Vapor treatment (Rezum) for an enlarged Prostate, Who it would work for and Side Effects

madman

Super Moderator

Dr. Geo Espinosa sits down with Dr. Eric Giesler, a leading urologist from Austin, Texas, to discuss Rezūm, an innovative steam-based treatment for BPH (enlarged prostate). Learn how Rezūm works, who it’s best suited for, and how it compares to other minimally invasive treatments like UroLift. Discover the latest advancements in BPH care and actionable insights for improving prostate health.




Key Points:

*What is Rezūm?
A minimally invasive steam treatment for BPH, reducing prostate size and improving urinary flow.

*Ideal Candidates: Best for patients with moderate-to-large prostates; not suitable for extremely large prostates or those prioritizing ejaculatory preservation.

*Procedure Details: In-office, ~30-minute procedure with local anesthesia. Recovery includes short-term irritation, with significant improvement by 3–4 weeks.

*Comparison to UroLift: Rezūm offers longer-term results but may involve more recovery time. UroLift is ideal for patients who prioritize preserving ejaculatory function.

*Emerging Research: The VAPOR trial explores Rezūm’s potential for low-grade prostate cancer treatment.

*Patient-Centered Care: Importance of tailoring treatments to individual symptoms, anatomy, and lifestyle preferences.




Whether you're exploring treatment options or looking to deepen your understanding of BPH, this episode is packed with expert insights and practical advice to empower your journey toward better prostate health.
 
 

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Understanding Your Hormones

Estradiol (E2)

A form of estrogen produced from testosterone. Important for bone health, mood, and libido. Too high can cause side effects; too low can affect well-being.

DHT

Dihydrotestosterone is a potent androgen derived from testosterone. Affects hair growth, prostate health, and masculinization effects.

Free Testosterone

The biologically active form of testosterone not bound to proteins. Directly available for cellular uptake and biological effects.

Scientific Reference

Lakshman KM, Kaplan B, Travison TG, Basaria S, Knapp PE, Singh AB, LaValley MP, Mazer NA, Bhasin S. The effects of injected testosterone dose and age on the conversion of testosterone to estradiol and dihydrotestosterone in young and older men. J Clin Endocrinol Metab. 2010 Aug;95(8):3955-64.

DOI: 10.1210/jc.2010-0102 | PMID: 20534765 | PMCID: PMC2913038

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