Rezum Procedure in Jacksonville, FL

Dr. Douglas Swartz is recognized as a Rezūm Center of Excellence

Swartz Rezum Boston Scientific Rezum Center of excellence award.

Rezūm is the latest minimally-invasive technology that uses thermal energy in water vapor for treatment of an enlarged prostate, known as benign prostatic hyperplasia (BPH). It utilizes 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. The procedure is performed in clinic while you are awake.

The McIver Clinic is one of Florida’s leaders in Rezūm BPH treatment. Our board-certified urologists in Jacksonville have had extensive training using Rezūm to help men get relief from symptoms of BPH. If you are experiencing symptoms such as frequent urination, weak or slow urinary stream, difficulty starting urination or the inability to urinate, schedule your consultation with our urology clinics in Jacksonville, FL.


Call (904) 355-6583

The Benefits of Rezūm

Historically, BPH has been treated with medications or surgery. Transurethral Resection of the Prostate surgery (TURP) has been well-known to be the standard of care for the treatment of BPH. However, it increases the risk of erectile dysfunction, urinary incontinence and orgasmic dysfunction (the ability to ejaculate). Rezūm is a minimally-invasive procedure that usually takes less than 5 minutes in an office setting and has the following benefits:

  • Provides an alternative to taking medications
  • Relieves urinary symptoms safely and effectively
  • Noticeable improvement within two weeks
  • Simple in-office procedure that does not require general anesthesia
  • No need to stay in the hospital
  • Preserves sexual function and the ability to ejaculate
  • Allows patients to return to regular activities within a few days

Dr. Swartz Rezum Event.


What is Rezūm Water Vapor Therapy?

Rezūm Therapy treats the source of BPH — your enlarged prostate. This short, in-office procedure uses the natural energy stored in a few drops of water to shrink the prostate so urine can flow freely. There are no incisions, no general anesthesia, and most patients return to regular activities within a few days.* And, it preserves sexual function.

How does Rezūm Water Vapor Therapy work?

Rezūm Water Vapor Therapy is a non-surgical treatment that uses the natural energy stored in water vapor, or steam, to remove excess prostate tissue that is pressing on the urethra.

How is Rezūm Performed?

The board-certified urologists at the McIver Clinic perform the Rezūm therapy in the office setting. The doctor performs a cystoscopy to evaluate the inside of the urinary channel. With a hand-held device, Rezūm applies radio-frequency energy to a few drops of water to create vapor (steam). That water vapor is then injected into the prostate tissue that is blocking the flow of urine from the bladder. The steam releases the energy into the cell membranes and will gently and immediately damage those cells by causing cell death. Over time, your body will absorb the treated prostate tissue and the urinary channel will re-open, relieving you of your urinary symptoms.

What to Expect on the Day of Your Procedure

  • The procedure involves:
    • The medical assistant will take you to an examination room and a board-certified urologist will perform an ultrasound to measure the size of your prostate and administer local anesthesia to your prostate.
    • The medical assistant will prepare you for the Rezūm procedure.
  • The Rezūm procedure will be approximately 2-5 minutes long.
  • Once the Rezūm procedure is over, the doctor will place a catheter to help drain your urine.
  • Given your prostate tissue will become swollen initially, you will need a catheter for at least 3-14 days. A few days after the procedure, you will come to the clinic to have your catheter removed.

What Can I Expect After My Procedure?

Given your prostate tissue will become swollen immediately after the procedure, you will need the catheter to stay for at least 3-14 days. You will then come to the clinic to have your catheter removed. Immediately after the catheter is removed, you might feel that your symptoms are worse than prior to your procedure. However, you will start noticing a gradual improvement of your symptoms after 2-3 weeks. This improvement will continue to progress up until 3 months after the procedure, when you will notice the maximal effect of the water vapor therapy. At that time, you will follow up with The McIver Clinic for a final evaluation.

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Rezūm FAQ

Benign prostatic hyperplasia (BPH) is an enlargement of the prostate gland affecting about 50% of men by age 60, and up to 90% of men by age 85.1. This enlargement can compress the urethra, reducing the flow of urine from the bladder, and sometimes blocking it entirely.

The symptoms of BPH include:
• Urinary frequency
• Irregular flow
• Urgency
• Weak stream
• Straining
• Getting up at night to urinate

Clinical studies show that many men living with BPH experience symptom relief with Rezūm Water Vapor
Therapy.2 Rezūm Therapy is indicated for men ≥ 50 years of age with a prostate volume 30cm3 ≤ 80cm3. It’s an option for those who’ve given up on watchful waiting and lifestyle changes, men who’ve stopped or don’t want to start taking BPH medications, or men not interested in other minimally invasive or surgical BPH procedures.

The best way to find out is by talking with your doctor to determine if Rezūm Water Vapor Therapy is a good treatment for you based on your symptoms and treatment goals. Start by taking our BPH Quiz. Then bring a printout of the results with you to your appointment. Need to find a doctor who specializes in Rezūm Water Vapor Therapy? Use our specialist finder to locate one near you.

Cost depends on your insurance company and your benefit package. While more and more plans cover Rezūm Water Vapor Therapy, it’s always a good idea to discuss any deductibles or out-of-pocket costs with your doctor’s office up front. However, there is no guarantee of insurance coverage for a particular procedure or product. It is the responsibility of the patient to contact their insurance provider for specific coverage information.

Since Rezūm Water Vapor Therapy is a minimally invasive procedure, it can be performed in a doctor’s office, clinic or other outpatient setting.

Most patients report relatively minor discomfort during the procedure. Rezūm Water Vapor Therapy can be performed under oral sedation or local anesthesia and doesn’t require general anesthesia. Your urologist will discuss your options for maximizing your comfort during the procedure.

Clinical studies show that most men experience symptom relief as soon as 2 weeks after the treatment, and improvements continue for up to 3 months. Patient responses can and do vary.

Clinical studies show that most men return to regular activities within a few days. Your urologist will discuss this with you and make personal recommendations.

Current clinical studies demonstrate sustained symptom improvement out to 4 years and studies are ongoing to determine longer term patient outcomes.

All treatments have inherent and associated risks. The Rezūm System is intended to relieve symptoms,
obstructions, and reduce prostate tissue associated with BPH. It is indicated for men ≥ 50 years of age with a prostate volume 30cm3 ≤ 80cm3. The Rezūm System is also indicated for treatment of prostate with hyperplasia of the central zone and/or a median lobe. Potential risks include but are not limited to painful urination (dysuria), blood in the urine (hematuria), blood in the semen (hematospermia), decrease in ejaculatory volume, suspected urinary tract infection (UTI), and urinary frequency, retention or urgency.
You should talk with your doctor about benefits and risks before moving forward with any treatment option.

There are no reports of new erectile dysfunction as a result of Rezūm treatment. Based on data from the Rezūm pivotal and post, US FDA approved clinical studies, ejaculatory function was preserved; however, men with BPH are at higher risk for other potential urinary/ejaculatory challenges and there is a possibility that an underlying condition may surface following treatment with the Rezūm System. Be sure to talk with your urologist about your individual health situation.

Schedule an Appointment in Jacksonville, FL

f you are experiencing symptoms of an enlarged prostate like frequent urination, weak or slow urinary stream, difficulty starting urination, or the inability to urinate, schedule your consultation with The McIver Clinic at our office in Jacksonville, FL. Give us a call at (904) 355-6583, or request an appointment through our secure online form.
Schedule an Appointment

Additional Resources:

For more information about BPH and Rezūm Water Vapor Therapy, please visit