https://doi.org/10.4081/aiua.2023.12026

Evaluation of Rezum therapy as a minimally invasive modality for management of Benign Prostatic Hyperplasia: A prospective observational study

Vol. 95 No. 4 (2023)
Submitted: October 24, 2023
Accepted: November 13, 2023
Published: December 28, 2023
Hyperplasia, Prostate, Rezum
Abstract Views: 899
PDF: 417
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Authors

Tamer A. Abouelgreed
dr_tamer_ali@yahoo.com
https://orcid.org/0000-0003-2640-3425
Department of Urology, Faculty of Medicine, Al-Azhar University, Cairo, Egypt; Gulf Medical University, Ajman, United Arab Emirates.
Ayman K. Koritenah
Department of Urology, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.
Yasser Badran
Department of Urology, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.
Ibrahim Tagreda
Department of Urology, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.
Mohamed Algammal
https://orcid.org/0009-0002-0472-4914
Department of Urology, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.
Hesham Abozied
https://orcid.org/0000-0001-8373-930X
Department of Urology, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.
Hany A. Eldamanhory
Department of Urology, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.
Hossam A. Shouman
Department of Urology, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.
Abdelhamid A. Khattab
Department of Urology, Damanhur Teaching Hospital, Albuheira Government, Egypt.
Munira Ali
Department of Radiology, Thumbay University Hospital, Ajman, United Arab Emirates.
Mohammad Thabet Alnajem
Department of Radiology, Tawam Hospital, Alain, United Arab Emirates.
Ahmed A. Abdelwahed 
https://orcid.org/0000-0003-4224-1622
Department of Radiology, Ain shams University, Cairo, Egypt.

Objective: To evaluate safety and efficacy of Rezum therapy as a minimally invasive modality for management of benign prostatic hyperplasia in patients with prostate volume < 80cc and those with prostate volume > 80cc. Methods: Between June 2020 and February 2023, A total of 98 patients diagnosed with BPH and managed by Rezum were included in this study. Patients were divided based on their prostate volume of either less than 80 cc or greater than 80 cc. We evaluated several parameters related to their condition, including prostate volume, post-voiding residual (PVR) before and after surgery, number of treatments received, maximum urine flow rate (Qmax) before and after surgery and mean follow- up periods. Results: The mean age was 68 years (SD 11.2). The median prostatic volume was 62 cc (IQR 41, 17). A maximum of 9 treatments were administered. Six months was determined to be the average post-operative follow-up period (IQR: 3.5-7.2). The mean preoperative total PSA was 2.7 (IQR 1, 2), preoperative mean PVR was 79.8 cm3, preoperative mean Qmax was 8.2 ml/s (IQR 4.7-10.5), and median post-operative days until catheter removal was four days (IQR 3,1). Post-operative PVR was 24.7 cm3 (IQR 18.2, 29.4) and the mean post-operative Qmax was 18.3 ml/s (SD 6.3). Qmax levels significantly increased, by an average of 8.2 ml/s (SD 7.13) (p < 0.001). Similarly, a decrease of average PVR of 97.28 cm3 (SD 95.85) (p < 0.001) was detected, which is a substantial reduction. Between prostates less 80cc and those over 80cc, there were no appreciable differences in Qmax or PVR (p-values: 0.435 and 0.431, respectively). Conclusions: From our study, we conclude that Rezum water vapor thermal therapy, as a minimally invasive modality, is an effective and safe surgical option for management of benign prostatic hyperplasia of men with moderate to severe lower urinary tract symptoms (LUTS). This procedure has been shown to be effective in patients with varying larger prostate volumes.

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Hossam A. Shouman, Department of Urology, Faculty of Medicine, Al-Azhar University, Cairo

 

 

Abdelhamid A. Khattab, Department of Urology, Damanhur Teaching Hospital, Albuheira Government

            

 

Ahmed A. Abdelwahed , Department of Radiology, Ain shams University, Cairo

    

Affiliation: Department of Radiology, Ain shams University, Cairo, Egypt                                               Email:

How to Cite

Abouelgreed, T. A., Koritenah, A. K., Badran, Y., Tagreda, I., Algammal, M., Abozied, H., Eldamanhory, H. A., Shouman, H. A., Khattab, A. A., Ali, M., Alnajem, M. T., & Abdelwahed , A. A. (2023). Evaluation of Rezum therapy as a minimally invasive modality for management of Benign Prostatic Hyperplasia: A prospective observational study. Archivio Italiano Di Urologia E Andrologia, 95(4). https://doi.org/10.4081/aiua.2023.12026
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