PMID- 28780635
OWN - NLM
STAT- MEDLINE
DCOM- 20180307
LR  - 20200306
IS  - 1534-6285 (Electronic)
IS  - 1527-2737 (Linking)
VI  - 18
IP  - 10
DP  - 2017 Oct
TI  - Convective Radiofrequency Water Vapor Thermal Therapy with Rezum System.
PG  - 78
LID - 10.1007/s11934-017-0728-1 [doi]
AB  - PURPOSE: Lower urinary tract symptoms (LUTS) secondary to benign prostatic 
      hyperplasia (BPH) are amongst the most commonly treated conditions by urologists. 
      Minimally invasive therapies for the treatment of BPH/LUTS have garnered 
      increased interest as new technology has emerged, improving durability, efficacy, 
      and safety. This paper reviews the most recent literature regarding water vapor 
      therapy, a convective thermal therapy that ablates prostatic tissue. RECENT 
      FINDINGS: The current literature includes a pilot study of 65 men and a 
      randomized controlled trial (RCT) of 197 men investigating the efficacy and 
      safety profile of water vapor therapy up to 2 years. Subjects treated with water 
      vapor therapy demonstrated a 51% reduction in IPSS from baseline, sustained at 
      24 months (p < 0.0001). Durable improvements in max flow rate (Qmax) and quality 
      of life (QoL) were also achieved, while no changes in sexual function were 
      observed. Reporting of adverse events (AEs) reveals predominantly Clavien grade I 
      complications that were self-limited. The clinical efficacy and safety of water 
      vapor therapy are durable to 24 months making it an attractive alternative for 
      patients seeking a minimally invasive treatment for LUTS due to BPH.
FAU - Helo, Sevann
AU  - Helo S
AD  - Division of Urology, Southern Illinois University School of Medicine, St. John's 
      Pavilion, 301 North Eighth St., P.O. Box 19665, Springfield, IL, 62794-9665, USA.
FAU - Holland, Bradley
AU  - Holland B
AD  - Division of Urology, Southern Illinois University School of Medicine, St. John's 
      Pavilion, 301 North Eighth St., P.O. Box 19665, Springfield, IL, 62794-9665, USA.
FAU - McVary, Kevin T
AU  - McVary KT
AD  - Division of Urology, Southern Illinois University School of Medicine, St. John's 
      Pavilion, 301 North Eighth St., P.O. Box 19665, Springfield, IL, 62794-9665, USA. 
      kmcvary@siumed.edu.
LA  - eng
PT  - Journal Article
PT  - Review
PL  - United States
TA  - Curr Urol Rep
JT  - Current urology reports
JID - 100900943
RN  - 0 (Steam)
SB  - IM
MH  - Ablation Techniques/instrumentation/*methods
MH  - Humans
MH  - Lower Urinary Tract Symptoms/etiology/*surgery
MH  - Male
MH  - Prostatic Hyperplasia/complications
MH  - Quality of Life
MH  - *Radiofrequency Therapy
MH  - *Steam/adverse effects
OTO - NOTNLM
OT  - Lower urinary tract symptoms
OT  - Minimally invasive therapies
OT  - Prostate
OT  - Prostatic hyperplasia
OT  - Thermal conductivity
EDAT- 2017/08/07 06:00
MHDA- 2018/03/08 06:00
CRDT- 2017/08/07 06:00
PHST- 2017/08/07 06:00 [entrez]
PHST- 2017/08/07 06:00 [pubmed]
PHST- 2018/03/08 06:00 [medline]
AID - 10.1007/s11934-017-0728-1 [pii]
AID - 10.1007/s11934-017-0728-1 [doi]
PST - ppublish
SO  - Curr Urol Rep. 2017 Oct;18(10):78. doi: 10.1007/s11934-017-0728-1.