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Discover Rezūm
for BPH Relief

What is BPH?

Benign prostatic hyperplasia (BPH) is a condition in which a man’s prostate becomes enlarged and obstructs the flow of urine, causing irritative symptoms. BPH is extremely common with roughly half of the entire male population experiencing symptoms by 60 years of age.1 It’s nothing to worry about until it impacts your sleep, work, sex life and ability to urinate freely. So, what causes BPH? What are the symptoms? What can you do?

Causes & Symptoms

What causes BPH? It’s not exactly clear. But you’re not alone, BPH impacts 90% of men by the age 85. 1 As the prostate enlarges, pressure can be put on the urethra, causing irritative symptoms:

•    Waking up several times a night to urinate
•    Weak, interrupted urine stream
•    Hard time starting and stopping
•    Feeling a sudden urge to urinate
•    Not sure your bladder is empty
•    Dribbling at the end of your stream
•    Painful or burning urination
•    Inability to go when you feel the need
•    Lack of control over urination
•    Take the BPH Quiz to gauge your symptoms. 


How does BPH affect your life? BPH may not be life threatening, but it can take its toll on a man’s health and quality of life. Chronic exhaustion from waking up at night to go. Embarrassing delays at public urinals. The anxiety of talking about BPH. It all adds up.  

Treatment Options 

What are the treatment options? Treatment options range from noninvasive behavior modification and watchful waiting to medications, minimally invasive procedures and surgery. Which is best for you? It all depends on the amount of discomfort you’re in, your age, health, the size of your prostate and your post-procedure expectations.  

1.Barry M, Roehrborn C. Management of benign prostatic hyperplasia. Ann Rev Med. 1997 Feb;48:77-189.

Watchful Waiting

If your BPH symptoms are mild to moderate and don’t interrupt your daily routine, your doctor may recommend a watch-and-wait approach. It includes active monitoring before considering other treatments.


Alpha blockers relax the muscles in the bladder and prostate, making it easier to urinate. And alpha reductase inhibitors help shrink the prostate gland by blocking hormones. But they may not work for everyone. In some cases, side effects and cost make medication a less desirable option.

Behavioral Modification

You can help control BPH symptoms by making lifestyle changes such as following a diet rich in fruits and vegetables; getting regular exercise; maintaining a healthy weight; reducing stress in your life; limiting caffeine, alcohol and other beverages in the evening; and avoiding decongestants and antihistamines and other medications that can aggravate symptoms.1

Water Vapor Therapy with Rezūm™

Rezūm Water Vapor Therapy is an in-office treatment that uses the natural energy stored in water vapor, or steam, to treat the excess prostate tissue causing symptoms such as irregular urine flow, a weak stream, straining or getting up at night to urinate. All while preserving sexual function.2


Prostatic Urethral Lift is a procedure that utilizes permanent implants to lift and hold the enlarged prostate tissue out of the way, so it no longer blocks the urethra.

Laser Therapy with GreenLight™

GreenLight Laser Therapy is a same-day procedure that uses a high-energy laser to remove your excess prostate tissue and return urine flow.

Other Surgical Options

TURP, transurethral resection of the prostate, involves using a superheated thin metal band to cut and remove tissue. Open prostatectomy may be required in complex cases. This procedure enables surgeons to remove the inner portion of the prostate blocking urine flow by making small incisions in the lower abdomen.

This list of treatment options is not all-inclusive. Other treatment options may be available.


  1. American Urological Association Education Research, Inc. American Urological Association Guideline: Management of Benign Prostatic Hyperplasia (BPH), Revised. 2010. Appendix 280, 283-5.

  2. McVary KT, Gange SN, Gittelman MC, et al. Erectile and ejaculatory function preserved with convective water vapor energy treatment of lower urinary tract symptoms secondary to benign prostatic hyperplasia: Randomized controlled study. J Sex Med. 2016 Jun;13(6):924-33.

What is Rezūm Water Vapor Therapy?

Rezūm Therapy treats the source of BPH — your enlarged prostate. This short, in-office procedure uses the natural energy stored in a few drops of water to shrink the prostate so urine can flow freely. There are no incisions, no general anesthesia, and most patients return to regular activities within a few days.* And, it preserves sexual function.1,2 

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How does Rezūm Water Vapor Therapy work? 

Rezūm Water Vapor Therapy is a non-surgical treatment that uses the natural energy stored in water vapor, or steam, to remove excess prostate tissue that is pressing on the urethra.

During each 9-second treatment, sterile water vapor is released throughout the targeted prostate tissue. When the steam contacts the prostate tissue, all the stored energy is released into the tissue. Your doctor will determine the amount of treatments you need, based on the size of your prostate.

Over time, your body’s natural healing response absorbs the treated tissue, shrinking the prostate. With the extra tissue removed, the urethra opens, reducing BPH symptoms.

Most patients begin to experience symptom relief in as soon as two weeks, and maximum benefit may occur within three months.1,2 Patient responses can and do vary.

Dr. Beshai, one of our 8 Board Certified Urologists who specializes in treating BPH

Who may benefit from
Rezūm Water Vapor Therapy? 

Rezūm Therapy may be an option for those who have given up on watchful waiting and lifestyle changes, men who are dissatisfied with, have stopped or don’t want to start taking BPH medications, and men not interested in other minimally invasive or surgical BPH procedures. 

Why is Rezūm Water Vapor Therapy an important option?

For years, the primary options for treating BPH were through medications or invasive surgery. Rezūm Therapy is a natural, in-office therapy option for men who do not want to take medication or are dissatisfied with medication symptom relief and want to avoid invasive surgery or implants to treat their BPH.
Market research indicates that preserving sexual function is a priority for men when it comes to BPH treatments.3 Clinical studies show Rezūm Therapy treats the cause of BPH symptoms while preserving sexual function.1

Where is the Rezūm Water Vapor Therapy procedure performed? 
Rezūm Therapy can be performed in a short visit here at Urological Associates of Western Colorado. Please call us to schedule an appointment with one of our Providers. 

Is Rezūm Water Vapor Therapy covered by insurance? 
Rezūm Therapy is considered a covered benefit by Medicare and most private insurance. Patients should verify their benefits with their insurance company in advance of the scheduled procedure. 

How quickly do patients experience symptom relief? 
Clinical studies show that most men experience symptom relief as soon as two weeks after treatment with Rezūm Therapy, and maximum benefit may occur within three months.4 As with any procedure, patient responses can vary. 

How soon can patients return to regular activities? 
Clinical studies show that following treatment with Rezūm Therapy, most men return to regular activities within a few days.2 Your Provider will make personal recommendations on resuming activity. 

Additional Resources

For more information about BPH and Rezūm Water Vapor Therapy, please visit

* Dependent on individual clinical situation and healing response.
1 McVary KT, Rogers T, Roehrborn CG. Rezūm water vapor thermal therapy for lower urinary tract symptoms associated with benign prostatic hyperplasia: 4-year results from randomized controlled study. Urology. 2019 Apr;126:171-9.
2 McVary KT, Gange SN, Gittelman MC et al. Minimally invasive prostate convective water vapor energy (WAVE) ablation: A multicenter, randomized, controlled study for the treatment of lower urinary tract symptoms secondary to benign prostatic hyperplasia. J Urol. 2016 May;195(5):1529-38.
3 Boston Scientific Market Research: Understanding Today’s BPH Patient, August 30, 2018.

Call or Text us to speak to one of our providers about available treatment options:

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