{"id":5393,"date":"2022-09-29T13:00:00","date_gmt":"2022-09-29T06:00:00","guid":{"rendered":"https:\/\/drsoaraweeurology.com\/?p=5393"},"modified":"2026-08-25T08:49:49","modified_gmt":"2026-08-25T01:49:49","slug":"water-vapor-therapy-bph","status":"publish","type":"post","link":"https:\/\/drsoaraweeurology.com\/km\/2022\/09\/29\/water-vapor-therapy-bph\/","title":{"rendered":"Rezum Water Vapour Therapy for an Enlarged Prostate: What It Does, and What to Expect Afterwards"},"content":{"rendered":"\n<div class=\"wp-block-columns coblocks-author-columns has-background is-layout-flex wp-container-core-columns-is-layout-52275889 wp-block-columns-is-layout-flex\" style=\"background-color:#8C8C971A;padding-top:2.5rem;padding-right:2.5rem;padding-bottom:2.5rem;padding-left:2.5rem\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:25%\">\n<figure class=\"wp-block-image size-full is-style-rounded\"><img data-recalc-dims=\"1\" fetchpriority=\"high\" decoding=\"async\" width=\"800\" height=\"800\" data-attachment-id=\"7037\" data-permalink=\"https:\/\/drsoaraweeurology.com\/km\/new-photo-2024\/\" data-orig-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?fit=800%2C800&amp;ssl=1\" data-orig-size=\"800,800\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"Dr. Soarawee Weerasopone \u2014 Board-Certified Urologist in Bangkok, Thailand\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;Dr. Soarawee Weerasopone \u2014 Board-Certified Urologist in Bangkok, Thailand&lt;\/p&gt;\n\" data-large-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?fit=800%2C800&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?resize=800%2C800&#038;ssl=1\" alt=\"Best Urologist working in Chonburi and Cambodia\" class=\"wp-image-7037\" srcset=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?w=800&amp;ssl=1 800w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?resize=300%2C300&amp;ssl=1 300w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?resize=150%2C150&amp;ssl=1 150w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?resize=768%2C768&amp;ssl=1 768w, 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4.022-2.484 4.022-3.722 0-2.016-1.284-3.722-4.097-3.722h-2.222z\"\/>\n    <\/svg>\n  <\/a>\n  \n  <a href=\"https:\/\/scholar.google.com\/citations?user=lTgsRMUAAAAJ&#038;hl=en\" \n     target=\"_blank\" \n     rel=\"noopener\"\n     title=\"Google Scholar\"\n     aria-label=\"View Google Scholar Profile\"\n     style=\"text-decoration: none; color: #4285F4; transition: transform 0.2s; display: inline-block;\"\n     onmouseover=\"this.style.transform='scale(1.15)'\"\n     onmouseout=\"this.style.transform='scale(1)'\">\n    <svg width=\"28\" height=\"28\" viewBox=\"0 0 24 24\" fill=\"currentColor\">\n      <path d=\"M5.242 13.769L0.5 9.5 12 1l11.5 8.5-4.742 4.269C17.548 11.249 14.978 9.5 12 9.5c-2.977 0-5.548 1.748-6.758 4.269zM12 10a7 7 0 1 0 0 14 7 7 0 0 0 0-14z\"\/>\n    <\/svg>\n  <\/a>\n  \n<\/div>\n\n\n\n<p class=\"wp-block-paragraph\">Rezum treats an enlarged prostate with water vapour instead of cutting. It was approved by the US FDA in 2015, it takes minutes rather than an operating list, and \u2014 the reason most men are interested \u2014 it protects sexual function in a way that conventional prostate surgery does not.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">It is a genuinely useful option. This article also sets out the parts men are least often told beforehand, because those are what determine whether someone is satisfied with the result.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Related reading: <a href=\"https:\/\/drsoaraweeurology.com\/2020\/08\/28\/benign-prostate-bph\/\">what benign prostatic enlargement actually is<\/a> \u00b7 <a href=\"https:\/\/drsoaraweeurology.com\/2023\/11\/10\/water-vapor-shrink-prostate-gland\/\">how water vapour shrinks the prostate<\/a> \u00b7 <a href=\"https:\/\/drsoaraweeurology.com\/2023\/10\/30\/water-vapor-therapy-bph-patient\/\">patient instructions after the procedure<\/a><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Urology center Bangkok hospital Thailand <a href=\"https:\/\/www.bangkokhospital.com\/en\/bangkok\/doctor\/dr-soarawee-weerasopone-2\" target=\"_blank\" rel=\"noreferrer noopener\">Booking online<\/a> <a href=\"tel:02-310-3009\">02-310-3009<\/a> <a href=\"mailto:bhquro@bdms.co.th\">bhquro@bdms.co.th<\/a><\/li>\n\n\n\n<li>Samitivej