Rezum Procedure for Treatment of BPH at New York Urology Specialists
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REZUM for BPH– a New Treatment Option for Men with Enlarged Prostate
REZUM procedure involves delivery of heat generated by radiofrequency energy that is converted to water vapor. REZUM generated water vapor is injected under high pressure through a special REZUM delivery device into the prostate tissue which causes destruction of prostate tissue that blocks urine flow.
How Effective is REZUM?
REZUM procedure has been studied in randomized controlled trial, which is the highest level of scientific evidence. REZUM study demonstrated that REZUM procedure is at least as effective as medications for treatment of enlarged prostate.
After REZUM procedure, men can expect to have less urinary frequency, urgency and urge incontinence symptoms. Many men also experience fewer trips to the bathroom at night which allows them to get better rest.
What is Rezum Procedure for Enlarged Prostate
Rezum is an innovative procedure that has proven to be very effective in treatment of men with enlarged prostate. Rezum procedure can help men with frequent urination, urinary urgency and slow urine stream to improve their symptoms. Rezum may also help men who need to wake up at night to urinate to pee less often.
How is Rezum Procedure Performed?
Rezum procedure is performed in our office under local anesthesia. The treatment takes less than 30 minutes to do. Patient is able to go home shortly after the procedure.
Who is a Candidate for Rezum Procedure?
Men with symptoms of enlarged prostate such as slow urine stream, feeling of incomplete bladder emptying or needing to strain to push urine out and frequent urination are candidates for REZUM. Men who are not in urinary retention and do not have kidney function problem caused by BPH are usually good candidates for REZUM.
Men who are concerned about their ejaculation function and do not wish to take daily medications or have intolerable side effects to medications are good candidates for REZUM procedure.
What Insurances Cover Rezum procedure for BPH?
Many insurances including CIGNA, AETNA, UnitedHealthcare, Medicare, GHI, EmblemHealth as well as 1199 cover the cost of treatment with REZUM procedure for enlarged prostate. Please contact us so that we can verify your insurance coverage. Affordable payment options are available for patients without insurance.
How Soon Can I Expect to See Benefits after Rezum Procedure?
It typically takes about 1 month after Rezum procedure to notice improvement in urinary symptoms including improvement in urinary urgency, frequency and urinary stream. Maximum benefit is typically achieved about 3-6 months after the procedure. Studies show that the benefit persists for at least 3 years after REZUM procedure for treatment of enlarged prostate symptoms.
Studies show that IPSS (AUA) symptom score which measures the severity of urinary symptoms improves by more than 50% from 22 to 10 (lower is better) over a period of 3 months post-procedure.
Urinary stream starts to noticeably improve about 1 month after the procedure and reaches peak benefit about 3 months after. Studies demonstrate effectiveness of Rezum in improving urine flow. Uroflow measurement of urine stream, Qmax, the measurement of urine stream strength improves from 10 ml/sec before the procedure to 15 (higher is better) 6 month after procedure; improvements persist at 3 years with Qmax of 13.
The benefit of Rezum procedure is comparable to benefit one would expect from medications. Urine strength is not comparable to surgical treatment with prostate enucleation where you would expect Qmax of >20 (higher is better) after treatment. There is some trade-off between efficacy and side effects.
Quality of life after REZUM, as reported by patients, improves by 50% with symptoms improving maximally by 3 months after Rezum and staying at the same level for 3 years in the study.
Significantly, REZUM is just as effective in men with median lobe as in men without median lobe with IPSS symptom improvement similar between the two groups.
What is significant is that the failure rate of 4% after treatment at 3 years is very low.
Studies show that there is no significant change in ejaculation function or erection quality after 3 years.
Dr. Alex Shteynshlyuger is an experienced urologists who has treated hundreds of men with enlarged prostate. He is one of the few urologists who offers full range of treatment options for BPH including REZUM procedure, Urolift for BPH, and laser prostate enucleation. Dr. Alex Shteynshlyuger is a board certified urologist, who specializes in all aspects of care for urinary problems in men including BPH, frequent urination, slow urine stream, enlarged prostate and urinary tract infections.