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TPMG Urologists Offer New Therapy for Patients with Enlarged Prostate

Drs. Joseph Habibi and Geoffrey Kostiner bring lasting relief for benign prostatic hyperplasia (BPH) with innovative Rezūm™ Water Vapor Therapy

May 21, 2021
Williamsburg, VirginiaTPMG Williamsburg Urology is the latest TPMG Urology practice to offer Rezūm™ Water Vapor Therapy — a minimally invasive in-office procedure for men looking to treat their benign prostatic hyperplasia (BPH) or enlarged prostate. This therapy was first introduced to TPMG Urology in Newport News the practice of Dr. Eric Darby, Dr. Ifeyani Ani, and Dr. David Hartke who began offering the therapy to patients in early 2020. At TPMG, we have the ability to perform this therapy on-site at our Procedure Suites in Newport News and Williamsburg. This not only adds a major cost savings for patients but also avoids a visit to the hospital.
Rezūm Therapy uses natural water vapor to reduce the size of the prostate and provide lasting symptom relief from BPH without invasive surgery or the potential side effects of prescription drugs.1 BPH is a condition in which a man’s prostate enlarges and squeezes the urethra, causing frustrating symptoms such as frequent or urgent urination, a weak or interrupted urine stream, and the need to get up several times a night to urinate. It affects about 50% of men by age 60, and up to 90% of men by age 85.2
“For years, the primary options for treating BPH were through behavior modifications, medications, or invasive surgery,” said Geoffrey B. Kostiner, MD of TPMG Williamsburg Urology.2
“Medications to treat BPH may not work for everyone and may have undesirable side effects. By introducing Rezūm Therapy at TPMG Williamsburg Procedure Suite, we’re now able to provide relief of BPH for men who do not want to take medications or want to avoid invasive surgery and implants,” Dr. Kostiner adds.
Rezūm Therapy takes place during one short office visit and typically does not require general anesthesia.1 During the treatment, natural water vapor is released throughout the targeted prostate tissue. When the steam contacts the tissue and turns back into water, it releases energy, killing the excess prostate cells that squeeze the urethra. Over time, the body’s natural healing response absorbs the dead cells and shrinks the prostate. With the extra tissue removed, the urethra opens, relieving BPH symptoms while preserving sexual function.1
“Most men see symptom relief within a few weeks and are able to return to regular activities within a few days after treatment,” said Joseph R. Habibi, MD of TPMG Williamsburg Urology. “Men suffering from BPH experience frequent urination, often waking up in the middle of the night to use the bathroom or stopping activities they once enjoyed, like playing golf or going hiking. This treatment improves their quality of life and allows them to get back to a more normal lifestyle.”
Rezūm Therapy has undergone extensive clinical trials to evaluate the safety and efficacy of the treatment.1 It currently has the lowest surgical retreatment rate of all available BPH minimally invasive therapies (MIT) at 4.4% over 5-years and is the only MIT recommended by the American Urological Association (AUA) for treating median lobes and elevated central zones. To date, more than 55,000 patients have been successfully treated with Rezūm Therapy.4
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Founded in 1992, Tidewater Physicians Multispecialty Group (TPMG) includes more than 220 primary care, specialty physicians and advanced practice clinicians in more than 85 locations throughout southeastern Virginia. TPMG’s mission is to provide superior healthcare that is responsible, physician-directed, and dedicated to keeping patients’ best interests foremost. The TPMG medical team includes expert physicians, nurse practitioners, physician assistants, nurses, medical assistants, diagnostic staff, and non-clinical staff all working together to provide consistent, compassionate, high-quality medical care. Learn more at  

1 McVary KT, Rogers T, Roehrborn CG. Rezūm water vapor thermal therapy for lower urinary tract symptoms associated with benign prostatic hyperplasia: 4-year results from randomized controlled study. Urology. 2019 Apr;126:171-9.
2 What is BPH? Urology Care Foundation website.
3. 3 McVary KT, Gange SN, Gittleman MC et al. Minimally invasive prostate convective water vapor energy (WAVE) ablation: A multicenter, randomized, controlled study for the treatment of lower urinary tract symptoms secondary to benign prostatic hyperplasia. J Urol. 2016 May;195(5):1529-38.
Date on file with Boston Scientific.
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