Sriracha hospital Chonburi <a href=\"tel:088-022-1445\">088-022-1445<\/a><\/li>\n<\/ul>\n\n\n\n<figure class=\"wp-block-image size-full\"><img data-recalc-dims=\"1\" decoding=\"async\" width=\"800\" height=\"800\" data-attachment-id=\"5407\" data-permalink=\"https:\/\/drsoaraweeurology.com\/km\/2022\/09\/29\/water-vapor-therapy-bph\/rezum\/\" data-orig-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2022\/09\/Rezum.jpg?fit=940%2C940&amp;ssl=1\" data-orig-size=\"940,940\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"This is a novel water vapor therapy for Benign prostatic hyperplasia\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;This is a novel water vapor therapy for Benign prostatic hyperplasia&lt;\/p&gt;\n\" data-large-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2022\/09\/Rezum.jpg?fit=800%2C800&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2022\/09\/Rezum.jpg?resize=800%2C800&#038;ssl=1\" alt=\"Rezum water vapour delivery device used to treat benign prostatic enlargement without cutting tissue\" class=\"wp-image-5407\" srcset=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2022\/09\/Rezum.jpg?w=940&amp;ssl=1 940w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2022\/09\/Rezum.jpg?resize=300%2C300&amp;ssl=1 300w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2022\/09\/Rezum.jpg?resize=150%2C150&amp;ssl=1 150w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2022\/09\/Rezum.jpg?resize=768%2C768&amp;ssl=1 768w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2022\/09\/Rezum.jpg?resize=12%2C12&amp;ssl=1 12w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2022\/09\/Rezum.jpg?resize=800%2C800&amp;ssl=1 800w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2022\/09\/Rezum.jpg?resize=400%2C400&amp;ssl=1 400w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2022\/09\/Rezum.jpg?resize=200%2C200&amp;ssl=1 200w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2022\/09\/Rezum.jpg?resize=350%2C350&amp;ssl=1 350w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2022\/09\/Rezum.jpg?resize=750%2C750&amp;ssl=1 750w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2022\/09\/Rezum.jpg?resize=100%2C100&amp;ssl=1 100w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><figcaption class=\"wp-element-caption\">The vapour is delivered through a needle passed down the telescope \u2014 no prostate tissue is cut or removed.<\/figcaption><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\">How it works<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">A telescope is passed along the urethra and a fine needle injects a burst of sterile water vapour into the bulky part of the prostate. The vapour spreads through the tissue and releases its stored heat, killing the cells it reaches. Nothing is scooped out or cut away. Over the following weeks the body reabsorbs the treated tissue, the gland shrinks from within, and the channel opens.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">That mechanism explains both its main advantage and its main limitation. Because it is targeted and shallow, the nerves and structures responsible for erection and ejaculation are largely left alone. Because it relies on the body clearing dead tissue gradually, nothing happens quickly.<\/p>\n\n\n\n<figure class=\"wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<span class=\"embed-youtube\" style=\"text-align:center; display: block;\"><iframe class=\"youtube-player\" width=\"800\" height=\"450\" src=\"https:\/\/www.youtube.com\/embed\/il7lhcgoK-o?version=3&#038;rel=1&#038;showsearch=0&#038;showinfo=1&#038;iv_load_policy=1&#038;fs=1&#038;hl=km&#038;autohide=2&#038;wmode=transparent\" allowfullscreen=\"true\" style=\"border:0;\" sandbox=\"allow-scripts allow-same-origin allow-popups allow-presentation allow-popups-to-escape-sandbox\"><\/iframe><\/span>\n<\/div><figcaption class=\"wp-element-caption\">Animation of how the vapour is delivered and how it acts on prostate tissue, produced by Boston Scientific, the manufacturer of the device.<\/figcaption><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\">What to expect in the first weeks \u2014 the part usually left out<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">An earlier version of this article said men notice significant improvement within a month, and stopped there. That is roughly true of the endpoint and quite misleading about the journey.