{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,6]],"date-time":"2026-07-06T16:51:39Z","timestamp":1783356699024,"version":"3.54.6"},"reference-count":13,"publisher":"SAGE Publications","issue":"12","license":[{"start":{"date-parts":[[2024,12,1]],"date-time":"2024-12-01T00:00:00Z","timestamp":1733011200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Endourology"],"published-print":{"date-parts":[[2024,12]]},"abstract":"\n Introduction:<\/jats:title>\n \n To compare the clinical outcomes and complication rates of convective water vapor energy ablation (Rezum\n \u00ae<\/jats:sup>\n ) and prostatic urethral lift (Urolift\n \u00ae<\/jats:sup>\n ). To identify predictive factors for treatment failures in both treatments.\n <\/jats:p>\n <\/jats:sec>\n \n Materials & Methods:<\/jats:title>\n \n Prospective clinico-epidemiological data of patients who underwent Urolift\n \u00ae<\/jats:sup>\n or Rezum\n \u00ae<\/jats:sup>\n in a single institution for benign prostatic hyperplasia (BPH) was collected. The choice of intervention depended on the preference of the patients after patient-centric discussions.\n <\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n \n From October 2019 to October 2022, 86 patients underwent Rezum\n \u00ae<\/jats:sup>\n , and 62 patients underwent Urolift\n \u00ae<\/jats:sup>\n . Rezum\n \u00ae<\/jats:sup>\n involved a longer indwelling catheter duration (12.38\u2009\u00b1\u20095.548\n vs<\/jats:italic>\n 1.39\u2009\u00b1\u20093.010 days,\n p<\/jats:italic>\n < 0.001) compared with Urolift\n \u00ae<\/jats:sup>\n . Rezum\n \u00ae<\/jats:sup>\n was associated with more complications compared with Urolift\n \u00ae<\/jats:sup>\n (36 [41.9%]\n vs<\/jats:italic>\n 10 [16.1%] cases,\n p<\/jats:italic>\n < 0.001). Rezum\n \u00ae<\/jats:sup>\n had more cases of hematuria (17 [19.8%]\n vs<\/jats:italic>\n 4 [6.5%] cases [\n p<\/jats:italic>\n = 0.022]) and urinary tract infections (27 [31.4%]\n vs<\/jats:italic>\n 3 [4.8%] cases,\n p<\/jats:italic>\n < 0.001) compared with Urolift\n \u00ae<\/jats:sup>\n . There were no significant differences in Clavien\u2013Dindo Grade 3\u20135 complications between the interventions. Urolift\n \u00ae<\/jats:sup>\n was associated with higher reoperation rates (5 [8.1%]\n vs<\/jats:italic>\n 0 [0%] cases,\n p<\/jats:italic>\n = 0.010) compared Rezum\n \u00ae<\/jats:sup>\n . Rezum\n \u00ae<\/jats:sup>\n had higher anticholinergic usage rates compared with Urolift\n \u00ae<\/jats:sup>\n post-operation (22 [25.6%]\n vs<\/jats:italic>\n 8 [12.9%] cases,\n p<\/jats:italic>\n = 0.024). Both interventions showed improvement in the International Prostate Symptom Score (IPSS), quality of life score, and peak velocity flow over the 2 years with no significant difference between the two. Based on receiver operating characteristic curve, preoperation IPSS \u226516 had 95.7% sensitivity and 38.4% specificity to predict the probability of treatment failures after the interventions.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions:<\/jats:title>\n \n There was no difference in clinical outcomes of patients who underwent Rezum\n \u00ae<\/jats:sup>\n and Urolift\n \u00ae<\/jats:sup>\n . However, patients who had undergone Rezum\n \u00ae<\/jats:sup>\n faced more minor complications and more required anti-cholinergic medications. Lastly, physicians should note that patients with IPSS \u226516 would unlikely benefit from either intervention.\n <\/jats:p>\n <\/jats:sec>","DOI":"10.1089\/end.2024.0400","type":"journal-article","created":{"date-parts":[[2024,9,20]],"date-time":"2024-09-20T08:21:59Z","timestamp":1726820519000},"page":"1387-1394","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":8,"title":["Convective Water Vapor Energy Ablation (Rezum\n \u00ae<\/sup>\n ) Versus Prostatic Urethral Lift (Urolift\n \u00ae<\/sup>\n ): A 2-Year Prospective Study"],"prefix":"10.1177","volume":"38","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5277-7511","authenticated-orcid":false,"given":"Yu Xi Terence","family":"Law","sequence":"first","affiliation":[{"name":"Department of Urology, National University Hospital, Singapore, Singapore."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wei Jing Kelven","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Urology, National University Hospital, Singapore, Singapore."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Liang","family":"Shen","sequence":"additional","affiliation":[{"name":"Biostatistics Unit, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kyaw","family":"Lin","sequence":"additional","affiliation":[{"name":"Department of Urology, National University Hospital, Singapore, Singapore."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chloe Shu Hui","family":"Ong","sequence":"additional","affiliation":[{"name":"Department of Urology, National University Hospital, Singapore, Singapore."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qi Yang","family":"Lim","sequence":"additional","affiliation":[{"name":"Department of Urology, National University Hospital, Singapore, Singapore."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gregory Xiang Wen","family":"Pek","sequence":"additional","affiliation":[{"name":"Department of Urology, National University Hospital, Singapore, Singapore."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Woon Chau","family":"Tsang","sequence":"additional","affiliation":[{"name":"Department of Urology, National University Hospital, Singapore, Singapore."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yi Quan","family":"Tan","sequence":"additional","affiliation":[{"name":"Department of Urology, National University Hospital, Singapore, Singapore."},{"name":"Division of Urology, Ng Teng Fong General Hospital, Singapore, Singapore."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jun Yang","family":"Chia","sequence":"additional","affiliation":[{"name":"Department of Urology, National University Hospital, Singapore, Singapore."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"King Chien Joe","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Urology, National University Hospital, Singapore, Singapore."},{"name":"Asian Healthcare Specialist, Mount Alvernia, Singapore, Singapore."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wei Jin","family":"Chua","sequence":"additional","affiliation":[{"name":"Department of Urology, National University Hospital, Singapore, Singapore."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,12,1]]},"reference":[{"key":"e_1_3_5_2_2","article-title":"Non-neurogenic male Lower Urinary Tract Symptoms (LUTS), incl. Benign Prostatic Obstruction (BPO)","author":"Cornu JN","year":"2023","unstructured":"Cornu JN, , Gacci M, , Hashim H, et al. Non-neurogenic male Lower Urinary Tract Symptoms (LUTS), incl. Benign Prostatic Obstruction (BPO). EAU Guideline, 2023.","journal-title":"EAU Guideline"},{"key":"e_1_3_5_3_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12894-020-00776-2"},{"issue":"3","key":"e_1_3_5_4_2","first-page":"8802","article-title":"Five year results of the prospective randomized controlled prostatic urethral L.I.F.T. Study","volume":"24","author":"Roehrborn CG","year":"2017","unstructured":"Roehrborn CG, , Barkin J, , Gange SN, et al. Five year results of the prospective randomized controlled prostatic urethral L.I.F.T. Study. 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