Rezūm Water Vapor Therapy (BPH Treatment) in Kolkata
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Quick Answers
Is Rezūm water vapour therapy effective for BPH?
Rezūm therapy can improve urinary symptoms by reducing excess prostate tissue.
Is surgery always required for BPH?
BPH treatment depends on symptoms, prostate size, obstruction, and treatment response.
Can an enlarged prostate become serious?
Severe enlargement can cause urinary retention, infections, bladder problems, or kidney complications.
When should someone seek medical care?
Seek medical care for persistent urinary symptoms, blood, pain, or difficulty urinating.
What Is Rezūm Water Vapour Therapy?
Rezūm water vapour therapy is a minimally invasive treatment for benign prostatic hyperplasia (BPH) that uses controlled steam to treat excess prostate tissue. The procedure is performed through the urethra and does not require an external abdominal incision. Symptoms may improve gradually as the treated tissue shrinks.
Key points:
- Uses targeted steam for treatment
- Usually performed as an outpatient procedure
- Treatment takes relatively little time
- Temporary urinary symptoms may occur
Types of Benign Prostatic Hyperplasia (BPH)
Simple Enlargement
The prostate enlarges without significant pressure on the urethra. Usually causes few noticeable urinary symptoms.
Obstructive BPH
An enlarged prostate narrows or blocks the urethra. May cause weak urine flow or difficulty urinating.
Non-obstructive BPH
The prostate enlarges without significant urinary blockage. Urinary symptoms may remain mild or absent.
Anatomical Classifications
| BPH Type | Description |
|---|---|
| 0 | Normal prostate volume with little or no zonal enlargement |
| 1 | Enlargement mainly in the transition zone (lateral lobes) |
| 2 | Enlargement of the retrourethral or median lobe |
| 3 | Combined transition zone and median lobe enlargement |
| 4 & 5 | Pedunculated adenoma, with or without transition zone enlargement |
| 6 | Subtrigonal tissue enlargement near the bladder base |
Symptoms of BPH Needing Rezum Therapy
Common Symptoms
- Frequent daytime urination
- Multiple nighttime urination episodes
- Slow or interrupted urine stream
- Difficulty starting urine flow
- Feeling bladder remains incompletely emptied
- Sudden, strong urinary urgency
- Straining while passing urine
Red Flags (Seek Immediate Medical Care)
- Complete inability to urinate
- Frequent urinary tract infections
- Visible blood in urine
- Pain or burning during urination
- Pain after ejaculation
- Severe difficulty passing urine
When Doctors Consider Rezūm Water Vapour Therapy
- Medications cause bothersome side effects
- Medications fail to provide sufficient relief
- You prefer minimally invasive treatment
- Sexual function preservation is important
- Prostate size meets treatment suitability criteria
- Individual evaluation confirms treatment candidacy
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Our Doctors
DR. AMLAN CHAKRABORTY
Qualifications: MBBS, MS, FRCS (Urology)
Specialty: Urology
Experience: 23 years
Fees: Rs. 1,700.00
Available Days: TUE,THURS & SAT(BY APPOINTMENT)
Available Time: 12:00 - 13:00 (BY APPOINTMENT)
DR. PRAMOD KUMAR SHARMA
Qualifications: MBBS,MS
Specialty: Urology
Experience: 21 years
Fees: Rs. 1,200.00
Available Days: BY APPOINTMENT
Available Time: By Appointment
DR. NILANJAN MITRA
Qualifications: MBBS, MS (Gen. Surg.), MCh (Urology)
Specialty: Urology
Experience: 19 years
Fees: Rs. 1,200.00
Available Days:TUE & THURS
Available Time: 8:30 - 10:30
DR. SMARANJIT CHATTERJEE
Qualifications: MBBS, MS, DNB, Mch
Specialty: Urology
Experience: 18 years
Fees: Rs. 1,200.00
Available Days: BY APPOINTMENT
Available Time: BY APPOINTMENT
DR. SOUVIK CHATTERJEE
Qualifications: MBBS, MS (Gen. Surg.), DNB, MCh (Urology)
Specialty: Urology
Experience: 16 years
Fees: Rs. 1,000.00
Available Days: WED, SAT
Available Time: WED: 15:00 - 16:00, SAT: 09:30 - 10:30
DR. SUBHOJIT MALAKAR
Qualifications: MBBS, MS (Gen. Surg.), DNB, MCh (Urology)
Specialty: Urology
Experience: 15 years
Fees: Rs. 1,000.00
Available Days: BY APPOINTMENT
Available Time: BY APPOINTMENT
DR. SUNIRMAL CHOWDHURY
Qualifications: MBBS, MS, IPGMER (HOD)
Specialty: Urology
Experience: 20 years
Fees: Rs. 1,200.00
Available Days: BY APPOINTMENT
Available Time: By Appointment
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Individuals at Highest Risk for BPH
| Groups | Factors |
|---|---|
| Older Adults | Risk of benign prostate enlargement increases with age, especially after 50. |
| Family History | Close relatives with prostate problems may increase BPH likelihood. |
| Men with Metabolic Health Issues | Obesity, diabetes, and related metabolic problems may be associated with prostate enlargement and urinary symptoms. |
| Men with Urinary Symptoms | Persistent weak flow, urgency, frequency, or incomplete emptying may indicate prostate-related obstruction. |
