Recently, the urology department of Shenzhen New Frontier United Family Hospital has successfully carried out multiple cases of prostate hot steam ablation surgery (Rez ū m), which is also a continuation of the previous practice UroLift The second type of minimally invasive surgery performed in our hospital after the surgery.
 

Director Guan Zhichen of our urology department summarized that this innovative surgery has the core advantages of ultra invasiveness, short operation time, and almost no impact on sexual function. It can greatly advance the treatment time of patients and reduce the time for early medication for prostate hyperplasia.

 

What is Rezūm operation?

Benign prostatic hyperplasia (BPH) is the most common benign disease that causes urinary disorders in middle-aged and elderly men, with approximately 50% of men over the age of 50 suffering from it BPH， And the proportion of males over 80 years old suffering from the disease is as high as 90%.

 

Rezūm Surgery is a form of treatment BPH Innovative technology through the use of Rezūm Hot steam therapy equipment and disposable prostate hot steam therapy instruments, utilizing the convective properties of water vapor, can uniformly destroy the enlarged prostate cell tissue, alleviate and BPH Related symptoms and obstruction, and reduced prostate tissue.
 

Rezūm Comparison before and after treatment
 

Rezūm What are the advantages of surgery?

01 Ultra minimally invasive and fast operation

Rezūm The overall operation time of the surgery is short, compared to the current stage BPH Compared to electrocautery, which is the gold standard, electrocautery requires 1-2 hours of surgical time Rezūm The surgery takes an average of only 5-8 minutes.
 

Rezūm In developed countries, it is already an outpatient surgery that can be performed under local anesthesia in an outpatient (day operating room) environment, without the need for systematic anesthesia in the operating room. Patients can leave on the same day after the surgery.

 

02 No serious concurrent diagnosis

Currently, in clinical practice, after Rezūm Patients undergoing surgical treatment have no serious adverse events (SAEs), and non serious adverse events (Non SAEs) are relatively rare and mild in severity, all of which can be resolved within 3 weeks after surgery.

 

03 Function retention

Rezūm One prominent advantage of surgery is that it has no side effects on the patient's sexual function.
 

According to the evaluation, accept Rezūm Surgical patients, their IIEF and MSHQ EjD There was no difference in functional scores compared to the control group at baseline, 3 months, and 1 year. The ejaculation distress score increased by 31% compared to baseline at 1 year.

 

Rezūm Safety and effectiveness

Rezūm The global surgical volume has exceeded 150000 cases, and since its launch in China in March 2022, it has been used in over 500 cases. Clinical data has proven its safety and effectiveness.

 

According to data from a five-year randomized controlled study provided by Boston Scientific, within 5 years after surgery, the 5-year post-treatment rate of electrocautery is 3% -14.5% compared to that of resection, Rezūm The reoperation rate is only 4.4%, which has significant effects on improving lower urinary tract symptoms (LUTS), quality of life (QOL), and urine flow.
 

 

At present, Rezūm It has been recommended by multiple authoritative institutions in urology both domestically and internationally. In the "Diagnosis and Treatment Guidelines for Urology and Andrology Diseases in China" (2019 edition), Rezūm serve as BPH One of the effective diagnosis and treatment methods has been mentioned, and in addition, the European Urology Association and the American Urology Association also have similar opinions on Rezūm I made a recommendation.

 

Rezūm Who is suitable for surgery?

The surgery is mainly suitable for the following male patients:

• Age 50 and above;
 

• Prostate volume between 30 cm³ Up to 80 cm³ between;
 

Suitable for treating central or middle lobe hyperplasia of the prostate.
 

Combined with this acceptance Rezūm According to Dr. Guan Zhichen, regarding the patient's condition during the surgery, Rezūm Surgery is particularly suitable for patients who do not wish to take medication for a long time and wish to maintain sexual function. It is also suitable for manual laborers.
 

 

Patients may consider the following situations Rezūm operation:

I don't want to continue taking it BPH Medications, or not intending to take such medications;

• Do not accept any other targeting BPH Minimally invasive or surgical procedures;

• Believing that their diagnosis is not severe enough to require surgical intervention;

Based on individual circumstances, there are requirements for postoperative recovery time, anesthesia, sexual function impact, and possible duration of catheter use.
 

The following patients are prohibited from using it Rezūm：

Patients who have undergone urethral sphincter implantation surgery;

Patients with penile implants;

Patients with urinary tract infections.
 

Postoperative medication and nursing

After surgery, a urinary catheter needs to be left in place. Based on the intraoperative treatment, determine the duration of indwelling catheter (1 needle/day, for example: 4 needles for treatment and placement of catheter for 4 days)

In terms of nursing, it is necessary to prevent constipation (using stool softeners if necessary), avoid prolonged sitting, heavy physical exertion, and vigorous activity within one month, and avoid sexual activity within two weeks.

 

The following medications are usually used after surgery to help patients recover better:

Antibiotics (used according to urine routine)

•α Receptor blocker: Halal 0.2 mg Qd Take for 1 month

•5α Reductase inhibitor: Baoliezhi 5 mg Qd Take for 1 month

Non steroidal anti-inflammatory and analgesic drugs (used if necessary)

Anticholinergic drugs: Sernittin, Weixikang (if necessary)
 

Introduction to Urology

Shenzhen New Frontier United Family Hospital's Department of Surgery provides 24-hour adult surgical services and postoperative monitoring for emergency and inpatient patients. We have a professional medical team composed of experienced and highly skilled surgeons, anesthesiologists, and monitoring nurses, following the principles of evidence-based medicine and rapid recovery, providing patients with comprehensive and personalized medical services including diagnosis and treatment.

 

Reception scope

Prostatic diseases
Prostate hyperplasia, prostate cancer, etc
 

Urinary calculus
Kidney stones, ureteral stones, bladder stones, urethral stones, etc
 

Urological tumors
Renal tumor, ureter cancer, bladder cancer, etc
 

Female Urological Surgery
Stress urinary incontinence, nocturia, bladder overactivity, etc
 

andrology
Sexual dysfunction, premature ejaculation, male infertility, penile and scrotal diseases, etc