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>A catheter is needed afterwards<\/strong>, usually for a few days, because the treated prostate swells before it shrinks. This is expected, not a complication.<\/li>\n\n\n\n<li><strong>The first two to three weeks are often worse than before treatment.<\/strong> Burning, urgency, going more frequently, and blood or debris in the urine are all normal in this window. Men who are not warned about this reasonably conclude the procedure has failed.<\/li>\n\n\n\n<li><strong>Improvement builds over months rather than days.<\/strong> Most men are clearly better by around three months, and the result continues to settle after that.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">If you cannot tolerate a few uncomfortable weeks \u2014 because of work, travel, or simply preference \u2014 that is a legitimate reason to choose a different treatment, and it is better discussed before than discovered after.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Advantages and limitations<\/h2>\n\n\n\n<figure class=\"wp-block-table is-style-stripes\"><table><tbody><tr><td class=\"has-text-align-left\" data-align=\"left\"><strong>What it offers<\/strong><\/td><td><strong>What it does not<\/strong><\/td><\/tr><tr><td class=\"has-text-align-left\" data-align=\"left\">Sedation rather than a general anaesthetic in most cases<\/td><td>Fast relief \u2014 the benefit builds over weeks to months<\/td><\/tr><tr><td class=\"has-text-align-left\" data-align=\"left\">Day case, no overnight stay<\/td><td>An avoidance of catheters \u2014 one is needed for several days afterwards<\/td><\/tr><tr><td class=\"has-text-align-left\" data-align=\"left\">Ejaculation preserved in the great majority, unlike prostate resection where loss of ejaculate is the norm<\/td><td>A guarantee against sexual side effects \u2014 uncommon is not the same as never<\/td><\/tr><tr><td class=\"has-text-align-left\" data-align=\"left\">Short procedure, quick return to normal activity<\/td><td>Permanence in every case \u2014 a proportion of men need a further procedure years later<\/td><\/tr><tr><td class=\"has-text-align-left\" data-align=\"left\">Reasonable option for men on blood-thinning medication, after discussion<\/td><td>Help for symptoms coming from the bladder rather than the prostate<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<h3 class=\"wp-block-heading\">Corrections to the earlier version of this table<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Three entries have been changed, and it is worth saying why.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>It listed <strong>no erectile dysfunction complication<\/strong> as an absolute. Preservation of sexual function is the genuine strength of this procedure and the main reason to choose it over resection \u2014 but it is stated here as very likely rather than certain, because no procedure carries a zero rate.<\/li>\n\n\n\n<li>It listed a <strong>history of urinary retention<\/strong> as making a man unsuitable. Men in retention were excluded from the original trials, but later series have reported treating catheter-dependent men successfully. It is a matter for individual assessment rather than an automatic exclusion.<\/li>\n\n\n\n<li>It gave <strong>120 mL<\/strong> as a flat upper limit without saying where the number came from. The distinction now made is between two different things: <strong>the trials that established this treatment enrolled prostates of roughly 30 to 80 mL<\/strong>, which is where the evidence is strongest, while <strong>treating up to around 120 mL is reasonable in practice<\/strong> on weaker evidence and by individual judgement. Above that, resection or enucleation is generally the better operation. A man of 100 mL is not excluded \u2014 he is simply being treated in the territory where the published data thins out, and he is entitled to know that.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Previous prostate radiotherapy and recurrent urinary infection remain genuine reasons for caution.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">The honest comparison with prostate resection<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Transurethral resection removes obstructing tissue directly. It produces a bigger improvement in flow, it works immediately, and it has decades of long-term data behind it. Its price is a general or spinal anaesthetic, a hospital stay, and loss of ejaculation for most men.