Benign Prostatic Hyperplasia (BPH) is an enlarged prostate. As men get older, it’s common for the prostate gland to grow which can cause uncomfortable urinary symptoms. A large prostate gland can prevent the proper flow of urine out of the bladder and cause problems with the bladder, urinary tract, and kidney.
There are several treatment options for benign prostatic hyperplasia, and Rezum Therapy for BPH is a minimally invasive treatment that uses water vapor therapy to reduce the size of an enlarged prostate and the symptoms of benign prostatic hyperplasia.
Benefits of Rezum for BPH
Rezum is an outpatient procedure that is minimally invasive and doesn’t require sedation. It provides these additional benefits for patients with BPH:
- Alternative to medications and surgical procedures
- Relieves BPH symptoms safely and effectively
- Results can be felt in only two weeks
- Preserves urinary and sexual functions
How Does Rezum Therapy Treat BPH?
The Rezum treatment works by delivering a very small amount of steam to the enlarged prostate. It damages the cells that are causing the overgrown prostate and the obstruction in the urethra, and reduces the size of the prostate. Rezum therapy only requires a single visit without ongoing therapy.
Candidates for Rezum BPH Treatment
Men over the age of 50 years with a prostate between the size of ≥ 30cm3 and ≤80cm3 are good candidates for the Rezum treatment. Those with urinary retention, kidney function problems, urinary sphincter implant, or a penile prosthesis are not candidates for Rezum.
Men who can benefit from Rezum therapy are those who’ve chosen to discontinue or avoid BPH medication, are not interested in other minimally invasive or surgical BPH procedures, and who don’t have severe enough symptoms to request surgery.
How Does Benign Prostatic Hyperplasia (BPH) Affect the Prostate?
The prostate is about the size of a walnut and sits below the bladder in front of the rectum. It extends around a tube called the urethra, which is what carries urine from the bladder out to the penis. The prostate functions to make fluid for semen.
As a man ages, the prostate goes through two growth periods. The first growth spurt happens in early puberty, and the second growth phase starts around 25 years of age. Benign prostatic hyperplasia usually occurs in the second growth phase. As the prostate grows larger, it can squeeze down on the urethra, which is the channel urine travels through. The top of the urethra can also become smaller because of the large prostate, making it difficult to urinate and empty the bladder completely. When some urine is left in the bladder and the urethra narrows, problems can arise that are associated with BPH. Benign prostatic hyperplasia is not cancerous and does not cause cancer.
Benign Prostatic Hyperplasia (BPH) Symptoms
BPH is common in aging men, and about half of all men between the ages of 51 and 60 have BPH and about 90% of men over the age of 80 have BPH.Symptoms can be mild or severe depending on the size of the prostate and the varying degree of growth. Symptoms tend to get worse over time.
Common enlarged prostate symptoms are:
- Frequent or urgent need to urinate
- Urinating more frequently at night
- Difficulty starting to urinate
- Weak urine stream or a stream that starts and stops
- Dribbling at the end of urination
- Having to strain while urinating
- Not being able to empty the bladder completely
Less common symptoms include:
- Urinary tract infections
- The inability to urinate
- Blood in the urine
The size of the prostate does not always equal severe symptoms. For some men, symptoms stabilize and even improve over time.
BPH Diagnosis Before Rezum Treatments
If you’re interested in the Rezum treatment, your doctor will help you determine if it’s a good option for you by reviewing your symptoms, health history, and treatment goals.
Your doctor may start with a questionnaire to understand your likelihood of having BPH. Next, they will administer one or more of the following tests to diagnose BPH.
- Digital Rectal Examination (DRE): The DRE is a standard test used to diagnose prostate disorders. If your doctor detects any abnormalities of the prostate, they will likely order other tests.
- Urinalysis: A urinalysis is a regular part of a physical exam for men. It can tell a doctor if the urine contains red blood cells, white blood cells, protein, bacteria, and other warning signs.
- The Long and Strong Test: This test measures how long and strong your urinary flow is. Patients typically urinate into a funnel that is attached to a device that measures the flow rate and flow time, and the amount of urine excreted from the bladder.
- Cystoscopy: This test involves a long thin tube being inserted into the penis and pushed through the urethra until it enters the bladder. The doctor will be able to inspect the urethra and bladder to determine how much the prostate is squeezing the urethra and if any urine remains in the bladder.
- Post-Void Residual Test: With this test, doctors can measure the amount of urine left in the bladder after urination. The amount of leftover urine is measured by draining the bladder with a thin tube or by using ultrasound.
Rezum BPH Treatment Process
To prepare for the Rezum therapy, patients should follow their doctor’s instructions, which may include taking pain medications and possibly using a fleet enema to remove the stool from the rectum. Patients should plan to have someone drive them home after the procedure.
On the day of the procedure, your doctor may administer local anesthesia through the rectum to the area around the prostate, and provide additional pain medication. The Rezum procedure is not done under general anesthesia, and rather patients are given a numbing medication or gel into the urethra.
During the procedure, your doctor will gently insert a small scope into the urethra inside the penis, going past the prostate to inspect the bladder and prostate. Once the doctor has determined the best site for therapy, they will insert a very small tube into the tissue of the prostate and release heated water vapor into the prostate for about 9 seconds. Depending on the size and shape of the prostate, your doctor may give multiple treatments to different areas on the prostate. After the procedure, your doctor will insert a small catheter into the bladder, which may be prescribed for a few days to ease urination.
What to Expect After the BPH Treatment Procedure
After the Rezum treatment, patients can return to normal activities within a few days. Patients can experience a significant improvement in their symptoms in as little as two weeks, and current clinical studies show that results can last for two years or longer.
Side Effects of Rezum Therapy
Rezum has proven to cause far fewer side effects than other BPH therapies, but some of the potential side effects include:
- Painful urination
- Blood in urine and semen
- Frequent urination
- Inability to urinate or completely empty the bladder
- Need for short-term catheter use
Most of these side effects should disappear within a few weeks, but if they do not, patients can find relief by taking a pain medication like Tylenol, relaxing in a warm bath, and avoiding caffeine, chocolate, and alcohol.
Find Rezum Treatment in Los Angeles
If you’re looking for BPH treatment Beverly Hills, call the offices of La Peer Health Systems to speak with one of our world renowned urologists. We are one of the few medical centers in the country to offer this cutting edge, minimally invasive BPH procedure. We will help you determine if the Rezum therapy Los Angeles is right for you. Contact us at 855-360-9119.