{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,26]],"date-time":"2026-03-26T10:43:07Z","timestamp":1774521787209,"version":"3.50.1"},"reference-count":19,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2023,5,15]],"date-time":"2023-05-15T00:00:00Z","timestamp":1684108800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["LUTS"],"published-print":{"date-parts":[[2023,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>To evaluate the long\u2010term real\u2010world efficacy and safety of Rezum for the treatment of catheter\u2010dependent urinary retention in a multimorbid, multiethnic population.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A single\u2010office, retrospective study was conducted on patients treated with Rezum between 2017 and 2019. Patients were included if they had catheter\u2010dependent urinary retention prior to treatment and at least one follow\u2010up within 36\u2009months postoperatively. Patient demographics, procedural characteristics, adverse events (AEs), and outcome measures, including benign prostate hyperplasia (BPH) medication usage and postvoid residual (PVR), were collected at 3, 6, 12, and\/or 36\u2009months postoperatively. Regret was assessed at 36\u2009months using the 5\u2010item Decisional Regret Scale (DRS).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 27 patients met the inclusion criteria, with the majority being Asian (29.6%), followed by non\u2010Hispanic Black (26.0%) and Hispanic (22.2%). Most patients (77.8%) had at least one comorbidity. Trial of void (TOV) was attempted at a median of 8\u2009days (7, 13). Fourteen patients (51.9%) failed their initial TOV. Median time until catheter independence was 13.5\u2009days (8.5, 28.8). Common AEs included urinary retention (51.9%), urinary tract infections (UTIs) (25.9%), and dysuria (25.9%). All cases of UTIs (7\/7) and most cases of dysuria (6\/7) occurred in patients who failed their initial TOV. At 36\u2009months, there was a significant median percentage change in PVR (\u2212100.0% [\u2212100.0, \u221236.7], <jats:italic>p<\/jats:italic>\u2009=\u2009.049), and 40.4% of patients discontinued their BPH medications (<jats:italic>p<\/jats:italic>\u2009=\u2009.001). Of the 11 patients who filled out the DRS, 10 (90.9%) agreed\/strongly agreed that they made the right decision. By 36\u2009months, 4 patients (14.8%) underwent reoperation and 24 (88.9%) remained catheter\u2010independent.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>At long\u2010term follow\u2010up, Rezum effectively treated catheter\u2010dependent urinary retention with minimal decisional regret. In patients with urinary retention, urologists should consider delaying TOV until 2\u2009weeks postoperatively to maximize the likelihood of a successful TOV and minimize the risk of AEs.<\/jats:p><\/jats:sec>","DOI":"10.1111\/luts.12482","type":"journal-article","created":{"date-parts":[[2023,5,16]],"date-time":"2023-05-16T05:49:05Z","timestamp":1684216145000},"page":"148-153","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Efficacy and safety of the Rezum system for the treatment of catheter\u2010dependent urinary retention: Three\u2010year real\u2010world outcomes in a multimorbid, multiethnic population"],"prefix":"10.1111","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8490-2260","authenticated-orcid":false,"given":"Mustufa","family":"Babar","sequence":"first","affiliation":[{"name":"Albert Einstein College of Medicine  Bronx New York USA"},{"name":"DSS Urology  Queens Village New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zaki","family":"Masoud","sequence":"additional","affiliation":[{"name":"Albert Einstein College of Medicine  Bronx New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3275-1004","authenticated-orcid":false,"given":"Kevin","family":"Labagnara","sequence":"additional","affiliation":[{"name":"Albert Einstein College of Medicine  Bronx New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Justin","family":"Loloi","sequence":"additional","affiliation":[{"name":"Department of Urology Montefiore Medical Center  Bronx New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rahman","family":"Sayed","sequence":"additional","affiliation":[{"name":"Albert Einstein College of Medicine  Bronx New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sandeep","family":"Singh","sequence":"additional","affiliation":[{"name":"DSS Urology  Queens Village New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2908-1954","authenticated-orcid":false,"given":"Kevin","family":"Tang","sequence":"additional","affiliation":[{"name":"Albert Einstein College of Medicine  Bronx New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Umar","family":"Syed","sequence":"additional","affiliation":[{"name":"DSS Urology  Queens Village New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Ciatto","sequence":"additional","affiliation":[{"name":"DSS Urology  Queens Village New York 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water vapor therapy for catheter\u2010dependent urinary retention: a real\u2010world Canadian experience","volume":"29","author":"Elterman DS","year":"2022","journal-title":"Can J Urol"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41391\u2010021\u201000462\u2010w"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41391\u2010019\u20100187\u20105"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1080\/13685538.2021.1901273"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1089\/end.2022.0490"}],"container-title":["LUTS: Lower Urinary Tract 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