TOGETHER towards a better prognosis with Rezum water vapor!

TOGETHER towards a better prognosis with Rezum water vapor!

Rezum Water Vapor

Rezum water vapor is the best therapy for prostatic hyperplasia.

We have a better prognosis with Rezum water vapor.

What is benign prostatic hyperplasia (BPH)?

BPH is the most common prostate problem in men especially at the age of 50 and over. It is a condition in which the prostate, a gland of normal volume 18 to 20g and which has the role of secreting a liquid that accompanies the sperm to nourish it, grows in size in the transitional zone.

BPH is also called benign prostatic enlargement and affects the urinary system; on the other hand, the congestion of the prostate does not cause urinary problems because it is located in the peripheral zone.

Having BPH does not seem to increase the risk of developing prostate cancer, but a man who has BPH may have undetected cancer at the same time.

To help detect prostate cancer in its early stages, a prostate screening is recommended every year for men from the age of 50. If the man has a family history of prostate cancer, the screening should be done at age 40. Screening tests for prostate cancer must be accompanied by a blood test for a substance called prostate-specific antigen (PSA) and the digital rectal exam (DRE).

Follow the link for more information about Prostatic hyperplasia.


In BPH, the prostate gland surrounds the urethra or the enlargement of the prostate can lead to the blockage of the urethra so you can develop urinary problems: difficulty urinating, low stream of urine, frequent urination at night, constant need to urinate, dark reddish urine, weak lower limbs, back pain…


-digital rectal exam: the doctor inserts a finger into the rectum to check the volume of your prostate.

-urine test: to cancel the diagnosis of a urine infection that has similar symptoms.

-blood test to cancel a kidney problem.

-Prostate-specific antigen (PSA) blood test: PSA is a substance produced in your prostate; there is an increase in the rate of PSA in the case of BPH.

And a cystoscopy is recommended to look into the bladder.



The first step and decision are to take a drug.

The options include:

-Alpha-blockers: These medications relax bladder neck muscles and muscle fibers in the prostate, so the patient can urinate without any problem. But the alpha-blockers can cause a delayed ejaculation (the seminal fluid goes back into the bladder).

-Medications that reduce the volume of the prostate but cause erectile dysfunction.

-Medications for erectile dysfunction (Cialis): these drugs given every day can also cause relaxation of the muscles of the bladder.

Medication may not have a good prognosis for life, sometimes it may last for 6 months.

Surgical treatment:

-Transurethral resection of the prostate (TURP): This operation is usually performed under general anesthesia, a surgeon passes an instrument called a resectoscope through the opening of the penis and into the urethra and rises towards the prostate to remove the excess prostate tissue. But the disadvantage is that the patient who takes anticoagulants must stop them before the operation, and this surgery causes a problem in ejaculation.

– Rezum water vapor: recently approved by the FDA in 2015, makes it possible to perform a prostate surgery in 5 minutes while preserving ejaculation and sexual function. 

This operation consists of throwing steam through an instrument into the enlarged area of ​​the prostate; the vapor carries energy that will be diffused into the molecules which will be killed and discarded by the immune system.

It lasts 5 to 10 minutes under local anesthesia and the number of vapor ejection depends on the volume of the prostate.

Follow the link for more information about the treatment of BPH.

Benefits of water vapor therapy :

– The procedure doesn’t cause complications, you do not have to stay in the hospital.

-return to daily activities in a few days.

-relatively painless.

-improvement of symptoms after 2 weeks.

-symptoms continue to improve for up to 3 months.

-a good prognosis of up to 15 years.

-this procedure doesn’t cause sexual dysfunctions.

After this operation, the doctor can give an antibiotic for a few days to prevent infection.

Follow the link for a descriptive interview about Rezum water vapor.



Best Prostate Treatment in Lebanon

Best Prostate treatment in the Middle East / Lebanon

Dr Fouad Khoury discussing most innovative prostate surgeries including minimally invasive transurethral water vapor therapy (Known as REZUM).

