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Use of a Schelin Catheter for analgesia during Rezum treatment of the prostate

Abstract

To further enhance the minimal invasiveness of Rezum treatment (RT), we sought to evaluate the advantages and feasibility of transurethral intraprostatic anesthesia (TUIA) via Schelin Catheter™ (SC). We enrolled 20 men with LUTS due to BPH, who underwent RT using TUIA via SC. Prior to the procedure, patients were asked to rate their pain on a numeric rating scale (NRS) numbered 0–10: with 0 being “No pain” and 10 being “Worst pain”. Median NRS score ranged from 0 to 3. No perioperative procedure-related complications were reported.

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Fig. 1: Technical description.

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The original contributions presented in the study are included in the article. Further inquiries can be directed to the corresponding author.

References

  1. McVary KT, Gittelman MC, Goldberg KA, Patel K, Shore ND, Levin RM, et al. Final 5-year outcomes of the multicenter randomized sham-controlled trial of a water vapor thermal therapy for treatment of moderate to severe lower urinary tract symptoms secondary to benign prostatic hyperplasia. J Urol. 2021;206:715–24.

    Article  PubMed  Google Scholar 

  2. Campobasso D, Siena G, Chiodini P, Conti E, Franzoso F, Maruzzi D, et al. Composite urinary and sexual outcomes after Rezum: an analysis of predictive factors from an Italian multi-centric study. Prostate Cancer Prostatic Dis. 2022.

  3. Eredics K, Wehrberger C, Henning A, Sevcenco S, Marszalek M, Rauchenwald M, et al. Rezūm water vapor therapy in multimorbid patients with urinary retention and catheter dependency. Prostate Cancer Prostatic Dis. 2022;25:302–5. https://doi.org/10.1038/s41391-021-00462-w.

    Article  CAS  PubMed  Google Scholar 

  4. McVary KT, Holland B, Beahrs JR. Water vapor thermal therapy to alleviate catheter-dependent urinary retention secondary to benign prostatic hyperplasia. Prostate Cancer Prostatic Dis. 2020;23:303–8. https://doi.org/10.1038/s41391-019-0187-5.

    Article  PubMed  Google Scholar 

  5. Elterman D, Bhojani N, Vannabouathong C, Chughtai B, Zorn KC. Rezūm therapy for ≥80-mL benign prostatic enlargement: a large, multicentre cohort study. BJU Int. 2022;130:522–7.

    Article  CAS  PubMed  Google Scholar 

  6. Siena G, Tellini R, Cindolo L. Can Rezum stand out as the most versatile and better performing minimally invasive treatment for the management of LUTS related to BPH? Minerva Urol Nephrol. 2022;74:499–501.

    Article  PubMed  Google Scholar 

  7. Siena G, Cindolo L, Ferrari G, Maruzzi D, Fasolis G, Condorelli SV, et al. Water vapor therapy (Rezūm) for lower urinary tract symptoms related to benign prostatic hyperplasia: early results from the first Italian multicentric study. World J Urol. 2021;39:3875–80.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  8. Schelin S. Transurethral resection of the prostate after intraprostatic injections of mepivacain epinephrine: a preliminary communication. Scand J Urol Nephrol. 2009;43:63–7.

    Article  CAS  PubMed  Google Scholar 

  9. Stenmark F, Brudin L, Stranne J, Peeker R. High-energy feedback microwave thermotherapy and intraprostatic injections of mepivacaine and adrenaline: an evaluation of calculated cell kill accuracy and responder rate. Scand J Urol. 2014;48:374–8.

    Article  CAS  PubMed  Google Scholar 

  10. Cindolo L, Ferrari R, Rabito S, Siena G, Spatafora P, Ferrari G. Rezum procedure with Exime® stent: a step forward to micro-invasiveness. Minerva Urol Nephrol. 2021;73:273–5.

    Article  PubMed  Google Scholar 

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GS: project development, data collection, drafting of the manuscript. FS: critical revision of the manuscript, data collection. LC: critical revision of the manuscript, data collection.

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Correspondence to Giampaolo Siena.

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Siena, G., Sessa, F. & Cindolo, L. Use of a Schelin Catheter for analgesia during Rezum treatment of the prostate. Prostate Cancer Prostatic Dis 27, 147–149 (2024). https://doi.org/10.1038/s41391-023-00644-8

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