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Rezum asks less of the body and protects ejaculation, and accepts in exchange a slower and somewhat smaller improvement, with a meaningful minority of men needing something further within five years. Neither is better in the abstract. A man in his fifties for whom ejaculation matters and a man of eighty in retention are answering different questions.<\/p>\n\n\n\n<figure class=\"wp-block-image aligncenter size-large\"><img data-recalc-dims=\"1\" decoding=\"async\" width=\"800\" height=\"533\" data-attachment-id=\"5405\" data-permalink=\"https:\/\/drsoaraweeurology.com\/km\/2022\/09\/29\/water-vapor-therapy-bph\/old-retired-age-asian-couple-watching-tv-at-homeold-mature-asian-couple-cheering-sport-games-competition-together-with-laugh-smile-victory-on-sofa-couch-at-living-room-home-isolation-activity\/\" data-orig-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2022\/09\/Happy-old-man.jpg?fit=1200%2C800&amp;ssl=1\" data-orig-size=\"1200,800\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;1.8&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;ILCE-7RM2&quot;,&quot;caption&quot;:&quot;old retired age asian couple watching TV at home,old mature asian couple cheering sport games competition together with laugh smile victory on sofa couch at living room home isolation activity&quot;,&quot;created_timestamp&quot;:&quot;1626965659&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;85&quot;,&quot;iso&quot;:&quot;800&quot;,&quot;shutter_speed&quot;:&quot;0.005&quot;,&quot;title&quot;:&quot;old retired age asian couple watching TV at home,old mature asian couple cheering sport games competition together with laugh smile victory on sofa couch at living room home isolation activity&quot;,&quot;orientation&quot;:&quot;1&quot;}\" data-image-title=\"This therapy can be a great option in whom wants to avoid surgery.\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;This therapy can be a great option in whom wants to avoid surgery.&lt;\/p&gt;\n\" data-large-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2022\/09\/Happy-old-man.jpg?fit=800%2C534&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2022\/09\/Happy-old-man.jpg?resize=800%2C533&#038;ssl=1\" alt=\"Older man outdoors, illustrating recovery of daily life after treatment for an enlarged prostate\" class=\"wp-image-5405\" srcset=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2022\/09\/Happy-old-man.jpg?w=1200&amp;ssl=1 1200w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2022\/09\/Happy-old-man.jpg?resize=300%2C200&amp;ssl=1 300w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2022\/09\/Happy-old-man.jpg?resize=1024%2C683&amp;ssl=1 1024w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2022\/09\/Happy-old-man.jpg?resize=768%2C512&amp;ssl=1 768w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2022\/09\/Happy-old-man.jpg?resize=18%2C12&amp;ssl=1 18w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2022\/09\/Happy-old-man.jpg?resize=750%2C500&amp;ssl=1 750w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><figcaption class=\"wp-element-caption\">Rezum is itself a procedure, not a way of avoiding one \u2014 but it asks considerably less of the body than resection does.<\/figcaption><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\">Symptoms that need attention rather than a routine appointment<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Whether you are considering the procedure or recovering from it, get medical attention the same day for any of the following. In an emergency in Thailand, call <strong>1669<\/strong>.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Complete inability to pass urine<\/strong> with a painful full bladder.<\/li>\n\n\n\n<li>Fever or shaking chills after the procedure.<\/li>\n\n\n\n<li>Heavy bleeding, or clots that block the flow. Lightly blood-stained urine in the early weeks is expected; clots that stop you passing urine are not.<\/li>\n\n\n\n<li>A catheter that stops draining, or falls out before the planned removal date.