REZUM prostate: Mini-Invasive treatment of BPH
L'benign prostatic hypertrophy (BPH)also known as prostate adenomais a common condition in men over the age of 50. It causes increase in volume of the gland prostate, leading to a variety of urinary tract : sprayurine difficulties during the urinationfrequent urination, nocturia (night-time awakenings) or a feeling of incomplete bladder emptying. These symptoms, sources of discomfort need to be taken care of by a specialist. urologist.
At the Prostate Center, there are several solutions for treating BPH. Among them, the REZUM technique, using steam to reduce prostate volume, represents an interesting alternative. However, our center favors a more advanced and long-lasting solution: prostate embolization.
What is REZUM treatment?
REZUM treatment involves injecting pressurized steam directly into the prostate via a probe inserted through the urethra (the channel carrying theurine and the sperm). This steam causes targeted destruction of hypertrophied prostate tissue, which is then eliminated naturally by the human body.urinary tract as the weeks go by. This process gradually frees up the urethra, making it easier to urination and reducing urinary symptoms associated with BPH.
How REZUM works
The REZUM procedure is a minimally invasive outpatient procedure performed under local anesthesia or light sedation, lasting an average of 10 to 15 minutes.
- Patient preparation A local anaesthetic is administered to reduce discomfort. A preliminary examination (ultrasound or rectal examination) is usually carried out by a urologist to accurately assess prostate volume.
- Inserting the REZUM probe The catheter is inserted through the urethra to the prostate, guided by ultrasound to ensure precise injection.
- Steam injection Multiple pulses of steam are delivered to specific areas of the prostate. The heat causes targeted destruction of hypertrophied cells.
- Natural elimination of destroyed tissue In the weeks that follow, the dead cells are gradually evacuated by the urinary tractthus reducing pressure bladder and facilitating urination.
After the operation, a urinary catheter may be necessary for a few days to avoid any risk of infection. acute retention d'urine.
Benefits of REZUM treatment
- Minimally invasive method : No incision surgical or ablation of prostate tissue.
- Preserving sexual function The risk of functional disorders erectile or retrograde ejaculation is lower than with other treatments.
- Fast recovery : Back to work in just a few days.
- Alternative to major surgery Avoid procedures such as transurethral resection of the prostate (TURP) or prostatectomy.
- Proven effectiveness Many patients experience a marked improvement in their symptoms after just a few weeks.
Limitations and side effects of REZUM
Although this technique is innovative and appreciated by some patients, it has certain limitations:
- Progressive results : Improvement in urinary symptoms can take several weeks or even months.
- Wearing a urinary catheter : A probe is often necessary a few days after the procedure to avoid any complication of the procedure. acute retention d'urine.
- Variable efficiency : In some patients, results may be insufficient, necessitating a new procedure or a return to a specialist. medical treatment or drug.
- Risk of reintervention Symptoms may reappear after a few years, requiring further treatment.
A more effective alternative: prostate embolization
Although the Prostate Center offers REZUM, we prefer prostatic embolization, an advanced, long-lasting technique for treating prostate cancer.benign prostatic hyperplasia.
Prostatic embolization is a non-invasive procedure performed by a interventional radiologist. It involves reducing the blood supply to hypertrophied prostate tissue by injecting particles into the arteries. prostatic. The prostate shrinks rapidly, without the need for a post-procedure urinary catheter, and minimizing the risk of complicationsas theurinary incontinence or dysfunction erectile.
Why embolization?
- Treatment without surgery A simple puncture at the level of the radial or femoral artery is all that's required, avoiding any incision or endoscopic procedure via the urethra or the rectum.
- Fast, lasting results : Urinary symptoms usually improve within a few days of surgery.
- No post-procedure urinary catheter Unlike REZUM treatment, no urinary catheter is required.
- Optimal preservation of sexual function : No negative impact on sexuality.
- Extremely fast recovery Same-day return home, full resumption of activities within 24 to 48 hours.
- Low risk of recurrence Results are long-lasting, avoiding the need for repeated treatment.
Conclusion
The Prostate Center offers a number of solutions for the treatment ofbenign prostatic hyperplasiaincluding REZUM treatment. However, given its limitations, such as progressive results, the need for a urinary catheter and the risk of recurrence, we recommend prostatic embolization, a more effective and longer-lasting non-invasive technique.
This technique offers immediate prostate volume reduction, with no major risk of complications, guaranteeing maximum comfort and excellent quality of life for BPH patients.
