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Dr Anand Dharaksar started doing laser prostate surgery since 2004. Established rezum water Vapor surgery program in Manipal Hospital Baner Pune after doing first case in entire Manipal chain of hospital of India Anesthesia local and sedation Duration 20 min Hospital stay - Day Care Catheter duration 3 -5 days Post op pain - 1-2 out of 10 VAS Some discomfort due to catheter which can be managed on medicines So far done more than 30 rezum case in last 6 months without any complications All government and private insurance are used for cashless claim of rezum surgery Patient profile - age 50 to 85 yrs Cardiac fitness - some were unfit for General anesthesia Few patients had retention of urine and they became Cather free after rezum surgery Medicines were stopped after 1-2 months in most cases No erectile dysfunction noted after rezum