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 the Rezum procedure, please contact us or call/text: 1-646-663-4044.

We have excellent reviews from patients and their partners.  Information for out-of-state and international patients.  Find out our office hours or directions to our office

We offer affordable appointment prices with or without insurance.  We speak Spanish and Russian languages.


REZUM – Does it Work for Everyone?

REZUM is an effective procedure that offers numerous advantages to many men with an enlarged prostate. It works for many men but not for all men.  The success of treatment depends on patient characteristics including the 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 the REZUM procedure, some men experience no improvement or insufficient benefit from the REZUM procedure.  Other men who obtain significant benefit from the 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 the 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 the 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 are 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.

Where to Get REZUM Water Vapor Therapy for Enlarged Prostate in NYC?

At New York Urology Specialists, we offer same-day treatment for urinary problems and enlarged prostate men

Call/text today: 1-646-663-4044 or make an appointment online.  

We perform a cystoscopy, urodynamic testing, prostate, and bladder ultrasound in our office.  We offer Urolift procedure, Rezum water-vapor procedure in our office and laser enucleation of the prostate in a hospital setting.  We treat urinary and erection problems. We offer confidential appointments. We offer affordable appointment prices with or without insurance.

Dr. Alex Shteynshlyuger is an experienced urologist who has treated hundreds of men with an 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.  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.

Why Choose New York Urology Specialists for Treatment of Enlarged Prostate Problems?

  • All treatment is performed by a board-certified urologist experienced in treating men with symptoms of frequent urination, urinary urgency, urinary incontinence and bladder pain using medical therapy, minimally invasive therapies, lasers, and open surgery.
  • We are one of the few practices in the region to offer a full range of options for treatment of urinary problems caused by an enlarged prostate in men
  • We offer treatment options for enlarged prostate, overactive bladder, UTI and urinary incontinence in our office which avoids the risks, costs, and recovery from general anesthesia.  
  • Extensive experience: Thousands of men have treated successfully using medical therapy, surgery, and minimally invasive procedures such as Urolift procedure, Rezum surgery, Botox for overactive bladder, Interstim for frequent urination and tibial neuromodulation.
  • We offer diagnostic testing in our office which avoids hospital costs.
  • Confidential and Understanding Care. We understand that most of our patients desire privacy.  We see patients with a variety of urological problems. Your reason for visiting us is entirely confidential.
  • We are conveniently located within 30-60 minute commute to men who are seeking ED treatment in Manhattan, Brooklyn, Queens, Staten Island, Westchester, Long Island, Bronx, and New Jersey.

Scheduling Appointments for Enlarged Prostate Treatment at New York Urology Specialists


If you have any questions, to schedule a consultation, please contact us or call/text: 1-646-663-4044.

We have excellent reviews from patients and their partners.  Information for out-of-state and international patients.  Find out our office hours or directions to our office

We offer affordable appointment prices with or without insurance.  We offer weekday, weekend and evening office hours.


Urinary Problems Are Treatable in Nearly Every Man and Woman

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At New York Urology Specialists, our urologists are specially trained in the evaluation and treatment of urinary problems caused by enlarged prostate and BPH in men.  We understand the challenges that urinary problems such as a slow stream, waking up at night, pain in the penis and perineum create for our patients, their relationships and their self-esteem.  We help you find a treatment for your urinary problems that fits your needs, your lifestyle and your preferences.

Urologists are doctors specializing in the treatment of men with symptoms caused by prostate enlargement including frequent urination, poor urine flow, frequent UTI, blood in urine, urinary incontinence, urinary problems caused by an enlarged prostate, prior surgery, neuropathy, chemotherapy, and radiation. By the virtue of our experience and skill, we are able to offer an effective treatment option for nearly every man and woman who desire an effective treatment for their urinary problems.  We offer medical and surgical treatment for men’s prostate problems.

We specialize in minimally invasive highly effective treatment for symptoms of bladder pain, urethral burning, pelvic discomfort, incomplete bladder emptying, urinary frequency, and urgency.

We Treat Some of the Most Complex Men’s Health Problems Including:

Schedule an Appointment with Dr. Shteynshlyuger:

Call/text today: 1-646-663-4044 or make an appointment online

Dr. Alex Shteynshlyuger is a fellowship-trained board-certified urologist with expertise in the evaluation and treatment of urinary problems in men using modern effective and proven treatment methods including Botox for OAB, Interstim neuromodulation, Rezum for BPH, prostate enucleation for enlarged prostate, and Urolift procedure.  

He has successfully treated hundreds of men with BPH with symptoms of frequent urination during the day and excessive urination at night.

He is highly recommended by top primary care physicians in the New York area. 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, please contact us or call/text: 1-646-663-4044.

We have excellent reviews from patients and their partners.  Information for out-of-state and international patients.  Find out our office hours or directions to our office

We offer affordable appointment prices with or without insurance.