As Korea's population ages, BPH has become an increasingly prevalent concern for middle-aged men. Among newer treatment options, Rezūm — a minimally invasive steam therapy that selectively destroys enlarged prostate tissue — is drawing attention. Before proceeding with Rezūm, thorough pre-procedural assessment is essential.
First, precise diagnosis and comprehensive evaluation are required. PSA testing (to exclude prostate cancer), uroflowmetry and post-void residual measurement, transrectal ultrasound for prostate volume assessment, and renal function testing are all necessary to build an effective, individualized treatment plan.
Second, the patient's overall health status and lifestyle must be reviewed. Chronic conditions such as diabetes, hypertension, and cardiovascular disease may contraindicate certain procedures. Patients on anticoagulants require careful peri-procedural management. Lifestyle factors including caffeine, alcohol, and spicy foods irritate the bladder and may exacerbate symptoms.
Finally, patients must be fully informed about the benefits, limitations, and potential side effects before deciding. Dr. Ryu Je-man of Goldman Urology Seoul Station emphasized: 'The key is not cost, but finding the optimal treatment tailored to each patient's specific condition.'