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Rezum water vapor therapy
Indications:
- benign prostatic hypertrophy
Procedure:
- minimally invasive procedure that uses steam to shrink an enlarged prostate
- single-use scope with a 1-cm retractable needle pocked by an array of steam-emitting holes
- the scope is inserted up the urethra & releases 103 C vapor over 9 seconds
- the heat of the vapor will cause the cells of the prostate to actually die, immediately
- mean time of procedure is 4.8 min
- mean number of injections is 11
- mean duration of post-procedure catheterization is ~10 days [2]
Notes:
- improve peak urinary flow 60%
- improves post-void residual 50-60% at 3 months persisting at least 12 months
- preserves erectile function & ejaculatory function [2]
General
urologic surgery
References
- Rezum
Innovative Treatment for Enlarged Prostate.
https://utswmed.org/conditions-treatments/rezum/
- Wolinsky H
A 'Cup of Tea' for the Prostate Improves Urine Flow.
Medscape. Feb 24, 2922
https://www.medscape.com/viewarticle/969052
- Elterman D, Bhojani N, Vannabouathong C, Chughtai B, Zorn KC.
Large, Multi-Center, Prospective Registry of Rezum Water Vapor Therapy
for Benign Prostatic Hyperplasia.
Urology. 2022 Feb 17:S0090-4295(22)00142-X
PMID: 35182585