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For anyone considering undergoing Rezum treatment for benign prostatic hyperplasia (BPH), it’s important to have a clear understanding of the potential risks and benefits. Unfortunately, there is a lot of misinformation out there about Rezum and what it can do. In this article, Dr. Suntchai Wirotsaengthong from M Centre by BNH will help to dispel some of the most common misconceptions about Rezum so that you can make an informed decision about your treatment.

 

1. Is it totally painless? No, it’s not

 

As its name suggests, Rezum has much less invasive to patients with the post-operative bleeding is less than 10 ml compared with traditional surgery which in some case bleeding could be massive and probably needed blood transfusions. During the procedure, anesthesia by intravenous sedation is applied in order to maximize patients’ comfort.

However, it’s not totally painless as it’s advertised sometimes. Most of patients experienced the discomfort feeling after the effects of anesthesia wear off and especially in first 5 to 7 days when a catheter is inserted into their body.

“It (a catheter hooked with a bag) is bothersome but it's necessary since an acute inflammation and swelling after the procedure make it difficult to urinate and that’s why a catheter is required for a few days. It’s better than leaving patients with the feeling that they still have not empty their bladder,” Dr. Suntchai explained.

 

2. Does it improve your sexual function?

 

It’s one of frequently asked questions that Dr. Suntchai has been received from his patients. A lot of men choose Rezum rather than other conventional treatments with the expectation that it will enhance their sexual functions.

“This is understandable because only men having daily take BPH oral medicines can understand the frustrated feeling when their libido, erectile, ejaculatory and orgasmic function deteriorated. Same things happen with the majority of patients who underwent the surgical treatment for BPH. Yet with Rezum the sexual function is preserved. There was no data reported on the negative impact of Rezum on sexual dysfunction and erectile dysfunction (ED) 5 years after treatment (Rezum is novel therapy and has just been approved by US FDA since 2015).

However, I always emphasize with my patients that Rezum doesn’t worsen your sexual ability but it also doesn’t make it better,” said Dr. Suntchai.

 

3. It’s not one size fits all treatment

 

Although having a lot of advantages, Rezum, like every procedure, is not one-size- fits-all treatment. Normally, it’s advised for patients with prostate size of 30-80 grams or someone who has enlarged median lobe.

“But not only that”, said Dr. Suntchai. There are numerous of factors needed to be considered before you decide to go ahead with specific treatment. Firstly, ask yourself how severe your symptoms are? If the symptoms like nocturia annoys your daily life too much, that’s signal to tell it’s time to get treatment.

Secondly, check your prostate. If its size is too big or it’s acute inflammation, Rezum might be not for you. Other contraindications of Rezum are patients with urinary sphincter implant or who have a penile prosthesis. “It’s crucial to make sure that you’re cancer-free. A continuous elevated PSA (> 4 ng/ml) may a sjgn of hidden prostate cancer and further investigation such as MRI needed to be done.”

 

Read a candid story of about our patient's experience with Dr. Suntchai Wirotsaengthong:  https://bit.ly/42J2Tdj

 

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Why M Centre at BNH Hospital?

 

There is a wide range of treatments available for BPH patients at M Centre, BNH hospital, ranging from medication to minimally invasive treatments to surgery (Greenlight laser & TURP). The centre is currently the first and only facility in Thailand to provide both iTind and Rezum – two of the newest minimally invasive treatments for BPH. Dr. Suntchai’s team has gained extensive experience in this area, with over 50 MIS cases completed to date.

 

Book a Free Consultation with our Urologist, Dr. Suntchai Wirotsaengthong at

[email protected]

 

 Or contact via Whatsapp: + 66 63 445 7854

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