Preliminary results of a national multicenter study on the treatment of LUTS secondary to benign prostatic hyperplasia using the Rezum® steam system.
Actas Urol Esp (Engl Ed)
; 46(5): 310-316, 2022 06.
Article
em En, Es
| MEDLINE
| ID: mdl-35570100
ABSTRACT
INTRODUCTION AND OBJECTIVE:
Rezum® system is a minimally invasive transurethral therapy that uses convective water vapor energy to ablate prostatic tissue. The objective is to report 1-year functional and security outcomes obtained by using this technique in real clinical practice. MATERIAL ANDMETHODS:
Prospective study conducted in 5 Spanish hospitals for the treatment of LUTS secondary to BPH using the Rezum® system. Patients with prostatic medium lobe (ML) and urethral catheter carriers were also included. Pre- and post-operative data were collected using IPSS, IIEF-5 and QoL questionnaires, flowmetry and post-void residual volume. Complications and retreatment rate at one-year follow-up were also reported.RESULTS:
137 patients, including 64 with ML and 10 patients with urinary retention were treated. Median prostate volume was 50â¯cm3 (15-131). At 3 months follow-up, significant improvement was observed in IPSS (-6.37 points), Qmax (+4.95â¯mL/s) and QoL (-1.29); and was maintained until 12 months -10.78 points, +4.62â¯mL/s and -2.73 respectively (pâ¯<â¯0.001). No significant changes were observed in the sexual sphere. All complications were mild (≤ Clavien II). Retreatment rate at one year was 4%.CONCLUSION:
Short-term results of this technique are promising, showing improvement in terms of functional outcomes, with no impact on the sexual sphere or complications. Longer term follow-up should include treatment durability and comparison to standard BPH treatments.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Hiperplasia Prostática
/
Sintomas do Trato Urinário Inferior
Tipo de estudo:
Clinical_trials
/
Observational_studies
Limite:
Humans
/
Male
Idioma:
En
/
Es
Revista:
Actas Urol Esp (Engl Ed)
Ano de publicação:
2022
Tipo de documento:
Article