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Comparing Water Vapour Thermal Therapy (Rezūm) and TURP

Comparing Water Vapour Thermal Therapy (Rezūm) and TURP

Recruiting
50-80 years
Male
Phase N/A
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Overview

This is a randomized controlled trial using a non-inferiority design with the subjects randomized 1:1 to either water vapour thermal treatment (REZUM) arm or transurethral resection of prostate (TURP) arm.

Eligibility

Inclusion Criteria:

  • Men 50-80 years
  • Refractory urinary retention related to benign prostatic hyperplasia (BPH)
  • On urethral Foley's catheter before treatment
  • Prostate size 30-80ml on ultrasound

Exclusion Criteria:

  • Prior prostate operation
  • Past or current history of prostate cancer
  • Strong suspicion of prostate cancer (e.g. Elevated PSA before urinary retention or abnormal prostate on DRE without workup for prostate cancer)
  • Known Urethral stricture / Bladder stone / Hypocontractile bladder
  • Known neurological diseases which may affect bladder function (e.g. Parkinsonism, stroke)
  • Contraindicated to undergo TURP or REZUM (e.g. not fit for GA/SA, active urinary tract infection, fail to be placed in lithotomy position, uncorrectable coagulopathy, antiplatelet or anticoagulant which cannot be stopped)

Study details
    Prostate Cancer

NCT05762198

Chinese University of Hong Kong

13 May 2025

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