Prostate enlargement is one of the most common and unavoidable conditions affecting men, and almost all men experience it as they age. In conventional treatment methods—such as long-term medication use, transurethral prostate resection (TURP), or laser prostate surgery—various medical complications may occur. In contrast, prostate treatment using the Rezum technique is considered almost complication-free and has the lowest rate of side effects among all available treatment options.
This method was developed and introduced by Boston Scientific (USA) and has been performed for several years in advanced countries worldwide. Rezum therapy is an outpatient procedure, does not require surgery, and offers a high safety profile with minimal medical complications. Due to its simplicity, high success rate, and extremely low risk of side effects, Rezum has gradually replaced older and more invasive prostate treatment methods worldwide.
Although Rezum appears to be a simple procedure, its outcome depends heavily on the surgeon’s skill and experience. Dr. Amin Mir Sadeghi, with the highest number of Rezum procedures performed in the Middle East and more than 150 Rezum prostate surgeries annually at American Academy of Cosmetic Surgery Hospital, is proud to offer this advanced treatment to patients.
What Is the Prostate and Why Is It Important?
The prostate is a walnut-sized gland located beneath the bladder outlet in men. The urinary tract and the ejaculatory ducts converge at one end and connect to the urethra and penis at the other. The prostate plays a vital role in transporting urine and semen to the outlet. For this reason, it is critically important for male fertility, sexual function, urinary control, and overall urological health.
What Is Prostate Enlargement (BPH) and Can It Be Prevented?
Like all body tissues, the prostate undergoes changes over time. In all men, prostate size gradually increases with age, and in some cases, it may also develop cancer. Prostate enlargement in men is unavoidable and occurs in all men between the ages of 40 and 50. This process is as inevitable as hair turning gray and cannot be prevented.
Certain medications may slow prostate growth or slightly reduce its size, but they must be taken daily and often cause long-term side effects affecting sexual function, ejaculation, and overall quality of life. Moreover, untreated prostate enlargement can lead to irreversible damage to organs such as the bladder, kidneys, and urinary tract.
Many sources on the internet claim that consuming tomatoes, following special diets, or exercising can prevent prostate enlargement. This is a medical misconception. Prostate enlargement will occur in all men eventually; genetics and lifestyle only affect when it begins. Once the enlargement process starts, it cannot be cured with diet or exercise alone.
Complications of Untreated Prostate Enlargement
Prostate enlargement is a widespread condition that affects all aging men. If left untreated, it gradually narrows the urinary and ejaculatory ducts. This leads to incomplete bladder emptying, forcing the bladder to exert excessive pressure, which causes thickening of the bladder muscle over time.
Urine retention increases the risk of bladder infections, bladder stones, and even bladder cancer. In severe cases, irreversible kidney damage may occur. Eventually, urinary obstruction can become so severe that the patient experiences complete urinary retention and requires catheterization, making urgent prostate surgery unavoidable.
Symptoms of Prostate Enlargement
As the prostate enlarges, it gradually narrows the urinary outlet. Prostate enlargement progresses from mild to severe stages. Unfortunately, early and mild stages are often asymptomatic and can only be detected through ultrasound imaging.
As the condition worsens, symptoms may include:
- Incomplete bladder emptying
- Frequent nighttime urination (nocturia)
- Weak urinary stream
- Intermittent urine flow
Prostate Treatment Methods: Advantages and Disadvantages
Benign prostate enlargement caused by aging typically begins between the ages of 40 and 50 and worsens over time.
Prostate Medications and Their Side Effects
In early stages, doctors usually prescribe daily medications such as Tamsulosin or Alfuzosin, which relax the prostate muscles and widen the urinary channel. These drugs do not cure prostate enlargement and may cause side effects including:
- Ejaculatory disorders and dry ejaculation
- Dizziness
- Nasal congestion
- Low blood pressure
Hormonal medications such as Finasteride and Dutasteride can shrink the prostate but are usually reserved for very large prostates or older patients due to significant hormonal and sexual side effects. These medications also require daily use.
