📍 Prince Court Medical Centre, Kuala Lumpur 

Minimally Invasive Relief for Enlarged Prostate (BPH) with Rezum™ Therapy

Rezum™ is a minimally invasive treatment for Benign Prostatic Hyperplasia (BPH) — a common, non-cancerous enlargement of the prostate that affects many men over 50. By delivering natural water vapour (steam) directly into the prostate tissue, Rezum™ safely shrinks excess tissue that blocks urine flow.
This outpatient procedure offers a non-surgical alternative to long-term medications or traditional prostate surgery, with minimal downtime and a lower risk of sexual side effects.

What Is Benign Prostatic Hyperplasia (BPH)?

Benign Prostatic Hyperplasia (BPH) is a non-cancerous enlargement of the prostate gland that commonly affects men over the age of 50. As the prostate grows, it can press against the urethra and interfere with normal urine flow, leading to uncomfortable urinary symptoms such as:

  • Slow or weak urine stream

  • Difficulty starting urination

  • Frequent urination, particularly at night (nocturia)

  • Sudden urgency or incomplete bladder emptying

  • Intermittent stream or dribbling

While BPH is not life-threatening, it can significantly impact quality of life. Early diagnosis and minimally invasive treatments like Rezum™ therapy can help relieve symptoms and reduce long-term complications.

diagram showing benign prostate enlargement (BPH), compressing on urethra

What Is Rezum™ Therapy?

Rezum™ is a minimally invasive treatment that uses radiofrequency-generated water vapour (steam) to deliver precise thermal energy directly into overgrown prostate tissue. The steam gently destroys the excess tissue, which is then naturally reabsorbed by the body over time.

This therapy reduces pressure on the urethra, helping to restore better urine flow — all without the need for cutting, implants, or permanent devices. It is typically done as a day procedure and offers an effective alternative to long-term medication or conventional surgery for Benign Prostatic Hyperplasia (BPH).

Before, during, and after illustrations of Rezum therapy showing reduced prostate size and improved urine flow

Who Is It Suitable For?

Rezum™ is typically recommended for men who have:

  • Moderate to severe BPH symptoms

  • Prostate size between 30–80cc

  • A preference to avoid long-term medication

  • A desire to preserve sexual function

  • Medical conditions that make them unsuitable for, or prefer to avoid, TURP surgery

It may also be considered for younger men or those concerned about the side effects of conventional medications.

What to Expect During the Procedure

Rezum device delivering steam into prostate tissue to treat BPH. Cross-section of bladder and prostate showing hyperplastic tissue and Rezum therapy in progress.
    • Performed as a day procedure – hospital admission is not usually required

    • Local, spinal, or general anaesthesia is used to ensure comfort

    • A small scope is inserted through the urethra, and steam is delivered into targeted prostate zones

    • The procedure usually takes less than 30 minutes

    • A temporary catheter may be inserted for 1–2 days post-procedure

Recovery and Results

    • Most patients resume normal daily activities within a few days.

    • Some urinary symptoms (such as urgency or frequency) may temporarily worsen during the healing process.

    • Symptom improvement typically begins within 3–4 weeks, with continued benefits over the next 3 months.

    • Clinical studies show durable outcomes, with a low retreatment rate of less than 5% over 5 years.

Advantages of Rezum™

  • Minimally invasive — no cutting or permanent implants required

  • Performed as a day procedure in most cases

  • Helps preserve erectile function

  • Effectively relieves urinary symptoms while minimising sexual side effects

  • Lower risk of retrograde ejaculation compared to TURP

  • Reduces or eliminates the need for long-term BPH medication

  • A suitable option for men seeking alternatives to lifelong medication or more invasive surgery

Alternatives to Rezum™

Other treatment options for BPH may include:

  • Oral medications (e.g. alpha-blockers, 5-alpha reductase inhibitors)

  • TURP (Transurethral Resection of the Prostate)

  • Laser enucleation techniques (e.g. HoLEP)

  • Watchful waiting in mild cases

Is Rezum™ Right for You?

A comprehensive evaluation — including prostate size, symptom score, PSA levels, and bladder function — helps determine whether Rezūm™ is suitable for your specific condition and lifestyle.

Frequently Asked Questions – Rezūm™ Therapy

1. Is Rezūm™ therapy painful?
Most patients tolerate the procedure well. It’s usually performed under local, spinal, or light general anaesthesia. Mild discomfort or urinary symptoms may occur for a few days after the procedure.

2. How soon will I notice results?
Improvements often begin within 3–4 weeks, with continued symptom relief over the following months. Full benefits are typically experienced by 3 months.

3. Will I need a catheter after the procedure?
In some cases, a temporary catheter is placed for a few days to assist with urination during the initial healing period. Your doctor will advise based on your condition.

4. Can Rezūm™ affect sexual function?
Rezūm™ is designed to preserve sexual function. Compared to conventional surgery, it has a lower risk of side effects such as retrograde ejaculation.

5. How long do the results last?
Clinical studies show that most patients experience lasting relief for at least 5 years, with a low retreatment rate.

6. Who is not suitable for Rezūm™?
Rezūm™ may not be appropriate for men with extremely large prostates, certain anatomical variations, or concurrent conditions that require different treatments. A consultation will help determine eligibility.

Ready to Explore Rezūm™ Therapy?

Rezūm™ is a safe, minimally invasive option for treating BPH — ideal for men who want to avoid long-term medications or surgery.

📍 Available at Prince Court Medical Centre, Kuala Lumpur starting June 2025

📞 Call +603-2160 0000WhatsApp +6012-999 7262 | fill in this appointment form to book an appointment.

📧 For professional referrals or enquiries, email us at contact@drrogerurologist.com or contact us here.

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