NEWGEN MEDICAL COLUMN

Samseong Station Rezūm, Criteria to Consider When Choosing Treatment for Benign Prostatic Hyperplasia

For those looking into Rezūm treatment at Samseong Station, we summarize suitability assessments, items to compare with medications and other procedures, the period to wait for effects, and the possibility of retreatment.

An adult male and a urologist reviewing the results of a benign prostatic hyperplasia test and Rezūm treatment options together

What people looking into Samseong Station Rezūm are most curious about is, ‘Is it okay to choose this treatment instead of medication?’ Rezūm is a minimally invasive treatment that delivers the thermal energy of steam to the enlarged prostate tissue, gradually causing the tissue to shrink over time.

However, just because the diagnosis is benign prostatic hyperplasia, it does not mean the same treatment is suitable for everyone. You need to consider the severity of symptoms, the size and shape of the prostate, bladder function, priorities regarding preservation of sexual function, and the recovery schedule.

First, check if the symptoms are really due to prostate obstruction

A visual explaining the examination criteria to determine the suitability for Rezūm procedure

Symptoms such as a weak urine stream and frequent urination are common in benign prostatic hyperplasia, but they can also occur due to overactive bladder, urethral stricture, infection, neurological disorders, or the effects of medications. Questionnaires like the International Prostate Symptom Score, urinalysis, uroflowmetry, and post-void residual measurement help in the basic assessment.

A routine urine test, a prostate ultrasound, or other imaging is used to check size and shape, and PSA is assessed as needed. If there is hematuria, recurrent infections, bladder stones, reduced kidney function, or significant residual urine, the priority and method of treatment may vary.

We look at the advantages of Riseum and the waiting together

Consultation material comparing the advantages of Rezūm treatment and recovery time

Rezūm inserts a device through the urethra and delivers a predetermined amount of steam to the prostate tissue. The heat energy released as the steam turns into water acts on the targeted tissue, and during the body’s recovery process, the tissue volume gradually decreases.

It is a treatment discussed when a lower burden than open surgery is desired and preserving sexual function is important, but it is not a method where effects are immediate. In the initial stage, frequent urination, urgency, and painful urination may temporarily worsen, and a catheter may be needed. Rather than deciding based solely on your work schedule, you should also consider how long it takes for the effects to appear and whether you can tolerate the initial discomfort.

Compared with drugs, other minimally invasive treatments, and surgery

A clinical scene comparing medication, procedures, and surgery options for benign prostatic hyperplasia

If the symptoms are mild and there are no complications, lifestyle adjustment and observation are possible, and medication is a representative choice to reduce symptoms without surgery. However, dizziness, blood pressure changes, side effects related to sexual function, or the burden of long-term use can influence the choice.

In addition to Rezūm, there are other minimally invasive treatments that widen the prostatic urethra, and procedures such as transurethral resection of the prostate and laser surgery can be considered when faster and greater improvement is needed. Each method differs in terms of applicable prostate size and structure, anesthesia, bleeding, changes in ejaculation function, recovery period, and the likelihood of retreatment.

You cannot determine superiority based on the single word ‘minimally invasive.’ In situations where it is important to clearly relieve an obstruction, such as when urine repeatedly gets blocked or when there are bladder stones or kidney function problems, other surgeries may be more suitable.

Specifically ask about four things in the consultation

Patient organizing questions before the Rezūm procedure consultation

First, I check how much obstruction and bladder irritation each contribute to my symptoms. Second, I ask how anatomical features like prostate size and median lobe protrusion affect the treatment plan. Third, I listen to the expected duration of catheter use and the plan for returning to work, exercise, and sexual activity. Fourth, I check how decisions are made about medication or additional treatments if the improvement is not as expected.

Samseong Station Rezūm treatment is neither a shortcut to avoiding medication nor a method that replaces all prostate surgeries. It is a treatment chosen when one can accept both the advantages and limitations based on individual test results and priorities.

Referenced Medical Information

This text is intended to provide general health information and does not replace diagnosis or treatment. The suitability of procedures and treatment plans should be determined with medical professionals based on test results and individual conditions.

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UROLOGIST

Medical Director Ji Hyun Park

Medical Director, Seoul Newgen Urology Clinic · Board-Certified Urologist

Dr. Ji Hyun Park is a board-certified urologist trained at Seoul National University College of Medicine and Seoul National University Hospital.

  • Graduated from Seoul National University College of Medicine · Master's degree in Urology from Seoul National University Graduate School of Medicine
  • Seoul National University Hospital Intern · Urology Resident · Board-Certified Urologist
  • Worked in the Urology Department at the National Cancer Center, Bundang Seoul National University Hospital, and Seoul Metropolitan Boramae Hospital
  • Former Chief of Urology at the Armed Forces Yangju Hospital
  • Full member of the American Urological Association (AUA) · European Association of Urology (EAU)
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11F, 514 Teheran-ro, Gangnam-gu, Seoul100 m from Samseong Station Exit 4 (Line 2)