Real-world comparison of Rezūm® water vapor therapy and transurethral resection of the prostate using a pragmatic composite definition of procedural success

1

Rezūm® water vapor therapy is a minimally invasive treatment for benign prostatic enlargement (BPE) that aims to reduce lower urinary tract symptoms (LUTS).
2

Transurethral resection of the prostate (TURP) remains the gold standard for surgical management of BPE-related LUTS, but minimally invasive options like Rezūm are gaining traction.
3

The study compared procedural success between Rezūm and TURP using a new composite definition that includes symptom improvement, safety, and preservation of sexual function.
4

Patients treated with Rezūm experienced more medication side effects and longer catheterization duration compared to those treated with TURP.
5

At one month post-procedure, Rezūm patients had higher rates of storage symptoms and acute urinary retention compared to TURP patients.

World Journal Of Urology

by Teresa Pina-Vaz, Alberto Costa Silva, Margarida Henriques, Hugo Antunes, Pedro Dias, Carlos Martins-Silva, João Alturas Silva, Afonso Morgado
February 25, 2026

1