Scholarlink

Background <p>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.</p> Materials and methods <p>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.</p> Results <p>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™ (<i>p</i> = 0.170). Global satisfaction was higher after TURP than after Rezūm™ (median 10 [IQR 9–10] vs. 9 [IQR 8–10], <i>p</i> = 0.002). However, treatment type was not independently associated with satisfaction (β = +0.52; 95% CI − 0.11 to 1.15; <i>p</i> = 0.107) or regret (β = −1.13; 95% CI − 7.86 to 5.61; <i>p</i> = 0.743).</p> Conclusions <p>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.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

Decision regret and patient satisfaction after TURP and Rezūm™ for benign prostatic obstruction: a retrospective comparative cohort study

  • 期刊论文

  • 发表日期：

    2026年7月31日

查看全文
  • Horst Emanuel Lagos-Beitz,
  • Guillermo H. Martínez-Delgado,
  • Samantha Sanchez-Torres,
  • Gabriela Neri-Moguel,
  • Francisco Rafael Valencia-Álvarez,
  • Guillermo Trujillo-Martínez,
  • Rodrigo Escalante-Armenta,
  • Jorge Augusto Alcacio-Mendoza,
  • Ricardo Alonso Castillejos-Molina,
  • Carlos Enrique Mendez-Probst

摘要

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.