REZUM PROCEDURE (water vapor therapy) is a breakthrough in Prostate surgery. Most useful in those patients who are unfit for surgery (Turp, Laser), hesitation or have risk of bleeding. Dr MS Agrawal, VAP PPTX Rezum Water Vapor Therapy l Dr Sunil Mhaske's Urology clinic Ventilator Associated Pneumonia (VAP) is a serious ICU risk but it can be prevented with the right care. Key risk factors: prolonged ventilation, poor oral hygiene, improper positioning, and contaminated equipment.