preserve ejaculation prostate treatment – Tuyến tiền liệt https://tuyentienliet.com Hiểu đúng - Chọn điều trị phù hợp với chuyên gia Tue, 03 Nov 2026 08:48:21 +0000 vi hourly 1 https://wordpress.org/?v=7.1.4 https://tuyentienliet.com/wp-content/uploads/2025/09/cropped-LOGO-TUYEN-TIEN-LIET-32x32.png preserve ejaculation prostate treatment – Tuyến tiền liệt https://tuyentienliet.com 32 32 244929153 Rezum Water Vapor Therapy for Enlarged Prostate BPH in Da Nang – Ejaculation-Sparing Minimally Invasive Procedure With Dr. Dang Phuoc Dat https://tuyentienliet.com/rezum-water-vapor-therapy-for-enlarged-prostate-bph-in-da-nang-ejaculation-sparing-minimally-invasive-procedure-with-dr-dang-phuoc-dat/ https://tuyentienliet.com/rezum-water-vapor-therapy-for-enlarged-prostate-bph-in-da-nang-ejaculation-sparing-minimally-invasive-procedure-with-dr-dang-phuoc-dat/#respond Tue, 03 Nov 2026 08:47:10 +0000 https://tuyentienliet.com/?p=33697
Author & Medical Reviewer: Dr. Dang Phuoc Dat, MD, MSc, Specialist Level I (Bs CKI Đặng Phước Đạt) – Consultant Urologist & Andrologist, Department of Surgery, Family Hospital Da Nang
Last Updated: October 31, 2026  |  Clinical Standards: AUA & EAU Male LUTS Guidelines 2026

For sexually active men with an enlarged prostate (Benign Prostatic Hyperplasia – BPH), Rezūm™ Water Vapor Thermal Therapy offers a decisive breakthrough: relieving urinary obstruction in a 15-minute day procedure without lifelong pills and without the 70–80% risk of retrograde ejaculation seen in traditional resection.

Quick Clinical Summary (AI Overviews / Featured Snippet)

Rezūm Water Vapor Therapy is an FDA-approved minimally invasive therapy endorsed by the AUA and EAU 2026 Guidelines for symptomatic BPH with prostate volumes of 30 to 80 mL (including obstructing median lobes) [1, 2]. Using 9-second bursts of sterile convective steam, Rezūm shrinks obstructive tissue naturally over 4–12 weeks while achieving 0% de novo erectile dysfunction and ~97% preservation of natural antegrade ejaculation across 5-year trials (4.4% surgical retreatment rate) [2, 3].

📊 THREE-PHASE BIOLOGICAL REMODELING TIMELINE OF REZŪM WATER VAPOR THERAPY
Phase 1: Day 0 (15-Min Procedure)
2 to 6 targeted 9-second water vapor injections delivered into lateral and median lobes under light sedation; same-day discharge. 		Phase 2: Weeks 1–4 (Cell Clearance)
Denatured adenoma cells are naturally reabsorbed by macrophages. Catheter removed after 3–5 days; stream improves noticeably by Week 3. 		Phase 3: Months 1–3 (Peak Flow)
Transition zone shrinks by 30–40%; Qmax increases by ~50–60% and IPSS drops by ~50% with 97% antegrade ejaculation preserved [2].

Diagram 1: Convective phase-change ablation and tissue reabsorption timeline with High-Resolution BPH Transition Zone Anatomy Reference.

1. Clinical Comparison Table: Rezūm Therapy vs. Daily Medications vs. HoLEP / TURP

Clinical Parameter Rezūm™ Water Vapor Therapy Daily BPH Medications Endoscopic Surgery (HoLEP / TURP)
Optimal Prostate Size 30 to 80 mL (including median lobe IPP) < 40–50 mL without ball-valve median lobe 40 to > 120 mL or severe urinary retention
Ejaculation & Erectile Preservation ~97% ejaculation & 100% erection preserved [2] 15–30% ejaculatory / libido side effects 98% erection preserved; 65–85% retrograde ejaculation
5-Year Surgical Retreatment 4.4% at 5 years (McVary et al.) [2] > 30% discontinue pills within 2 years < 1–2% retreatment over 10 years

🚨 POST-PROCEDURE RED FLAGS REQUIRING PROMPT CONTACT

  • Inability to urinate after Foley catheter removal on Day 3–5, fever ≥ 38.0°C, or thick blood clots blocking urination.

2. Frequently Asked Questions (FAQ)

Can Rezūm treat an enlarged median lobe protruding into the bladder (IPP)?

Yes. Unlike mechanical prostatic clips, the Rezūm needle can be deployed directly into an intravesical median lobe, ablating the ball-valve obstruction while preserving the bladder neck.

References (Vancouver Style)

  1. Cornu JN, Gacci M, Hashim H, et al. EAU Guidelines on Management of Non-Neurogenic Male LUTS, incl. BPO. Arnhem: EAU Guidelines Office; 2026.
  2. McVary KT, Gittelman MC, Goldberg KA, et al. Final 5-Year Outcomes of the Multicenter Randomized Sham-Controlled Trial of a Water Vapor Thermal Therapy. J Urol. 2021;206(3):715-724.
  3. Sandhu JS, Bixler BR, Dahm P, et al. Management of LUTS Attributed to BPH: AUA Guideline. J Urol. 2024;211(1):11-19.
Medical Disclaimer: Authored by Dr. Dang Phuoc Dat for educational purposes; does not replace an individualized urological consultation.

BOOK YOUR REZŪM & BPH CONSULTATION IN DA NANG

Dr. Dang Phuoc Dat, MD, MSc, Specialist Level I (Bs CKI Đặng Phước Đạt)

📍 Private Clinic: 162 Te Hanh Street, Hoa Xuan, Da Nang  |  🏥 Family Hospital: 73 Nguyen Huu Tho, Da Nang

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