Treatment Options if REZUM procedure Does not Help or Stops Working

by Alex Shteynshlyuger MD


If you have any questions, to schedule a consultation for REZUM procedure or if you need a second opinion, please contact us or call: (646) 663-4044

We offer affordable, highest-quality urology care with or without insurance.   Find out our office hours or directions to our office. We offer weekday, weekend and evening office hours.


REZUM – Does it Work for Everyone?

REZUM is an effective procedure that offers numerous advantages to many men with enlarged prostate. It works for many men but not for all men.  The success of treatment depends on patient characteristics including severity of symptoms, size of prostate and severity of blockage caused by an enlarged prostate.

What Can be Done If REZUM for BPH Does Not Work?

While many men experience an improvement of urinary symptoms after REZUM procedure, some men experience no improvement or insufficient benefit from REZUM procedure.  Other men who obtain significant benefit from REZUM procedure may subsequently experience deterioration of urinary problems caused by BPH sometimes as soon as 1-2 years after the procedure or later, 3-5 years after the procedure. 

Determining the Cause of REZUM Treatment Failure

It is important to determine the cause of urinary symptom recurrence or failure of REZUM to provide adequate benefit.  Sometimes the reason may be simply inadequate treatment but other times symptoms may be caused by a different problem such as overactive bladder, bladder stones, bladder cancer or urethral stricture. 

Treatment Options if REZUM Procedure Does Not Work.

At New York Urology Specialists we have experience treating men after failure or inadequate benefit of REZUM procedure.

Fortunately, most treatment options used for the treatment of enlarged prostate remain available. The choice of treatment depends on full evaluation, the severity of blockage and patient preferences. 

Repeat REZUM Procedure? 

While repeating REZUM is an option, typically repeating the same procedure will not lead to dramatically improved results.  If REZUM failed to deliver once, it is typically a sign that it is unlikely to perform dramatically better if repeated.

Minimally Invasive Options for BPH

Among minimally invasive options, Urolift for BPH is a procedure that has shown the effectiveness and can be performed for many but not all men who did not benefit from REZUM.  The advantage of Urolift in this situation is that it can be performed in the office under local anesthesia; typically there is no sexual side effects and recovery is fast. Men can expect to experience moderate improvement in symptoms after the Urolift procedure. The procedure takes about 15 minutes to perform.  Prostatic artery embolization can also be performed and may be effective for some men. Aquablation for BPH with AquaBeam is another new option for some men with an enlarged prostate who fail treatment with Rezum.

Medications for BPH

Medications such as Rapaflo, Uroxatral, and Flomax can be tried and may often improve symptoms if not tried prior to REZUM. Finasteride can be tried but it typically takes 3-6 months to see maximum benefit.  Cialis 5 mg daily for BPH is another option that may relieve mild-to-moderate symptoms of BPH after REZUM for BPH procedure.

Surgical Treatment Options for Enlarged Prostate if REZUM procedure does not help

Surgical treatment options typically provide the most relief of symptoms.  While open or robotic suprapubic prostatectomy typically provides the best improvement of symptoms, it is a more invasive procedure with a longer recovery.  For most patients, an equally effective treatment option is a relatively new procedure called laser enucleation of the prostate.

Other treatment options after REZUM include traditional TURP, bipolar TURP, Plasma button TURP, various laser ablation procedures such as Greenlight Laser, HOLAP/HOLEP – Holmium laser procedures).

The actual choice of the procedure after REZUM is determined by the size and anatomy of the prostate as well as patient preferences.   At New York Urology Specialists we are able to offer all procedures listed in this article. At many hospitals only one or two technologies are available and the patient’s choice is limited by the procedure/treatment.


If you have any questions, to schedule a consultation or if you need a second opinion, please contact us or call: (646) 663-4044

Dr. Alex Shteynshlyuger is an experienced urologist who has treated hundreds of men with enlarged prostate.  He is one of the few urologists who offers a full range of treatment options for BPH including REZUM procedure, Urolift for BPH, and laser prostate enucleation


 

Schedule an Appointment with Dr. Shteynshlyuger:

Call today: 646-663-4044 or make an appointment online

Dr. Alex Shteynshlyuger is a fellowship trained board-certified urologist with expertise in evaluation and treatment of urinary problems in men.  He uses modern effective and proven treatment methods including Urolift for BPH.  He is highly recommended by top primary care physicians in the New York area.

He has successfully performed hundreds of prostate procedures in adults. Urolift procedures are performed in the office under local anesthesia, in a surgical center and affiliated hospitals under anesthesia.

If you or someone you know has been experiencing urological symptoms, make an appointment to take advantage of Dr. Shteynshlyuger’s expert advice. Please feel free to Contact Us with any questions.

 


If you have any questions, to schedule a consultation or if you need a second opinion, please contact us or call: (646) 663-4044

We offer affordable, highest-quality urology care with or without insurance.   Find out our office hours or directions to our office. We offer weekday, weekend and evening office hours.


 

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