{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,10]],"date-time":"2026-04-10T12:10:40Z","timestamp":1775823040389,"version":"3.50.1"},"reference-count":27,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2025,12,6]],"date-time":"2025-12-06T00:00:00Z","timestamp":1764979200000},"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":["Urologia"],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>This study presents a 1-year follow-up for fragile patients with catheter-dependent urinary retention related to benign prostatic hyperplasia (BPH) treated with Rezum therapy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and methods:<\/jats:title>\n                    <jats:p>All patients participating in this study exhibited catheter-dependent urine retention attributable to benign prostatic hyperplasia, with a mean prostate volume of 65\u2009\u00b1\u200913.1\u2009ml. The study only included fragile patients with a PRISMA-7 questionnaire score of \u2a7e3. The study excluded patients with bladder or prostate cancer, ongoing urinary tract inflammation, a history of pelvic irradiation or prostate surgery, neurogenic bladder or urethral stricture. The treatment was carried out under local anesthesia, with the possibility of sedation. Patients were asked to follow up after 1, 2, 9, and 12\u2009months of surgery. Clinical assessments included the IPSS score, bladder scans to determine pre- and post-voiding bladder volume, and an evaluation of the requirement for re-catheterization.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Eighty fragile patients with PRISMA-7 score \u2a7e3 underwent Rezum treatment for urinary retention due to BPH. Patients were monitored for 1\u2009year after the procedure. Patients\u2019 IPSS improved from 14 to 9.5 (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.02), while post-void residual urine decreased from 50\u2009mL to 12\u2009mL (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u20090.001). Prostate volume reduced from 60.5\u2009mL to 40.9\u2009mL (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.0003) and PSA levels also dropped, from 3.5\u2009mg\/dl to 2.3\u2009ng\/ml (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.03).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>This study demonstrates that Rezum therapy is a feasible treatment option for frail patients with PRISMA-7 questionnaire score of \u2a7e3, presented with catheter dependent urinary retention. There were reported positive post-operative outcomes and an improvement in IPSS scores up to one year after surgery.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/03915603251398255","type":"journal-article","created":{"date-parts":[[2025,12,6]],"date-time":"2025-12-06T12:23:47Z","timestamp":1765023827000},"page":"192-199","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Rezum therapy for management of frail patients with catheter dependent urinary retention due to benign prostate hyperplasia: A 1\u2009year follow up study"],"prefix":"10.1177","volume":"93","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5073-7444","authenticated-orcid":false,"given":"Ahmed Issam","family":"Ali","sequence":"first","affiliation":[{"name":"Urology Minia University, Egypt"},{"name":"Security Force Hospital, Makkah, Saudia Arabia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Waseem","family":"Tayeb","sequence":"additional","affiliation":[{"name":"King Abdullah Medical City, Urology"},{"name":"Division of Urology, Department of Surgery, King Abdullah Medical City at Holy Capital, Makkah, Saudi Arabia"},{"name":"Clinical Sciences Department, Fakeeh College for Medical Sciences, Jeddah, Saudi Arabia"},{"name":"Urology Department, Dr. Solaiman Fakeeh Hospital, Jeddah, Saudi Arabia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Suhail A.","family":"Kalantan","sequence":"additional","affiliation":[{"name":"Security Forces Hospital, Makkah, Saudia Arabia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abdelsalam","family":"Abdelfadel","sequence":"additional","affiliation":[{"name":"Minia University Hospital, Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amr Talaat","family":"Azzam","sequence":"additional","affiliation":[{"name":"Damanhur Medical National Institute, Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Turky","family":"Almouhissen","sequence":"additional","affiliation":[{"name":"Jeddah University, College of Medicine, Saudia Arabia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Basem","family":"Othman","sequence":"additional","affiliation":[{"name":"Security Forces Hospital, Makkah, Saudia Arabia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1070-711X","authenticated-orcid":false,"given":"Abdullah","family":"Albkri","sequence":"additional","affiliation":[{"name":"Security Forces Medical City, Makkah, Saudia Arabia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abdulaziz mohammed","family":"Bakhsh","sequence":"additional","affiliation":[{"name":"Taibah University, Madinah Al Monawarah, KSA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adel","family":"Moalwi","sequence":"additional","affiliation":[{"name":"Department of Surgery, College of Medicine, Najran University, Saudia Arabia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ali Abdullah","family":"Alqahtani","sequence":"additional","affiliation":[{"name":"Department of Urology, Al-Noor Specialist Hospital, Makkah, Saudi Arabia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohammed","family":"Kasem","sequence":"additional","affiliation":[{"name":"Minia University, Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abdulrahim A.","family":"Mirza","sequence":"additional","affiliation":[{"name":"Security Forces Hospital, Makkah, Saudia Arabia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ali","family":"Hassan","sequence":"additional","affiliation":[{"name":"Security Forces Hospital, Makkah, Saudia Arabia"},{"name":"Minia University Hospital, Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,12,6]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2018.05.048"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.prnil.2017.01.007"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1177\/1756287218793084"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2015.10.181"},{"key":"e_1_3_2_6_2","first-page":"210","article-title":"Five-year outcomes of the prospective multicenter randomized controlled Rez\u016bm system study for treatment of moderate-to-severe lower urinary tract symptoms due to benign prostatic hyperplasia","volume":"147","author":"McVary KT","year":"2021","unstructured":"McVary KT, Rogers T, Roehrborn CG. 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