<\/li>\n<\/ul>\n\n\n\n<figure class=\"wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<span class=\"embed-youtube\" style=\"text-align:center; display: block;\"><iframe class=\"youtube-player\" width=\"800\" height=\"450\" src=\"https:\/\/www.youtube.com\/embed\/axZ51b-x-ac?version=3&#038;rel=1&#038;showsearch=0&#038;showinfo=1&#038;iv_load_policy=1&#038;fs=1&#038;hl=km&#038;autohide=2&#038;wmode=transparent\" allowfullscreen=\"true\" style=\"border:0;\" sandbox=\"allow-scripts allow-same-origin allow-popups allow-presentation allow-popups-to-escape-sandbox\"><\/iframe><\/span>\n<\/div><figcaption class=\"wp-element-caption\">Water vapour prostate therapy at the Urology Centre, Bangkok Hospital Headquarters. This is promotional material produced by the hospital.<\/figcaption><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\">Frequently Asked Questions<\/h2>\n\n\n\n<h3 class=\"wp-block-heading\">Q1: What is Rezum and how does it treat an enlarged prostate?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">A needle passed down a telescope injects sterile water vapour into the bulky part of the prostate. The heat carried by the vapour kills the cells it reaches, and over the following weeks the body reabsorbs that tissue so the gland shrinks and the channel opens. No tissue is cut or removed.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Q2: Will it affect my sex life?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">This is its main advantage. Ejaculation is preserved in the great majority of men, whereas after prostate resection most men no longer ejaculate externally. Erectile function is generally unaffected. That said, uncommon is not the same as never, and an earlier version of this article claimed no sexual complication at all, which overstated it.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Q3: How soon will I feel better?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Expect the first two to three weeks to be worse rather than better \u2014 burning, urgency, frequency and blood in the urine are normal in that window, and a catheter is needed for a few days at the start. Clear improvement usually appears by around three months and continues to settle after that.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Q4: Is it permanent, or will I need it again?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Most men treated do not need anything further, but a minority require a second procedure or an operation within five years. This is a real difference from resection and belongs in the decision. Anyone quoting Rezum as a permanent cure is overselling it.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Q5: Who is not suitable?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Previous prostate radiotherapy and recurrent urinary infection are genuine reasons for caution. On size: the trials enrolled prostates of roughly 30 to 80 mL, and treating up to around 120 mL is reasonable in practice on weaker evidence; above that, resection or enucleation is usually the better operation. A history of retention is no longer an automatic exclusion, though it does change the discussion. Assessment includes measuring the prostate and testing the flow \u2014 and, importantly, confirming that the prostate is the cause of the symptoms at all, since an underactive or overactive bladder produces similar complaints and is not improved by treating the prostate.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Q6: Is Rezum available in Bangkok?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Yes, at Bangkok Hospital Headquarters, where Dr. Soarawee performs it. He introduced water vapour prostate therapy during his years leading the urology department in Phnom Penh.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Arranging a consultation<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Dr. Soarawee Weerasopone sees patients at <a href=\"https:\/\/www.bangkokhospital.com\/en\/bangkok\/doctor\/dr-soarawee-weerasopone-2\">Bangkok Hospital Headquarters<\/a> and at Samitivej Sriracha Hospital in Chonburi on <a href=\"tel:0880221445\">088-022-1445<\/a>. Bring any previous prostate measurements, flow tests and PSA results.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Bangkok Hospital Telemedicine is available for patients who cannot attend in person, including international patients \u2014 arrange it in advance by email to the Urology department at <a href=\"mailto:bhquro@bdms.co.th\">bhquro@bdms.co.th<\/a>. Samitivej Sriracha is in-person only. Enquiries about cost are answered by the hospital, not by this website.