| Men with Reduced Physical Activity | Lower physical activity levels may be associated with increased BPH-related urinary symptoms. |
| Men with Previous Urinary Problems | Existing urinary obstruction or bladder dysfunction may increase prostate enlargement's impact. |
Causes Of BPH
- Ageing and hormonal changes
- Changes in androgen activity
- Family history
- Prostate tissue growth
- Diabetes and metabolic health issues
- Obesity
- Physical inactivity
- Bladder dysfunction from obstruction
BPH Patterns, Diagnosis & Treatment Approach
| Pattern | Likely Condition | First-Line Approach |
Advanced Treatment | Outcome |
|---|---|---|---|---|
| Weak or slow flow | Prostate or urinary obstruction | Evaluation, medication, monitoring | Worsening obstruction | Improved flow |
| Frequent urination, urgency | Lower urinary tract condition | Medical managemen | Persistent symptoms | Better bladder control |
| Night-time urination | Prostate, bladder or systemic cause | Cause-based assessment | Persistent sleep disruption | Reduced nighttime symptoms |
| Difficulty starting | Outlet obstruction | Evaluation, medication | Worsening obstruction | Easier urination |
| Urinary retention | Significant obstruction | Urgent assessment, drainage | Recurrent obstruction | Restored urine flow |
Procedures & Recovery Time: What to Expect
Rezūm Water Vapour Therapy
- Controlled vapour targets prostate tissue
- Instruments pass through the urethra
- Targets tissue causing urinary obstruction
- No external abdominal cuts
Transurethral Resection of the Prostate (TURP)
- Excess prostate tissue is removed
- Instruments pass through the urethra
- Blocking tissue is trimmed
- No external abdominal cuts
HoLEP
- Laser removes obstructing prostate tissue
- Instruments pass through the urethra
- Excess tissue separates from prostate
- No external abdominal incision
Recovery Timeline
- Rezūm recovery takes several weeks
- TURP recovery generally takes 3–6 weeks
- TURP internal healing takes 8–12 weeks
- HoLEP recovery generally takes 2–6 weeksHoLEP recovery generally takes 2–6 weeks
Available Diagnosis & Tests
Physical and Clinical Exams
- DRE (Digital Rectal Examination)
- IPSS (International Prostate Symptom Score)
- Voiding Diary
Laboratory Tests
- Urinalysis
- PSA Test
- Kidney Tests
Imaging and Functional Tests
- Uroflowmetry
- PVR Test
- Cystoscopy
- Transrectal Ultrasound
BPH Available Treatment Options
Medications
- Alpha-blockers
- 5-alpha reductase inhibitors
- Combination therapy
- Tadalafil (Cialis)
Minimally Invasive
- Rezūm water vapour thermal therapy
- Prostatic urethral lift (UroLift)
- Prostate artery embolisation (PAE)
Surgical
- Transurethral resection of the prostate (TURP)
- Laser procedures
- Aquablation
Benefits of Rezūm Water Vapour Therapy (For BPH)
- Improved urine flow
- Fewer bathroom trips
- Reduced urinary urgency
- Improved bladder emptying
- Reduced risk of urinary retention
- Relief from bothersome BPH symptoms
- Minimally invasive treatment approach
- No external abdominal incision
- Preservation of sexual function
- Reduced medication dependency
- Improved quality of life
Complications if Left Untreated
- Acute or Chronic Urinary Retention
- Recurrent Urinary Tract Infections
- Bladder Stones
- Bladder Muscle Damage
- Blood in the Urine
- Progressive Urinary Obstruction
- Hydronephrosis and Kidney Damage
- Progressive Bladder Dysfunction
- Worsening BPH Symptoms
Daily Management & Prevention Tips
Daily Management Tips
- Maintain adequate daytime fluid intake
- Limit fluids before bedtime
- Reduce caffeine, alcohol, and spicy foods
- Practise double voiding
- Review medications with your doctor
Prevention & Long-Term Strategies
- Exercise regularly for prostate health
- Practise pelvic floor exercises regularly
- Maintain a healthy weight
- Eat a balanced, high-fibre diet
- Manage stress through relaxation techniques
Frequently Asked Questions
How long does Rezūm therapy take?
It usually takes about 30 minutes. Each steam application lasts about 10 seconds, and you can do up to 15 applications in one session.
Is Rezūm therapy painful?
Usually not. Anaesthesia helps prevent pain during the procedure. Some men may experience mild burning while urinating, pelvic discomfort, or irritation during early recovery.
Can Rezūm therapy treat an enlarged prostate without removing it?
Targeted steam destroys excess tissue that obstructs urine flow. The treated area gradually shrinks, improving urinary symptoms without removing the entire gland.
Can Rezūm Therapy cause erectile dysfunction?
Clinical studies have not reported new erectile dysfunction following treatment. Ejaculatory function was generally preserved, although individual risks can vary depending on underlying prostate and urinary conditions.
How successful is the Rezūm procedure?
Results are generally durable. Fewer than 5% of patients required another procedure within five years, while around 10% needed prostate medication during that period.