TURP vs. Rezūm: Why Rezūm is the Smarter Choice for BPH Treatment

When it comes to treating benign prostatic hyperplasia (BPH), men today have more options than ever before. Transurethral Resection of the Prostate (TURP) and Rezūm Water Vapour Therapy are two common procedures that offer relief from the frustrating symptoms of an enlarged prostate. 

While TURP has long been considered the gold standard, advances in minimally invasive therapies like Rezūm are changing the game. Below, we will explore how these two treatments compare, and why Rezūm is emerging as the preferred choice for many men seeking effective, low-risk relief. 

TURP : What Is It?

Transurethral Resection of the Prostate, or TURP, is surgery to remove part of your prostate. It can relieve symptoms of an enlarged prostate, such as difficulty urinating and frequent urination.

TURP is recommended for men who have moderate to severe urinary problems and have not responded well to medication or other treatments for BPH. Patients who undergo TURP will be able to return to their everyday activities within a couple of weeks after the procedure.  

The TURP Procedure

This procedure does not require any incisions on your body. Instead, the resectoscope is inserted into the tip of your penis, which then extends through your urethra and into the prostate area. 

The resectoscope is used to trim the excess prostate tissue from the inside of your prostate gland. As these small pieces of tissue are cut, irrigating fluid transports them to your bladder. They are then removed at the end of the procedure.

A TURP procedure typically takes around 60 to 90 minutes to perform, depending on how much of your prostate needs to be removed. After the procedure, you will have a urinary catheter in place due to the swelling that blocks the flow of urine. The catheter will be kept for at least 24 to 48 hours, and once the swelling decreases and you are able to urinate on your own, it will be removed.

Is TURP the Best Option For Me?

TURP provides patients with fast results, and it allows patients to return to their regular daily activities within several weeks of recovery. The procedure also treats several different urinary symptoms caused by BPH, including a frequent need to urinate, slow urination, and difficulty starting urination. 

However, there are also several risks and complications associated with TURP. Potential risks associated with this procedure include, but are not limited to:

  • Urinary Tract Infection: Urinary tract infections, or UTIs, are common after any prostate procedure. It has a higher chance of occurring the longer you have a catheter in place after the treatment. 
  • Dry Orgasm: One of the most common long-term side effects of any type of prostate surgery is retrograde ejaculation, or more commonly known as a dry orgasm. This is when the semen releases into the bladder instead of out of the penis during ejaculation. While this does not cause any pain or affect your sexual pleasure, it can prevent you from fathering a child.
  • Heavy Bleeding: In some cases, it is possible for men to lose heavy amounts of blood from the procedure. Men with prostates of a larger size have a higher chance of significant blood loss.

Rezūm Water Vapour Therapy: What Is It?

In contrast to TURP, Rezūm Water Vapour Therapy is a minimally invasive procedure that uses the natural energy stored in water vapor, or steam, to shrink an enlarged prostate caused by BPH. It eliminates excess prostate tissue that is pressing on the urethra to improve the flow of urine. 

The Rezūm therapy does not require any incisions, anesthesia, or permanent implants. It has a short recovery period of only a couple of days, and patients can be expected to resume their normal activities soon after their procedure. It is a potential alternative to BPH medications and surgery to relieve symptoms safely and effectively, with an expected impact of many years.

Rezūm: How Does It Work?

Rezūm therapy is performed right in the clinic, and completed in one short appointment. During each 9-second treatment, sterile water vapour is released throughout the targeted prostate tissue. When the steam makes contact, 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.

Benefits of Rezūm

Clinical studies show that many men living with BPH experience symptom relief with Rezūm. It offers many benefits, including the following:

  • Preserves sexual function
  • Ability to return to regular activities within a few days
  • Symptom improvement within two weeks
  • Symptom relief is long-lasting
  • In-office procedure
  • No permanent implants
  • Does not require general anesthesia


Rezūm is indicated for men over the age of 50 years old with a prostate volume between 30 and 80 cm. It is an option for those who have given up on watchful waiting and lifestyle changes, men who have stopped or do not want to start taking BPH medications, or men not interested in other minimally invasive or surgical procedures.

Rezūm therapy for effective symptom relief, minimally invasive BPH treatment

Redefining Prostate Care With Rezūm at Steinberg Urology

While TURP remains a widely used procedure, Rezūm offers a modern, minimally invasive alternative that delivers lasting results with fewer risks and a quicker recovery. For men seeking to treat BPH without undergoing major surgery or sacrificing sexual function, Rezūm is proving to be a game-changer. 

If you or a loved one is struggling with the symptoms of an enlarged prostate, do not settle for outdated options. Here at Steinberg Urology, we offer Rezūm Water Vapour Therapy as an effective treatment for BPH. Book a consultation with our urologist today and find out whether Rezūm is right for you. Your quality of life could drastically improve with just one simple decision.