Benign prostatic hyperplasia (BPH) is a common health problem, especially in men over the age of 50. This condition causes symptoms such as difficulty urinating, frequent urination, and nighttime awakenings, which negatively affect quality of life. Two of the most up-to-date methods used in BPH treatment today are Rezum (Water Vapor Therapy) and HoLEP (Holmium Laser Enucleation) procedures.
What are the differences between these two methods? Which patients are they more suitable for?
What is Rezum Treatment (Water Vapor Therapy)?
Rezum is a minimally invasive method that uses steam energy to shrink prostate tissue.
- During the procedure, a thin device is inserted into the prostate through the urethra.
- The device emits steam, which is absorbed by the tissue, causing the prostate cells to shrink.
- No incisions are made, and no tissue is cut.
Rezum treatment is typically performed under local anaesthesia or light sedation.
The procedure takes approximately 10–15 minutes.
Patients can usually return home the same day.
Advantages:
- Minimally invasive (no incisions)
- Quick recovery
- Sexual side effects are very low
What is HoLEP (Holmium Laser Prostate Enucleation)?
HoLEP is a surgical procedure in which enlarged prostate tissue is removed using a holmium laser.
- The prostate tissue is scraped away using a laser inserted through the urinary tract.
- The removed tissue fragments are extracted using special devices.
- HoLEP is one of the most effective treatment methods, especially for large prostates.
The procedure is typically performed under spinal or general anaesthesia.
It typically takes 1–2 hours.
Most patients stay in the hospital for 1 day.
Advantages:
- More effective for large prostates
- Permanent symptom relief
- Low risk of recurrence
Which Treatment is More Suitable?
- Rezum Treatment Ideal for patients with small to medium-sized prostates who want to avoid surgery and seek a quick recovery.
- HoLEP Surgery Suitable for patients with large prostates who want a long-term and permanent solution and can tolerate surgery.
Conclusion
Both Rezum treatment and HoLEP laser prostate surgery are reliable and effective methods for treating benign prostatic hyperplasia (BPH).
- Rezum offers a more comfortable and short-term solution.
- HoLEP, on the other hand, provides a more permanent solution, especially for larger prostates.
The most appropriate treatment option should be evaluated by a urology specialist, taking into account prostate size, age, overall health status, and patient expectations.
BPH Treatment at Uro Health Clinic
Uro Health Clinic in Istanbul offers the latest BPH treatment methods, including Rezum and HoLEP, performed by an experienced team of urologists.
For more information or to schedule an appointment:
+90 (534) 652 48 48