Benefits of water vapor therapy :

– 5 to 10 minutes procedure

-Preservation of ejaculation

-Preservation of sexual function

– Done under local anesthesia

– Same day procedure

-return to daily activities in a few days

-a good prognosis of up to 15 years

Follow the link for more detailed information about REZUM therapy in Lebanon and Middle East

Interesting Prostate Problems

Interesting Prostate Problems

What is the Prostate ?

The prostate is a gland located in the lower urinary tract, under the bladder, and around the urethra. Only men have a prostate. It produces the fluid which carries semen. The prostate has smooth muscles which help to push out the semen during ejaculation.

A normal prostate is about the size of a large walnut and has a volume of 20 milliliters. The prostate slowly grows as men grow older.

2 main diseases affect the prostate

  • Prostate cancer
  • Benign prostate hyperplasia

One is independent of the other and they can both coexist in the same patient.

Prostate Cancer

Prostate cancer is a malignant tumor in the prostate. The treatment and experience depend on the specific characteristics of the tumor and the expertise of your medical team. Most prostate cancers develop slowly and do not cause symptoms. Fast-growing prostate cancer is less common. The risk of getting prostate cancer increases with age. This is why some authorities recommend screening after the age of 50 and sometimes at younger ages specially in the presence of positive family history. Prostate cancer is the most common cancer in elderly men in Europe. The survival rate for prostate cancer is relatively high and is still going up with the help of advanced technology.

Treatment of Prostate Cancer

If the cancer is still limited to the prostate, surgical removal of the prostate or radiotherapy carries high chances of curing the patient.

With the help of cutting edge technology, like robotic surgery, the removal of the prostate had become a routine quick surgery with outstanding functional outcomes. Meaning, early recovery and return to daily activities. Very high continence rates and preservation of erection when possible depending on the type of tumor.

The expertise of the team performing this surgery and the technology being used is in direct relation with the outcomes and patient satisfaction. When done in expert hands, average hospital stay is being only 1 to 2 days and most of the time, the patients are being sent home without foley catheter as we are performing a special reconstruction and anastomosis prosposed by Dr. Alex Mottrie that allows us to remove the catheter on day 2 post op.

For more information on treatment of prostate Cancer through surgical approach (Robotic assisted Radical Prostatectomy), please check the interview below in which Dr. Fouad Khoury describes the advantages of minimally invasive robotic approach for those kind procedures.


Benign Prostate Enlargement

Prostate diseases are usually associated with older age. They can cause bothersome symptoms in the lower urinary tract in men over the age of 50. These symptoms may be caused by an enlargement of the prostate, a condition which is known as benign prostate enlargement.

It is a common condition and is related to hormonal changes that happen as men grow older. Prostate diseases can be very worrying, however, it is not prostate cancer. It does not become prostate cancer, even if it is left untreated, however, can cause bothersome urinary symptoms. Both benign prostate enlargement and prostate cancer may develop with age and they can both coexist in the same patient.

Treatment of Benign Prostate Enlargement

Treatment can be medical or surgical depending on the case of the patient.

The main medications used in such treatments are:

  • Alpha-blockers
  • 5 alpha-reductase inhibitors
  • Muscarinic receptor antagonists
  • Phosphodiesterase 5 inhibitors
  • A combination of medications
  • Herbal medications

In more advanced cases, surgery is recommended especially in the presence of:

  • Kidney failure
  • Dilatation of your kidneys
  • Inability to urinate (urinary retention)
  • Recurring urinary tract infection
  • Recurring blood in the urine
  • Bladder stone


Click on the following link for additional knowledge about Dr Fouad Khoury’s porfolio and expertise.

Annual Prostate Exams – 40+

Annual Prostate Exams – 40+

Prostate Exams

Prostate exams, early detection, is the Key; Men ages 40+ should see their doctor for yearly medical check-ups for prostate and other related urinary symptoms.
Prostate Cancer is the most common cancer among men, but it often can be treated successfully.
For more details call us on 96176887676 / 9614520055.

You can also check our blog about Prostate Cancer Infographic [2019].

Prostate Cancer Infographic [2019]

Prostate Cancer Infographic [2019]

Among men alive today, it is estimated that 1 in 6 will be diagnosed with prostate cancer. Prostate cancer that’s detected early — when it’s still confined to the prostate gland — has a better chance of successful treatment.

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