Minimally invasive BPH treatment
Rezūm Water-Vapor Therapy for an Enlarged Prostate
A simple, in-office steam treatment that relieves enlarged-prostate symptoms — often ending the need for daily medication.
Quick answer
Rezūm therapy treats an enlarged prostate (BPH) by injecting targeted water vapor (steam) into excess prostate tissue, which the body then reabsorbs. It is performed in the office, usually without general anaesthesia. Whether it is the right option for you, and what to expect from it, is a conversation to have with Dr. Lief. Lief Urology is a Rezūm Center of Excellence.
| Treats | Enlarged prostate (BPH) — weak stream, frequency, urgency, night-time urination |
|---|---|
| How | Targeted water-vapor (steam) energy; in-office / outpatient |
| Anesthesia | Local / light sedation |
| Downtime | Most men resume normal activity within days |
| Good candidate | Men with bothersome BPH symptoms who want to discuss alternatives to daily medication |
| At Lief Urology | Center of Excellence for Rezūm |
What is Rezūm therapy?
Rezūm is a minimally invasive treatment for benign prostatic hyperplasia (BPH) — an enlarged prostate that squeezes the urethra and disrupts urination. Using the natural energy stored in water vapor, Dr. Lief delivers a few seconds of steam into the overgrown prostate tissue. Over the following weeks the body absorbs that treated tissue, the prostate shrinks, and urinary flow improves.
Why men choose Rezūm
- Your medications. Whether Rezūm changes your need for daily BPH medication is a decision Dr. Lief makes with you at follow-up — never stop or adjust a prescription on your own.
- Preserves sexual function for most men, unlike some traditional surgeries.
- In-office and minimally invasive — no major incisions, quick recovery.
- Lasting relief from frequency, urgency, weak stream, and waking at night to urinate.
What to expect
Rezūm is performed in our Coral Springs office under local anesthesia or light sedation and usually takes only a few minutes. You may use a temporary catheter for several days while the area heals. Symptom relief typically builds over a few weeks as the body reabsorbs the treated tissue. Dr. Lief — a Center of Excellence for Rezūm — will review whether Rezūm is the right fit during your consultation.
Learn more about BPH from the Urology Care Foundation.
What happens at the first visit?
The first visit is a consultation, not a commitment to a procedure. It gives you time to describe what has changed, explain what has already been tried, and ask how the terms on this page apply to your situation. The clinician can then review your history and explain what information would be needed before any treatment decision is made.
- Schedule the consultation. Call Lief Urology at 954.755.3801 and ask what records the office wants before you arrive.
- Gather your information. Bring identification, an up-to-date medication list, relevant test results or imaging, and the names of clinicians involved in your care.
- Write down your questions. Note the symptoms or practical concerns you want to discuss so they are not forgotten during the visit.
- Review the situation. Be ready to describe when your concerns began, how they affect daily life, and what treatments or medications you have previously discussed.
- Confirm next steps. Before leaving, ask what happens next, who will contact you, and whether any instructions apply before another appointment.
Questions worth asking about Rezūm
- What information from my history will help determine whether this option should be considered?
- What alternatives should I understand before making a decision?
- Which instructions would apply before and after an office visit or procedure?
- Who should I contact if I have a question after I leave the office?
- What should I verify with my health plan before scheduling?
How to prepare for the conversation
Use the visit to get information specific to you. A short written timeline can help: when you first noticed a change, what you have already discussed with other clinicians, and which daily activities are affected. Include prescription medicines, over-the-counter products, and supplements on one list. If another office holds relevant records, ask Lief Urology whether those records should be sent before the appointment.
Coverage and authorization rules vary by health plan. Ask the office and your insurer what they need, what is covered, and which costs could be your responsibility before scheduling a procedure. Lief Urology is located at 9750 N.W. 33rd Street, Suite 218, Coral Springs, FL 33065, and sees patients by appointment Monday through Friday.
Terms used on this page
- Benign prostatic hyperplasia (BPH)
- The term used on this page for an enlarged prostate that is not prostate cancer.
- Rezūm
- The brand name used here for the water-vapor procedure discussed with patients who are evaluating BPH care.
- Water vapor
- Steam, the form of energy referenced when this page describes how the Rezūm procedure works.
- Consultation
- An appointment for reviewing your history, questions, goals, and possible next steps with a clinician.
- Medication list
- A current record of prescription medicines, over-the-counter products, and supplements to bring to the visit.
· Information only — not a substitute for a medical consultation.
Patient story
After much research I chose to have the Rezūm procedure with Dr. Lief because he is a Center of Excellence for Rezūm, and is highly experienced. Today is eight weeks since the procedure and I am on no medications and doing much better.
Frequently asked questions
Is Rezūm covered by insurance?
Rezūm is FDA-cleared and is covered by Medicare and many insurance plans for appropriate BPH patients. Our team will verify your benefits before treatment — call 954.755.3801.
Will Rezūm affect my sexual function?
Rezūm is designed to preserve erectile and ejaculatory function for most men, which is a key advantage over some traditional prostate surgeries. Dr. Lief will discuss your individual situation.
How soon will I feel better?
Most men notice improvement within a few weeks as the body reabsorbs the treated prostate tissue, with continued improvement over about three months.
Can I stop my prostate medications?
That is a decision for Dr. Lief, based on how you respond to treatment and on your overall health. Never stop or change a prescription on your own — bring the question to your follow-up visit.
Ask if Rezūm is right for you.
Schedule a consultation with a Rezūm Center of Excellence. Find out whether a few minutes of treatment could free you from nightly bathroom trips and daily pills.