REZUM Procedure

A Minimally Invasive Treatment for Enlarged Prostate

What is the REZUM Procedure?

The REZUM Procedure is a minimally invasive treatment that uses the natural energy of water vapor to remove excess prostate tissue that is causing bothersome urinary symptoms, often associated with benign prostatic hyperplasia (BPH).

What kind of procedure is it?

The REZUM Procedure is an outpatient, minimally invasive treatment. It involves the transurethral delivery of sterile water vapor directly into the prostate gland, which then causes the targeted prostate cells to shrink and die, leading to improved urine flow.

How long does the REZUM Procedure usually take?

The procedure itself is very quick, typically lasting approximately 15 to 30 minutes.

When is the REZUM Procedure recommended?

The REZUM Procedure is recommended for men experiencing moderate to severe symptoms of an enlarged prostate (BPH) who are looking for an alternative to daily medication or more invasive surgery.

What happens during the procedure?

During the REZUM Procedure, you will receive sedation administered intravenously by a certified anesthesiologist, along with a local anesthetic. This ensures comfort throughout the transurethral approach. Once the area is numb, a specialized device is inserted into the urethra to deliver precise, targeted bursts of water vapor into the obstructive prostate tissue.

What do you need to do before the procedure?

Before your REZUM Procedure, a pre-travel teleconsultation is conducted to review your studies and establish a personalized protocol. While fasting requirements will be discussed, the procedure is carried out in an ambulatory clinic setting (like We’ll Assist).

What should you do after the REZUM Procedure?

After the procedure, patients should expect to have a Foley catheter with a bladder stopper in place for 5-7 days. It’s crucial to maintain good hygiene, regularly empty the bladder via the stopper, and follow all medication instructions, including prophylactic antibiotics, pain relievers, and possibly medications like tamsulosin or Myrbetric to manage urinary symptoms.

What to expect from the Foley catheter?

Unlike traditional, cumbersome catheters, the Foley used after REZUM is designed to be minimally invasive. It comes with a bladder stopper, allowing you to easily manage drainage at your convenience. This discreet and comfortable design means you can continue to enjoy most of your normal activities with very little disruption to your daily life.

What are the post-procedural recommendations?

Relative rest is advised for the first 2-3 days in your hotel or villa, with light walking recommended from day 2. It’s important to avoid vigorous exercise, cycling, prolonged travel, sexual activity, or lifting objects over 5 kg for 10-14 days. Daily remote follow-up via WhatsApp/videocall with Dr. Geier or his team is provided.

What are the possible complications, and how likely are they to occur?

Common and expected symptoms include burning or urinary urgency, presence of blood in urine, and mild pelvic discomfort. While serious complications are rare, you should seek immediate consultation if you experience fever above 38°C, intense uncontrolled pain, difficulty emptying your bladder even with the stopper, or cloudy/foul-smelling urine.

How long will you need to stay in Los Cabos after the procedure?

A minimum stay of 7 nights in Los Cabos is required. This allows for immediate postoperative supervision, Foley catheter removal between days 5-7, verification of successful spontaneous urination, and management of common symptoms before your return home.

How long will it take to fully recover after the REZUM Procedure?

While the catheter is typically removed within 5-7 days, symptoms like urinary urgency and frequency may persist for several weeks as the prostate heals and shrinks. Full symptom improvement can take several months. Final medical discharge is granted after verifying spontaneous urination without retention, adequate tolerance to residual symptoms, and absence of infection signs.

In conclusion, the REZUM Procedure offers a safe and effective, minimally invasive option for men seeking relief from BPH symptoms. With a quick procedure time, local anesthesia and sedation, and a structured post-operative care plan, it provides an excellent alternative for improving quality of life without the downtime of more invasive surgeries.

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