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Dr. James Meaglia is now offering Orange County Urology patients the Rezum® system, a minimally invasive treatment option for men with benign prostatic hyperplasia (BPH).
Designed to be performed in a clinical setting, Rezum is an FDA approved treatment that uses the stored thermal energy in water vapor (steam) to treat the extra prostate tissue that is causing symptoms such as frequency, urgency, irregular flow, weak stream, straining, and getting up at night to urinate.
BPH is a localized enlargement of the prostate gland in aging adult men. Nearly 12 million U.S. men suffer from BPH related symptoms that may require therapy, yet more than half choose not to do anything to address their BPH symptoms. Their reasons include not wanting to start new prescriptions, hesitations around the potential side effects of drugs, and concerns about the potential side effects or complications of current minimally invasive BPH treatments or surgical procedures.
“I am pleased to now offer select patients the Rezum® procedure as a treatment for benign prostatic hyperplasia (BPH). Rezum is administered on an outpatient basis and can be performed under oral sedation or local anesthesia. Research studies have shown that the Rezum treatment allows men to retain sexual function unlike many other existing BPH treatments,” Dr. Meaglia said.
Dr. James Meaglia is the first doctor at Orange County Urology Associates certified to perform the FDA approved Rezum therapy. For years, the primary options for treating BPH were through medications or surgery, making Rezum a new option for patients who are dissatisfied with their current choices for treating BPH.
How Rezum Works
The Rezum therapy is completed in a single visit; there is no need for ongoing therapy.
It works by delivering very small amounts of steam to the enlarged prostate. This process damages the cells causing obstruction, thus reducing the overall size of the prostate and the symptoms associated with BPH such as:
- A weak urine stream
- Trouble starting the flow of urine
- Starting and stopping again when urinating
- Not emptying your bladder completely
- Urinating more often, especially at night
- Sudden urges to urinate
- Leaking or dribbling after you urinate
- Straining to urinate.
Patient Education Video (English)
Patient Education Video (Spanish)
Next Step: Schedule an Appointment
Patients interested in a consultation with Dr. Meaglia to determine if they are a candidate for the Rezum® system should call appointment scheduling at (949) 855-1101.
Treatment is a minimally invasive procedure conducted in-office that does not require general anesthesia. Patients need to be driven home after the procedure. Over the next several days, patients can gradually resume their regular activities.
BPH symptoms may improve in as little as two weeks.
Rezum Procedure Quick Facts:
- Using water vapor therapy, Rezum is a minimally invasive, single-visit, out-patient procedure shown to significantly reduce the symptoms of BPH.
- Delivers small amounts of steam to obstructing prostatic tissue.
- Treated tissue is reabsorbed into the body naturally, reducing the overall size of the prostate and the symptoms associated with BPH.
- Rezum treatment is appropriate for small to medium prostate lobes, between 30g and 80g.
Benign prostatic hyperplasia (BPH), or an enlarged prostate, is a common condition that can cause bothersome urinary symptoms. As men age, their likelihood of experiencing the bothersome symptoms of BPH increases. Fifty percent of men age 50 and older have BPH, and eighty percent of men age 80 and older have the condition.
Frequently Asked Questions
Does an enlarged prostate improve without treatment?
Early on, enlarged prostate symptoms may come and go, so taking a “wait and see” approach to mild symptoms is reasonable. Over the long-term, however, symptoms tend to get gradually worse.
Is the Rezum therapy covered by insurance?
Rezum therapy is covered by most insurance plans to treat benign prostatic hyperplasia (BPH).
If the Rezum therapy is new, how do I know it is safe?
The Rezum therapy has undergone extensive clinical trials to evaluate the safety and efficacy of the treatment, and was approved by the FDA in late 2015.
Highlights of the therapy include:
- Performed in-office and patients can be driven home afterward
- Does not require general anesthesia
- Relieves symptoms safely and effectively
- Is an alternative to BPH daily medications
- Provides noticeable symptom improvement within 2 weeks
- Preserves erectile and urinary functions
- Allows patients to return to regular activities within a few days
- Is considered medically necessary by Medicare and is covered by most private insurance plans.
Illustration credit: Rezum® system
Benign prostatic hyperplasia (BPH) is an enlargement of the prostate gland. The condition affects 12 million men in the U.S., with nearly 800,000 newly diagnosed each year. An enlarged prostate squeezes down on the urethra, causing lower urinary tract symptoms. After the Rezum® system therapy has been performed, over time the body’s natural healing response removes the dead cells, 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 2 weeks and maximum benefit will occur in about 3 months.
