Heretofore urologists have been leery to do any procedure on a radiation treated prostate cancer patient. Since Rezum does not cut tissue it may become a procedure for both the patient wanting to improve urination before radioactive seeds and to improve the voiding pattern is this is exacerbated by seeds.
Conclusions: Convective water vapor thermal therapy provides durable improvement to LUTS for 12 months and urinary flow while preserving erectile and ejaculatory functions.
Note: Most all of the treatments for enlarged prostate cause retrograde ejaculation. Because the prostate channel is opened with procedures to allow a better stream, in doing this the semen is not propelled forward and stays in the urethra. It is then voided out at the next urination. Medically this not an issue but some men do not like the fact that it happens. Retrograde ejaculation has not been noted in Rezum therapy. In addition Rezum in some cases improved sexual function which at this time is unexplained.
Convective Water Vapor Energy Tx (Rezum) of LUTS Preserves Sexual Function
Urology – October 30, 2016 – Vol. 34 – No. 9
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