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Rezum Prostate Water Vapor Therapy Postoperative Instructions

Catheter: The catheter typically stays in for 3 to 7 days depending on the size of your prostate gland. Once the catheter is removed after Rezum procedure, most men can void. There are a subset of men who may not be able to void if the bladder is not ready to go yet and may need the catheter replaced. When the catheter first comes out it is very common to feel like you have a urinary tract infection with burning with urination, increased urinary frequency and urinary urgency. These symptoms typically improve over a 2 to 3 week period of time. If these symptoms persist then you should come in for a urine check to make sure you do not have an infections.

Fluids: You should drink plenty of fluids during the day to promote increased production of urine. You can restrict the amount of fluids you drink later in the day so that you do not have to get up as much at night to urinate.

Activity: You should avoid strenuous activity during the first two weeks, which includes heavy lifting, bike riding, treadmill activity, or riding a lawnmower. Avoid sexual activity for two weeks. You may resume your normal daily activities. You may resume driving a car.

Urinary symptoms: During the first several months, the primary milestone to look for is increased urinary flow. With the Rezum procedure, the procedure destroys the prostate tissue with steam and can take some time for the body to reabsorb this prostate tissue. The bladder should now be able to empty with better flow, which you will notice as a more powerful urinary stream. It is important to recognize that it may take a much longer timeframe for the frequency of urination, particularly frequency of urination at night, to reduce.

The bladder has been working against obstruction for years. As the bladder has worked against obstruction, it has become thicker and less elastic so that its storage capacity is diminished. After the Rezum procedure, the bladder is no longer working as hard against obstruction. Some of the thickening of the bladder muscle will lessen and the bladder will regain its elasticity. Its storage capacity will increase. When that occurs, there will be less of the “gotta go, gotta get there”, but it may take anywhere from two to 12 months to notice that improvement. It is important to recognize that it took years for the bladder to get thicker and less elastic, and so it will take time for the bladder to reverse those changes.
Blood in the urine: You may note some blood in the urine and semen after this procedure. This is normal, and may be intermittent and last for several weeks.

Blood In Urine: You may note some blood in the urine and semen after this procedure. This is normal, and may be intermittent and last for several weeks.

Medications: We recommend ibuprofen 600mg every 6 hours. Often times we will give you a medications that turns your urine orange. This should be started after the foley catheter comes out.

Follow up appointment: You should have follow up in 2 to 3 weeks time.

Things to call the office for:
-Fevers or Chills. If your temperature is greater than 101 degrees F.
-Inability to urinate.
-Severe Pain.
-Uncontrollable diarrhea. This can be an infection or a complication from surgery

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