World journal of urology · 2026
Decision regret and patient satisfaction after TURP and Rezūm™ for benign prostatic obstruction: a retrospective comparative cohort study.
СтатьяСравнительное исследованиеНазвание и аннотация: Перевод в очереди
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Lagos-Beitz Horst Emanuel, Martínez-Delgado Guillermo H, Sanchez-Torres Samantha, Neri-Moguel Gabriela, Valencia-Álvarez Francisco Rafael, Trujillo-Martínez Guillermo, Escalante-Armenta Rodrigo, Alcacio-Mendoza Jorge Augusto, Castillejos-Molina Ricardo Alonso, Mendez-Probst Carlos Enrique
Аннотация
BACKGROUND: Patient-reported outcomes are increasingly relevant in benign prostatic obstruction (BPO), particularly when comparing procedures with different trade-offs in invasiveness, recovery, durability, and preservation of sexual function. We compared decisional regret and global satisfaction between men undergoing transurethral resection of the prostate (TURP) or Rezūm™ water vapor therapy.
MATERIALS AND METHODS: We conducted a single-center retrospective comparative cohort study. TURP patients were selected to approximate the Rezūm™ cohort according to age and prostate volume. The primary endpoint was an adapted 5-item regret-focused postoperative measure transformed to a 0-100 scale, with lower scores indicating less regret. The secondary endpoint was global satisfaction (0-10). Adjusted linear regression models accounted for residual baseline imbalance.
RESULTS: A total of 187 men were included, including 94 treated with Rezūm™ and 93 treated with TURP. Regret-focused scores were low in both groups, with median values of 0 (IQR 0-10) after TURP and 5 (IQR 0-20) after Rezūm™ (p = 0.170). Global satisfaction was higher after TURP than after Rezūm™ (median 10 [IQR 9-10] vs. 9 [IQR 8-10], p = 0.002). However, treatment type was not independently associated with satisfaction (β = +0.52; 95% CI - 0.11 to 1.15; p = 0.107) or regret (β = -1.13; 95% CI - 7.86 to 5.61; p = 0.743).
CONCLUSIONS: Both procedures were associated with favorable patient-reported perceptions. Although TURP showed higher unadjusted satisfaction, treatment type was not independently associated with satisfaction or regret after adjustment.
MATERIALS AND METHODS: We conducted a single-center retrospective comparative cohort study. TURP patients were selected to approximate the Rezūm™ cohort according to age and prostate volume. The primary endpoint was an adapted 5-item regret-focused postoperative measure transformed to a 0-100 scale, with lower scores indicating less regret. The secondary endpoint was global satisfaction (0-10). Adjusted linear regression models accounted for residual baseline imbalance.
RESULTS: A total of 187 men were included, including 94 treated with Rezūm™ and 93 treated with TURP. Regret-focused scores were low in both groups, with median values of 0 (IQR 0-10) after TURP and 5 (IQR 0-20) after Rezūm™ (p = 0.170). Global satisfaction was higher after TURP than after Rezūm™ (median 10 [IQR 9-10] vs. 9 [IQR 8-10], p = 0.002). However, treatment type was not independently associated with satisfaction (β = +0.52; 95% CI - 0.11 to 1.15; p = 0.107) or regret (β = -1.13; 95% CI - 7.86 to 5.61; p = 0.743).
CONCLUSIONS: Both procedures were associated with favorable patient-reported perceptions. Although TURP showed higher unadjusted satisfaction, treatment type was not independently associated with satisfaction or regret after adjustment.