Is water vapor thermal therapy safe and feasible in elderly and frail men? The Italian experience

Minore, Antonio; Morselli, Simone; Franzoso, Francesco; Maruzzi, Daniele; Varvello, Francesco; Toso, Stefano; Ferrari, Giovanni; Siena, Giampaolo; Conti, Enrico; Papalia, Rocco; Uricchio, Francesco; Balsamo, Raffaele; Scarpa, Roberto Mario; Cindolo, Luca

doi:10.1007/s00345-023-04762-9

Cited by 3 publications

References 23 publications

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Real-world experience of water vapour therapy (Rezum) in patients with benign prostatic enlargement: a retrospective single-center study

Wolters,

Krastel,

Winkler

et al. 2024

Prostate Cancer Prostatic Dis

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Background Water vapor thermal therapy (Rezum) is a minimally invasive treatment for benign prostatic enlargement (BPE). Studies reporting urodynamic results regarding the procedure are rare. Our study aimed to assess the effectiveness of Rezum on urinary outcome parameters in a consecutive series of patients and compare urodynamic data before and after treatment. Methods We retrospectively evaluated all the patients treated with Rezum between 07/2017 and 12/2023 at our institution. Patients who had more than one Rezum intervention, those who were unable to void (i.e., catheter-dependent patients), and those with insufficient data were excluded from the data analysis. Descriptive outcomes, such as symptom scores (IPSS, IPSS-QoL), peak flow in uroflowmetry (Qmax), post-micturition residual urine volume (PVR), and prostate volume (PVol), were analyzed. If available, preoperative and postoperative urodynamic results were evaluated. Results In total, 250 Rezum procedures were performed during the observational period. After applying the exclusion criteria, the data from 193 patients were included in the analysis. Patients achieved significant symptom relief as measured using the IPSS (46% reduction) and IPSS-QoL scores (41% reduction). Qmax improved by 4.8 ml/s, as the mean PVR significantly decreased by 50%. PVol and PSA values decreased by 30% and 27.5%, respectively. In 19/193 patients with a urodynamic evaluation, pre- and postoperative data analysis showed a significant reduction in the bladder outlet obstruction index (BOOI) by approximately 70%. Conclusions Rezum is effective and can improve urinary symptoms. In appropriate patients, Rezum can significantly reduce the bladder outlet obstruction (BOO).

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Real-world experience of water vapour therapy (Rezum) in patients with benign prostatic enlargement: a retrospective single-center study

Wolters,

Krastel,

Winkler

et al. 2024

Prostate Cancer Prostatic Dis

View full text Add to dashboard Cite

show abstract

Complication rate across the minimally invasive surgical treatments (MISTs): where do we stand? A systematic review of the literature

Lambertini,

Sandulli,

Coco

et al. 2024

Prostate Cancer Prostatic Dis

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Real-World experience of water vapour therapy (Rezum) in patients with benign prostatic enlargement: a retrospective single-center study

Wolters,

Krastel,

Winkler

et al. 2024

Preprint

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Background Water vapor thermal therapy (Rezum) is a minimally invasive treatment for benign prostatic enlargement (BPE). Studies reporting urodynamic results regarding the procedure are rare. Our study aimed to assess the effectiveness of Rezum on urinary outcome parameters in a consecutive series of patients and compare urodynamic data before and after treatment.Methods We retrospectively evaluated all the patients treated with Rezum between 07/2017 and 12/2023 at our institution. Patients who had more than one Rezum intervention, those who were unable to void (i.e., catheter-dependent patients), and those with insufficient data were excluded from the data analysis. Descriptive outcomes, such as symptom scores (IPSS, IPSS-QoL), peak flow in uroflowmetry (Qmax), post-micturition residual urine volume (PVR), and prostate volume (PVol), were analyzed. If available, preoperative and postoperative urodynamic results were evaluated.Results In total, 250 Rezum procedures were performed during the observational period. After applying the exclusion criteria, the data from 193 patients were included in the analysis. Patients achieved significant symptom relief as measured using the IPSS (46% reduction) and IPSS-QoL scores (41% reduction). Qmax improved by 4.8 ml/s, as the mean PVR significantly decreased by 50%. PVol and PSA values decreased by 30% and 27.5%, respectively. In 19/193 patients with a urodynamic evaluation, pre- and postoperative data analysis showed a significant reduction in the bladder outlet obstruction index (BOOI) by approximately 70%.Conclusions Rezum is effective and can improve urinary symptoms. In appropriate patients, Rezum can significantly reduce the bladder outlet obstruction (BOO).

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Is water vapor thermal therapy safe and feasible in elderly and frail men? The Italian experience

Cited by 3 publications

References 23 publications

Real-world experience of water vapour therapy (Rezum) in patients with benign prostatic enlargement: a retrospective single-center study

Real-world experience of water vapour therapy (Rezum) in patients with benign prostatic enlargement: a retrospective single-center study

Complication rate across the minimally invasive surgical treatments (MISTs): where do we stand? A systematic review of the literature

Real-World experience of water vapour therapy (Rezum) in patients with benign prostatic enlargement: a retrospective single-center study

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