Diet

After your procedure, start with clear fluids and progress to your normal diet as tolerated. Drink plenty of water (2–3 litres per day) unless otherwise advised. This helps flush the bladder and reduces irritation, debris, and clot formation.

Urinary / Bladder Symptoms

It is expected to experience the following after Rezūm:

• Burning or stinging with urination for 1–3 weeks

• Increased urinary frequency, urgency, and nocturia (often temporarily worse before improving)

• Blood in the urine (light bleeding, debris or small clots) for up to 2–4 weeks

• Weak urinary stream initially, with gradual improvement over several weeks

Important:
Symptoms often peak at 1–2 weeks due to prostate swelling before improvement begins. Full benefit may take 6–12 weeks.

Catheter Care

• Most patients will go home with a urinary catheter for 5–7 days

• Ensure the catheter is securely taped to the leg and avoid pulling or kinking

• Keep the drainage bag below bladder level at all times

• Some leakage around the catheter is normal

You will be advised regarding the timing of catheter removal.

Activity

• Avoid heavy lifting, straining, or vigorous exercise for 1–2 weeks

• Gentle walking is encouraged

• Avoid cycling or activities that put pressure on the perineum

• You may shower as normal

• Resume normal activity gradually once symptoms improve

Sexual Activity

• Avoid ejaculation for at least 2 weeks

• It is common to notice reduced or absent ejaculate (retrograde ejaculation) or discomfort initially

• Erectile function is typically preserved

Medications

• Take all prescribed medications as directed including any antibiotics and/or alpha-blockers

• Continue your usual medications unless advised otherwise

For discomfort:

• Paracetamol (e.g. 1 g every 6 hours, max 4 g/day)

• Anti-inflammatories (e.g. ibuprofen) if suitable

To reduce irritation:

• You may be prescribed medications for bladder symptoms (e.g. anticholinergics)

To avoid straining:

• Maintain good hydration and fibre intake

• Consider a stool softener if needed

Postoperative appointment

• A follow-up appointment is usually arranged within 6–12 weeks

• Please contact the rooms on 08 8119 0961 if you have any queries

Call the office or present to the Emergency Department if:

• Fever (>38°C), chills, or feeling unwell

• Catheter stops draining or becomes blocked

• Inability to pass urine after catheter removal

• Severe or worsening pain not controlled with medication

• Heavy bleeding or large clots (greater than a 50-cent coin)