In many patients, symptoms progress despite medication, leading to drug resistance and the need for surgical intervention.
Surgical and Non-Medication Treatment Options
For moderate to severe cases, surgical procedures such as TURP, HoLEP, or laser prostate surgery are used to relieve obstruction. However, these procedures have notable disadvantages:
- Due to the proximity of the bladder sphincter, there is a risk of sphincter damage, potentially leading to urinary incontinence.
- The most significant sexual side effect is permanent retrograde ejaculation, especially distressing for younger patients.
Additional risks include urethral stricture, bladder neck contracture, anesthesia complications, erectile dysfunction, and postoperative infections.
Rezum Therapy: The Safest and Least Complicated Prostate Treatment
For over 10 years, Boston Scientific (USA) has developed and introduced a revolutionary outpatient treatment using controlled water vapor injections into the prostate via a very fine needle.
Rezum is the only truly minimally invasive, incision-free treatment that eliminates urinary symptoms caused by prostate enlargement, offering the highest success rate among non-surgical options and the lowest complication rate—even lower than medications—especially regarding ejaculation preservation.
How Does Rezum Water Vapor Therapy Work?
A very thin needle, similar in size to an IV needle, is inserted through the urethra (without any incision) and guided into the prostate. The needle penetrates approximately 1 cm into the prostate tissue, delivering 70°C water vapor for 9 seconds into the prostate core.
This process is repeated at multiple points, spaced 1–2 cm apart, on both the left and right lobes and the median lobe if present. The needle is then withdrawn, completing the procedure.
The treatment is performed outpatient, without general anesthesia, sutures, or incisions. Due to the thermal shock, prostate cells undergo natural cell death. Over approximately 3 months, the treated tissue is absorbed, the prostate shrinks naturally, and pressure on the urethra is relieved.
Advantages and Disadvantages of Rezum Therapy
Rezum is performed without general anesthesia, using only mild sedation. This eliminates anesthesia-related risks and makes it ideal for patients who cannot undergo traditional surgery due to bleeding risks or medical conditions.
The needle is extremely thin, creating a puncture no larger than an ear-piercing hole, making it one of the safest prostate treatments available. The injected substance is pure water, eliminating chemical or medication-related side effects.
Unlike UroLift, no foreign object is implanted in the body. Due to the shallow needle depth, there is virtually no risk of damage to the urinary sphincter, urethra, or ejaculatory ducts. As a result:
- Sexual and erectile function remain intact
- Risk of urinary incontinence is negligible
- Ejaculatory dysfunction occurs in only 5–7% of cases
Based on extensive medical research, Rezum is recognized as the safest, most reliable, and most comfortable prostate treatment without tissue removal.
Rezum Success Rate and the Best Rezum Surgeon in the UAE & Middle East
Choosing an experienced surgeon is critical to achieving optimal results with Rezum therapy. Incorrect injection placement can significantly affect outcomes.
Dr. Amin Mir Sadeghi, one of the leading urologists in the Middle East, performs over 150 Rezum procedures annually, has more than 10 years of medical experience, is a top-ranked board-certified urologist, and is officially approved by Boston Scientific (USA). He practices at American Academy of Cosmetic Surgery Hospital, Dubai, and is known for exceptional patient satisfaction.
Rezum Surgery Cost, Hospital Stay, and Recovery Time
The cost of Rezūm prostate treatment at the American Academy of Cosmetic Surgery Hospital in Dubai, performed by Dr. Amin Mir Sadeghi, is AED 25,000 for a limited time, in celebration of the opening of the first and most luxurious Andrology Center in the region at the hospital. Although considered a premium procedure, Rezum therapy is covered by insurance.
Hospitalization is typically unnecessary or limited to one night, and most patients require a Foley catheter for 2 to 7 days during recovery.
