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Rezūm: water vapour, with what results?
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Rezum uses water vapour injected directly into the tissue of the prostatic adenoma. That vapour will destroy the cells and little by little the tissue is reabsorbed in the following weeks.
It is usually done with sedation and is also presented as a technique that preserves ejaculation. The five-year data show a retreatment rate of four to eleven percent, depending on the study.
Being a cavitative technique, a technique that creates a hole inside the prostate, it has better results than Urolift, but worse than HoLEP, which is laser enucleation. The improvement in symptoms and urinary flow is moderate, not as good as after an enucleation.
And the worst thing is that there is a very uncomfortable postoperative period.