In en-US, refuse (verb) is pronounced reh-fuse ("I refuse to do that."), while refuse (noun) is pronounced ref-use ("This refuse must be disposed of.") The accent switches syllables.
I'm en-us. It doesn't rhyme because they end with different consonants, but I pronounce 'refuse' exactly like 'refuge' (obviously changing the soft G sound to an S sound).
(Prounuced 'ref-use', rhymes with 'refuge'.)