Rezūm is a method by which steam energy is used to ablate (or remove) the particular part of the prostate that enlarges and causes symptoms due to BPH. Specific technical information is explained below.
This video gives a brief outline of the treatment and how it works
This system consists of a portable radiofrequency (RF) generator and delivery device that is introduced into the body via the urethra (transurethral approach) and guided by direct visualization through a telescopic lens placed within the delivery device.
RF energy from the generator is applied to an inductive coil in the delivery device to heat up a controlled amount of water outside of the body, converting the water into vapour or steam. The thermal energy created outside the body is delivered into the prostate tissue through a tiny needle with emitter holes to ablate the targeted obstructive prostate tissue that causes BPH. The procedure takes approximately 3 – 7 minutes and can be performed in a Day Surgery setting. No RF energy is delivered into the body.
Throughout the insertion of the device and during the treatment saline (salty water) is running to help ensure better views and to prevent the urethra from overheating.
The Rezūm System is intended to relieve the symptoms of obstruction and prostate tissue associated with BPH and is indicated for men with prostatic urethra lengths >2 .0 cm and prostate volumes >20 cm3. The Rezūm System also is indicated for treatment of prostates with a median lobe or elevated central zone tissue.
Rezum in the UK
Rezūm uses the natural energy stored in water vapour, or steam. It is a safe and effective treatment available to relieve symptoms associated with benign prostatic hyperplasia (BPH). The Rezūm System received CE Mark on 8th July 2013 and FDA clearance for use in the USA on 27th August 2015.
Rezum received NICE approval on 21 August 2018. This means it is now a recommended treatment for BPH on the NHS. However this does not mean it is available routinely across the NHS. It is dependent on each NHS trust and the treatments they decide to offer.
The North Hampshire Hospital is one of 5 centres in the UK that have been selected to start using this technology in the NHS. The data collected by these centres was presented to NICE prior to the approval in August 2018. We hope that additional centres will start offering the treatment throughout the UK. To find out where Rezum is available in the UK, please visit www.rezum.co.uk
Professor Richard Hindley is the leading surgeon for this procedure in the UK, having been the first surgeon to carry out the treatment, and has now carried out over 120 cases in the UK both on the NHS and privately. He has also led Masterclass sessions to other consultants across the UK who are interested in offering the treatment within their hospitals.
A Three year randomized study comparing Rezum to TURP has now been completed and the results can be read here
Richard and his team of consultants also presented their results to the British Association of Urological Surgeons in June 2018.A summary of these results can be seen here BAUS 2018 Rezum poster
Advantages of Rezum
Fast, effective and, precise BPH treatment
Ablates targeted tissue, which is then resorbed
Treats enlarged central zones and/or median lobes
Clinically proven, safe and effective
Preserves sexual and urinary functions
Rapid return to normal activities
What type of patients may benefit from the Rezūm procedure to treat BPH?
Men who have elected to discontinue or who have chosen not to take BPH medications
Men who are not receptive to other minimally invasive or surgical BPH procedures
Men who have indicated they aren’t bothered enough by their symptoms to elect an invasive surgical procedure
How do I know if Rezūm therapy is a good treatment option for me?
Your urologist will consult with you to determine if Rezūm water vapour therapy is a good treatment option for you based on your symptoms and personal treatment goals. The Rezūm System is indicated for men 50 years and older with a prostate volume of ≥ 30cm3 and ≤80cm3. The Rezūm System is also indicated for treatment of prostate with hyperplasia of the central zone and/or a median lobe. The use of the Rezūm System is contraindicated for patients with a urinary implant or who have a penile prosthesis.
Having Rezum treatment privately.
Following a consultation, should you be suitable for Rezum and wish to have the procedure, this can either be through your medical insurer if they approve it, or self funding.
For self funding patients, the procedure costs approx. £4,240 (outside London) or approx. £5460 (London), which includes;
Pre-operative assessment with necessary blood and urine tests and an ECG,
The hospital fees and consultant fees
A trial without catheter (TWOC) approximately 5-7 days later
One follow up appointment post-procedure.
Should you need any diagnostics before having the treatment, these will be charged directly by the hospital. You will need to check with your insurer whether your policy covers these diagnostic tests as well. These may include a Flow rate test, Trans Rectal Ultra Sound Scan (TRUS) or a Bladder scan.
You would need to consider that we would need to see you about 2 weeks prior to the procedure for your pre-operative assessment, you would need to return 5-7 days later for your trial without catheter and you would need follow up appointments at 1 month (included in the cost of the procedure) then at 3 and 6 months. The cost of these appointments is £150 each plus £75 for a flow rate on arrival.
Professor Hindley operates privately at;
BMI Hampshire Clinic, Old Basing, Basingstoke RG24 7Al.
25 Harley Street and Weymouth Street Hospital, London
Candover Clinic, North Hampshire Hospital, Basingstoke
If you wish to have Rezum on the NHS, you need to speak to your GP and ask for a referral to the North Hampshire Hospital or to your local NHS trust.