Barriere Hugo, Diana Pietro, Berchiche William, Follain Mathis, Uleri Alessandro, Fourmarier Marc, Baboudjian Michael
Department of Urology, CH Aix-Pertuis, Aix-en-Provence, France.
Department of Urology, North Hospital, Aix-Marseille University, AP-HM, Marseille, France; Department of Urology, Fundació Puigvert, Barcelona, Spain; Department of Surgery, Autonomous University of Barcelona, Bellaterra, Spain.
Fr J Urol. 2025 Mar;35(2):102845. doi: 10.1016/j.fjurol.2024.102845. Epub 2024 Dec 5.
Although designed for in-office use, water vapor thermal therapy (Rezum™) remains a painful procedure, and oral±intravenous sedation is often required. Schelin Catheter® (ProstaLund AB, Lund, Sweden) is an innovative bladder catheter that delivers local anesthesia to the prostate in a sterile transurethral way. We aimed to evaluate the safety and feasibility of Rezum™ for male lower urinary tract symptoms due to benign prostatic obstruction (LUTS/BPO) with local anesthesia delivered with Schelin® catheter, and to report its first step-by-step video description. A total of 15 patients were enrolled, and 14 analyzed. Median pain numeric rating scale at catheter insertion, anesthetic injection, Rezum™ insertion, Rezum™ treatment, and at 2-h postoperatively were 3 (2-5), 3 (2-5), 1 (0-3), 3.5 (2-6), and 0 (0), respectively. In 1 patient local anesthesia protocol failed and intravenous sedation was used. All Rezum™ therapies were performed successfully. Local anesthesia with Schelin® catheter opens up new possibilities for ultra-minimally invasive surgery for LUTS/BPO.
尽管水蒸气热疗法（Rezum™）设计用于门诊，但它仍是一种痛苦的操作，通常需要口服和/或静脉镇静。Schelin导管®（瑞典隆德的ProstaLund AB公司）是一种创新的膀胱导管，可通过无菌经尿道方式向前列腺提供局部麻醉。我们旨在评估使用Schelin®导管进行局部麻醉的Rezum™治疗男性因良性前列腺梗阻导致的下尿路症状（LUTS/BPO）的安全性和可行性，并报告其首个详细的操作视频描述。共纳入15例患者，14例进行分析。导管插入、麻醉注射、Rezum™插入、Rezum™治疗时以及术后2小时的疼痛数字评分量表中位数分别为3（2-5）、3（2-5）、1（0-3）、3.5（2-6）和0（0）。1例患者局部麻醉方案失败，使用了静脉镇静。所有Rezum™治疗均成功完成。使用Schelin®导管进行局部麻醉为LUTS/BPO的超微创手术开辟了新的可能性。
