Table 2.

Advantages and disadvantages of Rezum.

Advantages	Disadvantages
• Can be performed under sedation only • Day case procedure • Strong short-term safety profile • No reports of de novo sexual dysfunction • Suitable for patients with an obstructing median lobe • Short procedure time • Good improvement in subjective and objective outcome measures: IPSS, QoL, Qmax and PVR • Cost effective	• Limited long-term data available • Patients with urinary retention excluded • Not suitable for patients with history of recurrent urinary tract infections • Not suitable for large prostate size (>120 cc) • Not suitable for patients if prior invasive procedure for treatment of prostate or prior radiation on prostate • >50% patients require catheter post procedure

IPSS, international prostate symptom score; PVR, post-residual volume; Qmax, urine flow rate; QoL, quality of life.