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Does an Enlarged Prostate Require Surgery?

Apakah Pembesaran Prostat Harus Dioperasi?

An enlarged prostate, or benign prostatic hyperplasia (BPH), is a common condition in men, especially with increasing age. It can cause various urinary symptoms, such as difficulty urinating, a weak urine stream, and frequent nighttime urination. This often raises an important question among patients: does an enlarged prostate have to be treated with surgery? The answer is not always, as there are now less invasive treatment options available.

At Mandaya Royal Puri Hospital, enlarged prostate can be managed without surgery through water vapor therapy (REZUM), a modern treatment designed to relieve symptoms with greater comfort and minimal risk.

Getting to Know REZUM: Water Vapor Therapy to Treat Enlarged Prostate Without Surgery

REZUM is a minimally invasive therapy that uses hot water vapor to treat benign prostatic hyperplasia (BPH). This technology works by gradually destroying excess prostate tissue, reducing prostate size without any incisions, while preserving sexual function such as erections and ejaculation. REZUM offers a fast recovery and effective improvement of urinary tract symptoms.

Here is how REZUM water vapor therapy works to treat enlarged prostate without surgery:

  • A specialized device is inserted through the urethra (urinary tract).
  • Water vapor is delivered directly to the enlarged areas of the prostate.
  • The thermal energy from the vapor destroys unwanted prostate cells.
  • The body naturally absorbs the damaged tissue, causing the prostate to shrink and reducing pressure on the urethra.

What Are the Advantages of REZUM Water Vapor Therapy for Enlarged Prostate?

Below are some of the key advantages of REZUM water vapor therapy for treating enlarged prostate without surgery:

  • Minimally invasive: No incisions, with a short procedure time of approximately 10–30 minutes.
  • Fast recovery: Patients can usually go home the same day (outpatient) and resume normal activities within a few days.
  • Preserves sexual function: Does not interfere with male sexual function, including erections and ejaculation.
  • Effective: Provides long-lasting improvement in urinary symptoms.
  • Low risk: Fewer complications compared to conventional prostate surgery.

REZUM-Experienced Urologists at Mandaya Royal Puri Hospital

Below is the team of urology specialists experienced in treating enlarged prostate with REZUM:

1. dr. Maruto Harjanggi, BSc (Hons), Sp.U, FICS

dr. Maruto Harjanggi is a urology specialist who completed his medical education and urology specialist training at the University of Indonesia. To further enhance his expertise, he also earned a Bachelor of Science (BSc) degree from the Faculty of Medical Sciences, Newcastle University, United Kingdom.

With this educational background, dr. Maruto has extensive experience in managing a wide range of urological cases and procedures, including kidney stone surgery, prostate disorder management, and vasectomy procedures. Each treatment is carried out using a medical approach tailored to the patient’s condition and needs.

Practice schedule at Mandaya Royal Puri Hospital:

  • Monday–Saturday: 09.00–13.00 WIB

2. dr. Hendy Mirza, Sp.U(K)

dr. hendy mirza

dr. Hendy Mirza, Sp.U(K), is a consultant urologist with extensive experience in treating various disorders and diseases of the urinary system. He completed his medical degree at the Faculty of Medicine, University of North Sumatra, and continued his urology specialist training at the University of Indonesia. In addition, dr. Hendy has completed a laparoscopic-based Pediatric Reconstruction fellowship and is certified as a Pediatric Urology Consultant.

At Mandaya Royal Puri Hospital, dr. Hendy Mirza performs various urological procedures, including urinary tract surgery, prostate biopsy, PCNL (Percutaneous Nephrolithotomy) for kidney stones, and TURP (Transurethral Resection of the Prostate) as a treatment for enlarged prostate.

Practice schedule at Mandaya Royal Puri Hospital:

  • Monday: 16.00–19.00 WIB
  • Wednesday: 16.00–19.00 WIB
  • Friday: 16.00–19.00 WIB

To make your visit easier, you can use the Chat via WhatsApp feature, Book Appointment, or the Care Dokter application available for download on Google Play and the App Store. These services help simplify appointment scheduling, queue number tracking, and access to complete hospital information.

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