LAGUNA BEACH, Calif. (January 15, 2017) – Dr. James Meaglia of Orange County Urology Associates has performed his 150th UroLift® implant on a patient suffering from benign prostatic hyperplasia (BPH), a condition in which the prostate enlarges as men age.
More than 500 million men worldwide suffer from BPH each year. One in four men experience symptoms of an enlarged prostate by the age of 55, and that rate increases to 90 percent in men over the age of 70. The most common symptom of BPH is difficulty voiding. Chronic lower urinary tract symptoms associated with BPH can cause loss of productivity and sleep, depression, and decreased quality of life.
Past treatments for BPH meant that men had a high risk of urinary incontinence, erectile dysfunction (ED), and retrograde (dry) orgasm. Today, UroLift is a surgical device approved by the FDA in the United States for the treatment of BPH that completely eliminates these potential risks.
Unlike previous BPH treatments, the UroLift system directly opens the urethra without cutting, heating, or removing prostate tissue. It uses tiny metal anchors (like staples) to compress the prostate gland, which opens up the urinary channel that runs through the middle of it.
“This allows urine to flow again normally. Using this new surgical approach, patients experience very rapid and durable relief,” Dr. Meaglia said. “I continue to see excellent clinical outcomes using the UroLift system.”
He added: “This treatment option has been very successful for many of my BPH patients who are unhappy with medication therapy and are concerned about the lengthy recovery and side effects common with other procedures to treat BPH.”
Dr. Meaglia pioneered UroLift in Orange County in November 2014.
He said in certain instances, the procedure can now be done as an in-office procedure. This eliminates the need for anesthesia and a brief hospitalization. An in-office UroLift procedure still takes about 15-20 minutes to complete.
“The risks of the procedure are the same whether it’s done in-office, or in the operating room with anesthesia. There still is no risk of incontinence or impotence,” Dr. Meaglia said.
Patients also experienced a significant improvement in quality of life. The most common adverse events reported include blood in the urine, a burning sensation during urination, urinary urgency, or pelvic pain. Most symptoms were mild to moderate in severity and resolved within two weeks after the procedure.
Medication is often the first line therapy for BPH, but relief can be inadequate and temporary. Side effects can include sexual dysfunction, dizziness and headaches, prompting many patients to quit using their drugs. For these patients, the classic alternative has been surgery that cuts or heats prostate tissue to open the blocked urethra. Although effective, patients often require an overnight stay with a catheter for up to a few days following these procedures. There is often a variable period of irritative voiding symptoms before the symptom relief is fully realized. Even the “gold standard” surgery, TURP (transurethral resection of the prostate), can leave a small percentage of patients with permanent side effects such as urinary incontinence or erectile dysfunction. The TURP does, however, have a high risk of retrograde ejaculation (dry orgasm).
In a two-year randomized controlled study of UroLift in 206 people, which was published in Urology Practice (a journal of the American Urological Association), symptoms, quality of life, and urinary flow improved rapidly and remained durable to two years, with only 7.5% of the men who had the UroLift system needing additional BPH procedures. Treated men returned to normal activity within eight days and showed significant improvement in symptoms by two weeks. While urinary symptoms were effectively treated, not a single patient lost ejaculatory or erectile function as a result of the treatment.
By comparison, 65% of men undergoing the standard surgery (transurethral resection of the prostate, TURP) lose the ability to ejaculate.
Important caveat: The UroLift is not appropriate for all men. Some men may have a prostate that is too large, or not ideally shaped, to allow the procedure to be truly effective. An evaluation will be performed by the urologist prior to recommending the procedure to ensure proper patient selection.
“The advent of the UroLift treatment system underscores the need for men with BPH to discuss male orgasmic dysfunction with their doctor prior to treatment,” Dr. Meaglia said.
The UroLift system is available in the U.S., Europe, Australia, Mexico, South Korea and Canada. Learn more at www.UroLift.com.
LAGUNA HILLS, Calif. – Dr. Paul Brower, President and Chief Executive Officer of Orange County Urology Associates (OCUA), has been selected by U.S.News as a “Top Doctor.”
U.S.News Top Doctors was developed in collaboration with Castle Connolly Medical Ltd., publisher of America’s Top Doctors® and other guides, and was built upon data from Castle Connolly’s Top Doctors™.
Physician’s here at Orange County Urology Associates have become a staple feature of the national TV show ‘The Doctors.’ In a recent episode, Drs. Spitz and Kim treat a patient with an enlarged prostate.