Acibadem Sistina Hospital is setting a new standard in urology by introducing the REZUM procedure — a minimally invasive treatment for benign prostatic hyperplasia (BPH) performed under local anaesthesia, for the first time in the country.

The procedure was successfully performed by the expert team from the Department of Urology, consisting of Aleksandar Mickovski, MD, Prof. Sotir Stavridis, MD, PhD, and Vladimir Lozanovski, MD, in accordance with the most advanced international medical practices.

What is REZUM therapy?

REZUM therapy uses water vapor to precisely reduce enlarged prostate tissue. Through a specialized transurethral applicator, the vapor is delivered directly to the prostate, where thermal energy causes a controlled reduction of excess tissue. Over the following weeks, the body naturally resorbs the treated tissue, resulting in improved urinary flow and significant symptom relief.

Advantages of REZUM under Local Anaesthesia

One of the key benefits of this procedure is that it can be performed without general or spinal anaesthesia, making it especially suitable for patients with increased aesthetic risk or for those seeking a faster and easier recovery. Patients remain awake, fully locally anesthetized, experience minimal discomfort, and can return home just one hour after the procedure.

Daily activities are not restricted — walking, driving, and a quick return to work are all possible.

Safety, Effectiveness, and Quality of Life

REZUM therapy demonstrates excellent clinical effectiveness with long-term, stable reduction of BPH symptoms. Importantly, it has minimal impact on sexual function and a significantly lower risk of retrograde ejaculation compared to conventional surgical treatments.

A Global Trend Now Available in Macedonia

In the United States, more than 90% of REZUM procedures are performed under local anaesthesia as outpatient interventions without hospitalization. This approach is also gaining momentum across Europe. With the introduction of this innovative method, Acibadem Sistina Hospital aligns with leading global practices.

The REZUM procedure represents a modern, safe, and patient-centred solution for the treatment of benign prostatic hyperplasia. Performing it under local anaesthesia makes this advanced therapy accessible to a broader range of patients and marks a significant advancement in minimally invasive urology in Macedonia.