Water Vapor Thermal Therapy (Rezum™) for Benign Prostate Hyperplasia: Initial Experience from Turkiye

Objective:Rezum™ system is a safe minimal invasive treatment modality for benign prostate hyperplasia (BPH) treatment. The aim of this study was to evaluate the short-term results of Rezum™ therapy in our center.Materials and Methods:We retrospectively collected the data of 28 patients with symptoma...

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Main Authors: Mustafa Bilal Tuna, Tunkut Doğanca, Ömer Burak Argun, Betül Zehra Pirdal, İlter Tüfek, Can Obek, Ali Rıza Kural
Format: Article
Language:English
Published: Galenos Yayinevi 2022-12-01
Series:Journal of Urological Surgery
Subjects:
Online Access: http://jurolsurgery.org/archives/archive-detail/article-preview/water-vapor-thermal-therapy-rezum-for-benign-prost/57424
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author Mustafa Bilal Tuna
Tunkut Doğanca
Ömer Burak Argun
Betül Zehra Pirdal
İlter Tüfek
Can Obek
Ali Rıza Kural
author_facet Mustafa Bilal Tuna
Tunkut Doğanca
Ömer Burak Argun
Betül Zehra Pirdal
İlter Tüfek
Can Obek
Ali Rıza Kural
author_sort Mustafa Bilal Tuna
collection DOAJ
description Objective:Rezum™ system is a safe minimal invasive treatment modality for benign prostate hyperplasia (BPH) treatment. The aim of this study was to evaluate the short-term results of Rezum™ therapy in our center.Materials and Methods:We retrospectively collected the data of 28 patients with symptomatic BPH who underwent Rezum™ therapy in our center. All patients’ pre-operative and post-operative; post-void residual volume (PVR), Q<sub>max</sub>, international prostate symptom score (IPSS), quality of life (QoL) score, serum total prostate-specific antigen levels were obtained. The number of injections administered during the procedure, operation time, catheter removal time, complications and mean duration of follow-up was recorded.Results:Our study group consisted of 28 patients with a mean age of 65.1±8.9 years, median prostate volume 64 [interquartile range (IQR) 44.8-89.5] mL. The median procedure time was 12 (IQR 11-13.8) minutes, the median catheter removal time was 6.5 (IQR 5-8.8) days for our study group. None of the patients had experienced Clavien-Dindo 3 complications. Pre-operative median Q<sub>max</sub> and PVR were 8 (IQR 6-9) mL/s and 110 (IQR 80-187.5) cc and post-operative Q<sub>max</sub> and PVR were 12.5 (11-14.8) mL/s and 40 (IQR 18.8-70) cc, respectively. We observed a significant increase in IPSS and QoL score at post-operative 3rd month after the Rezum™ therapy. Conclusion:Rezum™ procedure is an effective and safe treatment for symptomatic BPH in the short term. Rezum™ system provides a significant increase in Q<sub>max</sub> and significant decrease in PVR and IPSS. QoL scores after the 3rd month of the procedure is significantly lower compared to the pre-operative status.
