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Rezūm – the latest in BPH treatment

Written by: Professor Richard Hindley
Published: | Updated: 29/03/2019
Edited by: Cal Murphy

When you talk about prostate problems, your mind usually jumps straight to cancer. However, benign prostatic hyperplasia (BPH) is a common prostate condition and, as its name suggests, it is a benign (non-cancerous) enlargement of the gland. However, that is not to say that it doesn’t cause problems, as it can affect urination and lead to urinary tract infections (UTIs). Luckily, there are several treatment options, including the revolutionary Rezūm treatment. We turned to expert urologist Professor Richard Graham Hindley to answer our questions:

What is the best treatment for an enlarged prostate?

The best treatment for BPH is a personalised approach which involves a discussion of the appropriate treatment options for each individual.

A good treatment is one that improves symptoms for a long period of time, whilst keeping to a minimum the likelihood of side-effects.

What is Rezūm for BPH?

Rezūm is a new treatment which heats and destroys the prostate using convective heat delivery. A water droplet is heated up and steam is then injected through a water pipe into the prostate. This water vapour destroys the enlarged tissue. The number of injections of steam depends on the size of the prostate. A larger gland will require more treatments with the steam – though each injection of steam only takes 9 seconds, so it is a quick procedure overall.

It can be performed under local anaesthetic with sedation.

Will Rezūm prevent BPH from recurring?

Rezūm will not prevent further prostate growth - the gland does continue to grow and a proportion of men will require a further procedure at a later time.

What are the benefits of Rezūm vs surgery?

The benefits of this intervention rather than the other ‘bigger’ operations such as TURP, is that it is quick to perform and it doesn’t upset sexual function, and it can be safely performed under local anaesthetic.

Because of the absence of serious long term side-effects, many men are opting to have Rezūm rather than taking medication, an option that is often usually given a try before surgery. Many men are unable to tolerate the side-effects of drugs.


If you have BPH, it is important to discuss management options with your doctor or a specialist.

By Professor Richard Hindley

Mr Richard Graham Hindley is a renowned consultant urologist based in London and Hampshire. He specialises in diagnosing and treating prostate conditions, such as prostate cancer and benign prostatic enlargement, utilising techniques such as GreenLight laser surgery, Urolift, and Rezum water vapour therapy. He is among a select few surgeons in the UK that are experienced in high intensity focal ultrasound (HIFU) treatment for localised prostate cancer.

After graduating from the University of Dundee, he trained in Brighton and the South Thames region (including King's Hospital). In 2003, he undertook a fellowship in laparoscopic urology in Brisbane, before being appointed as a consultant surgeon in Basingstoke where he has spent over a decade honing his skills, and helping to improve the local service, turning the Basingstoke centre into one of the leading centres in the UK.

Mr Hindley is now clinical lead for urology in his department at the North Hampshire Hospital and is also experienced in treating kidney conditions. At the end of 2017, he was appointed as a Visiting Professor at the University of Winchester working in the Department of Health and Wellbeing. He is also now working as a consultant urologist at UCLH one day a week working with the prostate cancer diagnostics and focal therapy team.

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