{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T10:09:12Z","timestamp":1788775752799,"version":"build-2803163510"},"reference-count":79,"publisher":"Oxford University Press (OUP)","issue":"3","license":[{"start":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T00:00:00Z","timestamp":1785196800000},"content-version":"vor","delay-in-days":28,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,6,30]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Benign prostatic hyperplasia (BPH) is highly prevalent among aging men, with management often requiring a balance between symptom relief and preservation of sexual function. Convective water vapor thermal therapy (Rez\u016bm) has emerged as a minimally invasive treatment; however, its effects on sexual function remain incompletely defined. This systematic review and meta-analysis evaluated the impact of Rez\u016bm therapy on erectile and ejaculatory function.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A systematic search of PubMed, Web of Science, and Scopus was conducted from inception to October 2025 in accordance with PRISMA guidelines. Studies reporting pre- and postoperative sexual function outcomes using validated instruments were included. To prevent metric mixing, the International Index of Erectile Function (IIEF) data were stratified into 3 distinct instrument frameworks: Group A (True IIEF-5; 0-25 scale), Group B (IIEF-15 Total Score; 0-75 scale), and Group C (IIEF-Erectile Function Domain; 0-30 scale), alongside the Male Sexual Health Questionnaire for Ejaculatory Dysfunction (MSHQ-EjD) score and bother domains. Pooled mean differences (MDs) with 95% confidence intervals (CIs) were calculated using random-effects models, stratified by follow-up duration.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Fourteen unique studies comprising 1306 patients were included. Group A (True IIEF-5) scores demonstrated stable erectile function postoperatively, with a significant improvement observed only at 12\u00a0months (MD\u2009=\u20091.09; 95% CI, 0.02-2.15; P\u2009=\u2009.046; I2\u2009=\u200977.2%); however, this finding did not persist under risk-of-bias-restricted (MD\u2009=\u20090.08; P\u2009=\u2009.85; I2\u2009=\u20090%) or r\u2009=\u20090.5 sensitivity analyses (P\u2009=\u2009.056). Group B (IIEF-15 Total Score) showed no significant change from baseline in the primary pooled analyses at any follow-up interval. However, sensitivity analyses excluding a heterogeneity-driving outlier revealed significant improvements at 3\u00a0months (MD\u2009=\u20092.58; 95% CI, 0.01-5.15; P\u2009=\u2009.049; I2\u2009=\u200915.7%), 6\u00a0months (MD\u2009=\u20095.21; 95% CI, 2.50-7.93; P\u2009=\u2009.0002; I2\u2009=\u20090%), and 12\u00a0months (MD\u2009=\u20093.09; 95% CI, 0.56-5.61; P\u2009=\u2009.017; I2\u2009=\u20090%). Group C (IIEF-Erectile Function domain) scores demonstrated preservation of erectile function through 24\u00a0months (all P\u2009&amp;gt;\u2009.05), despite a transient decline observed in a single cohort at 1\u00a0month. Male Sexual Health Questionnaire for Ejaculatory Dysfunction Bother scores demonstrated a significant and sustained reduction in ejaculatory distress from 1\u00a0month (MD\u2009=\u2009\u22120.35; P\u2009=\u2009.016) through 12\u00a0months (MD\u2009=\u2009\u22120.78; P\u2009=\u2009.0018), while MSHQ-EjD Score outcomes remained largely stable over time.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Rez\u016bm therapy demonstrates a favorable sexual safety profile, with preservation of erectile and ejaculatory function. These findings support its role as an effective minimally invasive treatment for BPH, particularly in patients prioritizing sexual function preservation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/sxmrev\/qeag050","type":"journal-article","created":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T11:38:28Z","timestamp":1782992308000},"source":"Crossref","is-referenced-by-count":0,"title":["Impact of convective water vapor thermal therapy (Rezum) on male sexual function: a systematic review and meta-analysis"],"prefix":"10.1093","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1237-5099","authenticated-orcid":false,"given":"Ibrahim A","family":"Khalil","sequence":"first","affiliation":[{"name":"Department of Urology, Hamad Medical Corporation , Doha ,","place":["Qatar"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-6197-3273","authenticated-orcid":false,"given":"Mohammad Ghassab","family":"Deameh","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Al-Balqa Applied University , As-Salt ,","place":["Jordan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6559-2893","authenticated-orcid":false,"given":"Abdelrahman","family":"Abdelshafi","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Assiut University , Assiut ,","place":["Egypt"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-8122-1786","authenticated-orcid":false,"given":"Hamza","family":"Mohamed","sequence":"additional","affiliation":[{"name":"University of Texas MD Anderson Cancer Center , Houston, TX ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohamed","family":"Ramez","sequence":"additional","affiliation":[{"name":"University of Texas MD Anderson Cancer Center , Houston, TX ,","place":["United 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,","place":["Qatar"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9476-4869","authenticated-orcid":false,"given":"Kareim","family":"Khalafalla, MD","sequence":"additional","affiliation":[{"name":"Department of Urology, Hamad Medical Corporation , Doha ,","place":["Qatar"]},{"name":"Department of Urology, College of Medicine, Qatar University , Doha ,","place":["Qatar"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,7,28]]},"reference":[{"issue":"2","key":"2026090705260175900_ref1","doi-asserted-by":"publisher","first-page":"223","DOI":"10.1016\/j.pop.2019.02.003","article-title":"Benign prostatic hyperplasia","volume":"46","author":"Langan","year":"2019","journal-title":"Prim Care"},{"issue":"4","key":"2026090705260175900_ref2","doi-asserted-by":"publisher","first-page":"443","DOI":"10.1016\/j.ucl.2009.07.004","article-title":"Established medical therapy for benign prostatic 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