is usually needed for 3 to 7 days following the procedure.
- Purpose: The catheter helps ensure that urine can flow freely and prevents discomfort from urinary retention or blockage as the prostate heals and any swelling decreases.
What to Expect:
- Insertion: The catheter is typically inserted during or immediately after the procedure.
- Care: Proper care of the catheter is important to avoid infection and ensure comfort.
- Removal: Your healthcare provider will schedule a follow-up appointment to remove the catheter once they determine that it is safe to do so and that your urinary function has returned to normal.
Post-Catheter Care:
- Monitoring: After catheter removal, monitor for any signs of urinary problems, such as pain or difficulty urinating.
- Follow-Up: Regular follow-up visits with your healthcare provider are essential to ensure proper healing and address any issues that may arise.
If you experience prolonged discomfort or have concerns about the catheter or your recovery, it’s important to reach out to your healthcare provider for guidance.
For prostate enlargement (benign prostatic hyperplasia, BPH), several treatment options can provide long-term relief, but the choice of permanent solution depends on the individual case, including the severity of symptoms and the patient’s overall health. Here are the most effective permanent solutions:
**1. Surgical Options:
Transurethral Resection of the Prostate (TURP):
- Description: This is a commonly used procedure where a portion of the prostate is removed using a resectoscope inserted through the urethra.
- Pros: Effective for reducing symptoms and improving urinary flow.
- Cons: Risks include bleeding, infection, and potential for sexual side effects.
Laser Therapy:
- Description: Uses laser energy to remove or vaporize excess prostate tissue. Types include Holmium Laser Enucleation of the Prostate (HoLEP) and Photoselective Vaporization of the Prostate (PVP).
- Pros: Minimally invasive with shorter recovery times.
- Cons: Risks include bleeding and urinary symptoms.
Open Prostatectomy:
- Description: Involves a larger surgical incision to remove part or all of the prostate. It’s usually reserved for very large prostates or when other methods are not suitable.
- Pros: Effective for very large prostates or severe symptoms.
- Cons: Involves a longer recovery time and higher risk of complications.
**2. Minimally Invasive Procedures:
Rezūm Water Vapor Therapy:
- Description: Uses steam to destroy excess prostate tissue.
- Pros: Minimally invasive, with a shorter recovery period.
- Cons: May require repeat procedures for some patients.
Prostatic Artery Embolization (PAE):
- Description: A radiological procedure that blocks blood flow to the prostate, causing it to shrink.
- Pros: Minimally invasive with no need for anesthesia.
- Cons: Not always suitable for very large prostates or severe cases.
**3. Medication:
- Description: Although not a permanent solution, medications like alpha blockers and 5-alpha reductase inhibitors can manage symptoms.
- Pros: Non-invasive and effective for many patients.
- Cons: Long-term use is required, and medications may have side effects.
Considerations for Choosing a Treatment:
- Severity of Symptoms: The severity and impact of symptoms can determine the most appropriate treatment.
- Patient Health: Overall health and other medical conditions can influence the choice of treatment.
- Potential Side Effects: Each treatment option has its own risk profile and potential side effects.
Consulting with a urologist is essential to determine the most suitable permanent solution based on individual needs and health conditions.
The term “15-second prostate treatment” generally refers to the Rezūm Water Vapor Therapy procedure. Here’s a breakdown:
Rezūm Water Vapor Therapy:
Overview:
- Description: Rezūm is a minimally invasive procedure designed to treat benign prostatic hyperplasia (BPH) using steam to shrink excess prostate tissue.
- Procedure: During the treatment, sterile water vapor (steam) is applied to the prostate tissue.
15-Second Treatment:
- Process: Each application of steam to the prostate tissue lasts approximately 15 seconds. The steam is delivered through a small needle that is inserted into the prostate via the urethra.
- Purpose: The steam destroys excess prostate tissue, which helps alleviate symptoms of BPH such as difficulty urinating.
Benefits:
- Duration: The entire procedure is relatively quick, often completed in a single session that lasts about 30 minutes.
- Minimally Invasive: No major incisions are required, and it typically involves a shorter recovery time compared to traditional surgeries.
- Outpatient: Most patients can go home the same day.
Post-Treatment:
- Catheter Use: A catheter may be used for a few days to assist with urine flow while the prostate heals.
- Symptom Relief: Many patients start to notice improvement in symptoms within a few weeks, with maximum benefit often occurring within three months.
Conclusion:
The “15-second” aspect highlights the brief duration of each steam application, which is part of the overall procedure aimed at reducing prostate size and relieving BPH symptoms.
The “5-second exercise” to shrink the prostate refers to a type of Kegel exercise that may help with urinary symptoms related to benign prostatic hyperplasia (BPH). While it does not directly shrink the prostate, regular Kegel exercises can strengthen the pelvic floor muscles, which may improve urinary control and alleviate some symptoms associated with BPH.
5-Second Kegel Exercise for Prostate Health:
**1. Identify the Right Muscles:
- How: The pelvic floor muscles can be identified by stopping the flow of urine mid-stream. These are the muscles you’ll be exercising.
**2. Perform the Exercise:
- How: Tighten the pelvic floor muscles and hold the contraction for 5 seconds.
- Relax: Release and relax for 5 seconds.
- Repetitions: Repeat this process for 10 to 15 repetitions.
**3. Frequency:
- Daily: Aim to do this exercise 3 times a day for best results.
Benefits:
- Improves Muscle Tone: Strengthens pelvic floor muscles, which can support bladder function and reduce urinary leakage.
- Supports Prostate Health: May improve symptoms related to BPH, though it does not shrink the prostate directly.
Note:
- Consultation: Always consult with a healthcare provider before starting any new exercise regimen, especially if you have specific medical conditions or concerns.
This exercise can be a part of a comprehensive approach to managing BPH symptoms, but it should not be relied upon as the sole treatment.
Rezūm Water Vapor Therapy is designed to be minimally invasive, and damage to the urethra is generally not a common outcome. However, like any medical procedure, it carries some risks. Here’s an overview:
Rezūm and Urethral Damage:
**1. Procedure Details:
- How It Works: The Rezūm procedure uses steam to destroy excess prostate tissue. The steam is delivered through a small needle inserted into the prostate via the urethra.
- Insertion: The device used is designed to minimize trauma to the urethra and surrounding tissues.
**2. Potential Risks:
- Minor Irritation: Some patients may experience temporary irritation or discomfort in the urethra.
- Strictures: In rare cases, the procedure may lead to narrowing or scarring of the urethra (urethral strictures). This is not common but can occur.
**3. Preventive Measures:
- Local Anesthesia: Local anesthetics are used to minimize discomfort during the procedure.
- Careful Technique: Skilled practitioners use precise techniques to reduce the risk of urethral damage.
**4. Recovery:
- Post-Procedure Symptoms: Patients might experience temporary symptoms like urinary discomfort or changes in urinary flow, but these usually improve as healing progresses.
- Follow-Up: Regular follow-ups with your healthcare provider ensure any issues are addressed promptly.
Conclusion:
While Rezūm is generally safe and has a low risk of causing significant damage to the urethra, there can be minor risks. It is important to discuss all potential risks and benefits with your urologist before undergoing the procedure.
To contact Dr. Jithunath M R, you can reach out via WhatsApp at +91 7034449099. Feel free to message him for any inquiries or to schedule a consultation.
To contact the SDC Prostate Research & Training Centre, you can reach out via WhatsApp at +91 7034449099. Feel free to message them for any inquiries or to schedule a consultation.