Evidence map›Paper›PMID 34588631›Full record

ArticleProstate cancer and prostatic diseases2022

Rezūm water vapor therapy in multimorbid patients with urinary retention and catheter dependency.

K Eredics, C Wehrberger, A Henning, S Sevcenco, M Marszalek, M Rauchenwald, C Falkensammer, U Stoces, S Madersbacher, M Horetzky and 2 more

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Article in Prostate cancer and prostatic diseases, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 3 pooled it
5.7field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 3 syntheses or guidelines pooled it, 38 citations in OpenAlex.

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  4. Real-world comparison of RezūmWorld journal of urology · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 3 institutions in 2 countries.

K EredicsDepartment of Urology, Klinik Donaustadt, Vienna, Austria. klaus.eredics@gmail.com.ORCID http://orcid.org/0000-0002-3676-5262
C WehrbergerDepartment of Urology, Klinik Donaustadt, Vienna, Austria.
A HenningDepartment of Urology, Klinik Donaustadt, Vienna, Austria.
S SevcencoDepartment of Urology, Klinik Donaustadt, Vienna, Austria.
M MarszalekDepartment of Urology, Klinik Donaustadt, Vienna, Austria.
M RauchenwaldDepartment of Urology, Klinik Donaustadt, Vienna, Austria.
C FalkensammerDepartment of Urology, Klinik Favoriten, Vienna, Austria.
U StocesDepartment of Urology, Klinik Favoriten, Vienna, Austria.
S MadersbacherDepartment of Urology, Klinik Favoriten, Vienna, Austria.
M HoretzkyDepartment of Urology, Paracelsus Medical University, Salzburg, Austria.
T KunitDepartment of Urology, Paracelsus Medical University, Salzburg, Austria.
L LusuardiDepartment of Urology, Paracelsus Medical University, Salzburg, Austria.
Donauspital · ATParacelsus Medical University · ATSigmund Freud Privatuniversität Wien · AT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWater vapor thermal therapy (Rezūm) is a minimally invasive treatment for benign prostatic enlargement (BPE). We report on safety and efficacy of this method for treatment of recurrent urinary retention and relief of catheter dependency owing to BPE in multimorbid patients, considered unfit for surgery.

methodsWe retrospectively evaluated 136 patients with recurrent urinary retention who underwent water vapor therapy in an ambulatory setting with periprostatic block and optional sedation between 11/2017 and 02/2021 in three urological departments. The objective was successful catheter withdrawal and continuing catheter independency after 3- and 12-months following treatment.

resultsMean patient age was 80.3 years (±7.8), mean prostate volume 54 ml (±27.3), and mean catheter dependency before treatment was 4.8 months (±6.0). ASA classification was a followed: II: 10%, III: 71%, and IV: 19%. All procedures were performed successfully in an ambulatory setting. Perioperative complications were infrequent and minor (Clavien-Dindo Grade 1-2) and included haematuria in 4.4% and urinary tract infection in 3.9% of all cases. A total of 103 patients (78.6%) were able to void spontaneously after a median of 31 days. No significant differences in age, prostate volume, duration of catheter dependency, vapor injections, and ASA score were found between patients with successful or unsuccessful outcome. The mean follow-up period was 6.1 months (±5.9, range 1-22 months). A 3-month follow-up was available for 77 patients (75%) and 34 patients (33%) were followed for 12 months. After 3 and 12 months, 93.5 and 91% of patients remained catheter independent. Fifteen patients (11%) died during follow-up, with a mean overall survival of 7.7 months (±4.7).

conclusionsWater vapor therapy may prove to be a useful, minimally invasive treatment in a multimorbid population with catheter dependency after urinary retention, secondary to BPE, considered at highest risk or unfit for surgery. Future studies are warranted.

Indexed as

Lower Urinary Tract SymptomsProstatic HyperplasiaProstatic NeoplasmsUrinary RetentionAged, 80 and overCathetersHumansMaleRetrospective StudiesSteamTreatment OutcomeSteam

Identifiers

PMID34588631
OpenAlexW3203808913

What OpenQuestion holds

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Read underepoch 390

Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.