MP01-03 REZŪM WATER VAPOUR ABLATION THERAPY FOR BENIGN PROSTATIC HYPERPLASIA: INITIAL RESULTS FROM THE UNITED KINGDOM

INTRODUCTION AND OBJECTIVES:The Rezūm System is a minimally invasive thermal therapy for the treatment of symptomatic BPH. It can be safely performed under local anaesthetic and sedation with minimal side effects as a daycase procedure. We evaluated this new transurethral therapy in patients with moderate to severe symptoms.METHODS:This is the first prospective study of Rezum cases performed in the UK with follow-up planned to 12 months. 181 patients were included, of whom 16 had retention of urine. Prostate volumes ranged between 20-121mls, and patients with an obstructing median lobe were included. Pre- and post-procedure assessments included the validated IPSS questionnaire with quality of life (QoL), urinary flow rate (Qmax), prostate volume and trial without catheter success. Complications were classified using the Clavien-Dindo grading system.RESULTS:50 of 181 procedures were performed under general or regional anaesthetic with the remainder under local anaesthetic with sedation. A mean of 5.8 steam...