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spelling doaj.art-5365df82ec1f4efe986b7b79d25685b22023-02-15T16:11:49ZengGalenos YayineviJournal of Urological Surgery2148-95802022-12-019422823410.4274/jus.galenos.2022.2022.005313049054Water Vapor Thermal Therapy (Rezum™) for Benign Prostate Hyperplasia: Initial Experience from TurkiyeMustafa Bilal Tuna0Tunkut Doğanca1Ömer Burak Argun2Betül Zehra Pirdal3İlter Tüfek4Can Obek5Ali Rıza Kural6 Acıbadem Maslak Hospital, Department of Urology, İstanbul, Turkiye Acıbadem Taksim Hospital, Department of Urology, İstanbul, Turkiye Acıbadem Mehmet Ali Aydınlar University School of Medicine, Department of Urology, İstanbul, Turkiye İstanbul University-Cerrahpaşa, Cerrahpaşa School of Medicine, Department of Public Health, İstanbul, Turkiye Acıbadem Mehmet Ali Aydınlar University School of Medicine, Department of Urology, İstanbul, Turkiye Acıbadem Mehmet Ali Aydınlar University School of Medicine, Department of Urology, İstanbul, Turkiye Acıbadem Mehmet Ali Aydınlar University School of Medicine, Department of Urology, İstanbul, Turkiye Objective:Rezum™ system is a safe minimal invasive treatment modality for benign prostate hyperplasia (BPH) treatment. The aim of this study was to evaluate the short-term results of Rezum™ therapy in our center.Materials and Methods:We retrospectively collected the data of 28 patients with symptomatic BPH who underwent Rezum™ therapy in our center. All patients’ pre-operative and post-operative; post-void residual volume (PVR), Q<sub>max</sub>, international prostate symptom score (IPSS), quality of life (QoL) score, serum total prostate-specific antigen levels were obtained. The number of injections administered during the procedure, operation time, catheter removal time, complications and mean duration of follow-up was recorded.Results:Our study group consisted of 28 patients with a mean age of 65.1±8.9 years, median prostate volume 64 [interquartile range (IQR) 44.8-89.5] mL. The median procedure time was 12 (IQR 11-13.8) minutes, the median catheter removal time was 6.5 (IQR 5-8.8) days for our study group. None of the patients had experienced Clavien-Dindo 3 complications. Pre-operative median Q<sub>max</sub> and PVR were 8 (IQR 6-9) mL/s and 110 (IQR 80-187.5) cc and post-operative Q<sub>max</sub> and PVR were 12.5 (11-14.8) mL/s and 40 (IQR 18.8-70) cc, respectively. We observed a significant increase in IPSS and QoL score at post-operative 3rd month after the Rezum™ therapy. Conclusion:Rezum™ procedure is an effective and safe treatment for symptomatic BPH in the short term. Rezum™ system provides a significant increase in Q<sub>max</sub> and significant decrease in PVR and IPSS. QoL scores after the 3rd month of the procedure is significantly lower compared to the pre-operative status. http://jurolsurgery.org/archives/archive-detail/article-preview/water-vapor-thermal-therapy-rezum-for-benign-prost/57424 benign prostate hyperplasiarezum™ (water vapor therapy)minimal invasive treatment
spellingShingle Mustafa Bilal Tuna
Tunkut Doğanca
Ömer Burak Argun
Betül Zehra Pirdal
İlter Tüfek
Can Obek
Ali Rıza Kural
Water Vapor Thermal Therapy (Rezum™) for Benign Prostate Hyperplasia: Initial Experience from Turkiye
Journal of Urological Surgery
benign prostate hyperplasia
rezum™ (water vapor therapy)
minimal invasive treatment
title Water Vapor Thermal Therapy (Rezum™) for Benign Prostate Hyperplasia: Initial Experience from Turkiye
title_full Water Vapor Thermal Therapy (Rezum™) for Benign Prostate Hyperplasia: Initial Experience from Turkiye
title_fullStr Water Vapor Thermal Therapy (Rezum™) for Benign Prostate Hyperplasia: Initial Experience from Turkiye
title_full_unstemmed Water Vapor Thermal Therapy (Rezum™) for Benign Prostate Hyperplasia: Initial Experience from Turkiye
title_short Water Vapor Thermal Therapy (Rezum™) for Benign Prostate Hyperplasia: Initial Experience from Turkiye
title_sort water vapor thermal therapy rezum™ for benign prostate hyperplasia initial experience from turkiye
topic benign prostate hyperplasia
rezum™ (water vapor therapy)
minimal invasive treatment
url http://jurolsurgery.org/archives/archive-detail/article-preview/water-vapor-thermal-therapy-rezum-for-benign-prost/57424
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