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Disclaimer:<\/strong> This content is written and reviewed by Dr. Soarawee Weerasopone, a board-certified urologist at Bangkok Hospital Headquarters, and is intended for education only. It is not medical advice, diagnosis or a prescription for any individual, and no advice, diagnosis or prescription is given through personal messaging channels or social media. Dr. Soarawee operates no public social media account; any account offering private consultation in his name is fraudulent. In an emergency in Thailand, call <strong>1669<\/strong>.<\/p>\n\n\n\n<script type=\"application\/ld+json\">\n{\n  \"@context\": \"https:\/\/schema.org\",\n  \"@graph\": [\n    {\n      \"@type\": \"MedicalWebPage\",\n      \"@id\": \"https:\/\/drsoaraweeurology.com\/2022\/09\/29\/water-vapor-therapy-bph\/#webpage\",\n      \"url\": \"https:\/\/drsoaraweeurology.com\/2022\/09\/29\/water-vapor-therapy-bph\/\",\n      \"name\": \"Rezum Water Vapour Therapy for an Enlarged Prostate: What It Does, and What to Expect Afterwards\",\n      \"description\": \"Rezum shrinks an enlarged prostate using water vapour without cutting tissue, preserving ejaculation in the great majority of men. Recovery is slow, a catheter is needed, and a minority require further treatment within five years.\",\n      \"inLanguage\": \"en\",\n      \"datePublished\": \"2022-09-29\",\n      \"dateModified\": \"2026-08-24\",\n      \"isPartOf\": { \"@id\": \"https:\/\/drsoaraweeurology.com\/#website\" },\n      \"author\": { \"@id\": \"https:\/\/drsoaraweeurology.com\/#physician\" },\n      \"reviewedBy\": { \"@id\": \"https:\/\/drsoaraweeurology.com\/#physician\" },\n      \"publisher\": { \"@id\": \"https:\/\/drsoaraweeurology.com\/#physician\" },\n      \"about\": { \"@id\": \"https:\/\/drsoaraweeurology.com\/2022\/09\/29\/water-vapor-therapy-bph\/#rezum\" },\n      \"audience\": { \"@type\": \"MedicalAudience\", \"audienceType\": \"Patient\" },\n      \"disambiguatingDescription\": \"Three claims in the earlier version of this article were corrected. No erectile dysfunction complication was stated as an absolute and is now expressed as preservation in the great majority. A history of urinary retention was listed as an exclusion; men in retention were excluded from the pivotal trials but later series report successful treatment, so it is an individual assessment. On gland size, this article gave 120 mL as a flat limit while the companion article at \/2023\/11\/10\/water-vapor-shrink-prostate-gland\/ gave 30 to 80 mL; both now state the distinction, namely that the pivotal trials enrolled prostates of roughly 30 to 80 mL and that treatment up to around 120 mL is reasonable in practice on weaker evidence and individual judgement, with resection or enucleation preferred above that. The need for a catheter afterwards, a symptomatic first two to three weeks, and the possibility of retreatment within five years were absent and have been added. 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This is a real difference from transurethral resection and belongs in the decision.\" }\n        },\n        {\n          \"@type\": \"Question\",\n          \"name\": \"What prostate size is Rezum suitable for?\",\n          \"acceptedAnswer\": { \"@type\": \"Answer\", \"text\": \"The trials enrolled prostates of roughly 30 to 80 mL, where the evidence is strongest. Treating up to around 120 mL is reasonable in practice on weaker evidence and individual judgement; above that, resection or enucleation is usually the better operation.\" }\n        }\n      ]\n    }\n  ]\n}\n<\/script>\n","protected":false},"excerpt":{"rendered":"<p>Rezum treats an enlarged prostate with steam rather than cutting, and it protects sexual function in a way that prostate surgery does not. The parts men are least often told: the first few weeks are usually worse, not better, and some men need a second procedure years later.<\/p>","protected":false},"author":185281453,"featured_media":10091,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"advanced_seo_description":"Rezum uses steam to shrink an enlarged prostate without cutting, preserving ejaculation better than TURP. 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