Rezum In-Office BPH Therapy – Our Newest BPH Therapy

BPH block letters stacked in front of plant

When patients visit our office with lower urinary tract symptoms or LUTS, they often believe they have prostate cancer. However, as we will discuss in this article, LUTS are usually signs of benign prostatic hyperplasia, BPH, also known as enlarged prostate. Prostate cancer rarely has any outward symptoms until it has progressed to a later stage. After the initial relief of finding out that they likely do not have prostate cancer, patients often return home and continue to live with bothersome symptoms that may include waking up at night to urinate, urinating frequently, difficulty controlling urination, and weak stream. All of these can, and often do get worse. Patients, as a result, may begin to limit their lifestyle activities for fear of embarrassment or discomfort.

While many patients know about the surgical options for treating an enlarged prostate, such as transurethral resection of the prostate TURP or robotic simple prostatectomy, they are less often aware of the in-office therapies available to them. While Dr. Engel has performed these in-office therapies for years, we are proud to introduce a new and exciting technology for enlarged prostate ablation: Rezum. Rezum uses water vapor to ablate or destroy excess prostatic tissue and shrink the prostate. As the body absorbs the treated prostatic tissue over the next 6-8 weeks, patients experience progressively improved urinary symptoms, and the full benefit of the procedure is felt about six weeks later.

Most importantly, the patient experience is excellent. The entire procedure, not including prep, takes about 15 minutes and only requires a local block. During this time in the procedure room, patients often chat with Dr. Engel about anything on their minds. Once home, any discomfort from the procedure, which is usually minimal, is easily managed and no follow-up is necessary. Similarly, the process is exceptionally safe and effective. Most patients will see significant improvement in their symptoms, and clinical data show that this improvement is often maintained for over five years.

Does Rezum Preclude Any Other Treatment?

Another fantastic characteristic of Rezum BPH therapy is that it does not preclude you from having another in-office procedure or even moving on to surgery if warranted at some point in the future. In other words, this is a low-risk, high-potential reward option for qualifying patients. As such, Dr. Engel likes to consider minimally invasive in-office BPH procedures as a free swing.

The Next Steps

Patients need to understand whether they qualify for REZUM in-office BPH therapy, and this is as simple as a quick consultation with Dr. Engel. During this consultation, we will discuss your IPSS or international prostate symptom score to understand how your prostatic enlargement affects your life. We will also measure the size of your prostate and other characteristics to better understand if you qualify for Rezum or different therapies.

We look forward to seeing you in our office and helping you understand more about your BPH treatment options. As part of our commitment to quality care, we strive to see our patients sooner, often within 48 hours. In fact, we look forward to providing you with this exciting procedure within the time it would take to get an appointment with other specialists in DC.