Local anesthesia for water vapor therapy in treating benign prostatic hyperplasia
Official title: Local Anesthesia With Schelin Catheter in Rezum Treatment: a Randomized Controlled Trial
Run by Assistance Publique Hopitaux De Marseille · NCT06657872 · Data updated 2026-11-12
This study is testing if using a special catheter for local anesthesia during water vapor therapy can help men with benign prostatic hyperplasia feel less pain and improve their quality of life compared to general anesthesia.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years to 80 Years |
| Sex | Men only |
| Enrollment | 24 (estimated) |
| Sponsor | Assistance Publique Hopitaux De Marseille Academic / other |
| Locations | 1 site (Marseille) |
| Status | Recruiting |
| Started | March 24, 2025 |
| Main results expected | November 24, 2026 |
| Study ends | November 24, 2026 |
| Registry record updated | February 11, 2026 |
| Trial ID | NCT06657872 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are men aged 45 to 80 with symptomatic benign prostatic hyperplasia and specific urinary flow metrics.
✕Probably not a fit
Patients with a history of prostate cancer or previous BPH surgeries may not benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This clinical trial evaluates the effectiveness of the Schelin catheter for providing local anesthesia during water vapor therapy (Rezum) for benign prostatic hyperplasia (BPH). The study aims to compare the outcomes of this minimally invasive procedure under local anesthesia versus general anesthesia. By using the Schelin catheter, the trial seeks to enhance pain management and reduce the need for more invasive sedation methods, thereby promoting outpatient treatment. The trial includes men aged 45 to 80 with symptomatic BPH and aims to improve their quality of life through effective symptom relief.
Why it matters
Potential benefit: If successful, this approach could significantly improve pain management during BPH treatment, allowing for quicker recovery and outpatient procedures.
How similar studies have gone: Other studies have shown promise with minimally invasive techniques for BPH, but the use of the Schelin catheter in this context is relatively novel.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Patients referred for symptomatic benign prostatic hyperplasia (BPH) * Men between 45 and 80 years of age * IPSS \> 13 * Qmax \<15 ml/s * Prostate volume between 30 and 80 g on ultrasound * Patient able to understand study details, benefits and risks * Patient able to give informed consent * Beneficiary of or affiliated to the French social security system * Patient having signed an informed consent form Exclusion Criteria: * Patients with a history of prostate cancer * Patient with history of BPH surgery * Patients with a history of neurological bladder disease * Patient with history of urethral stricture * Patient with history of penile implants * Patient with history of pelvic irradiation * Patient with a symptomatic urinary tract infection in the 10 days prior to surgery * Presence of bladder stones on ultrasonography * Patient allergic to lidocaine 2% or any medication used in the pre-operative protocol (anxiolytics, analgesics and non-steroidal anti-inflammatory drugs) * Patient under guardianship or curatorship * Protected patient, deprived of liberty * Patient with a neurological and/or psychiatric disorder making it impossible to understand the terms of the study and to sign an informed consent form
Where it's running
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Service d'urologie, Hôpital Nord (AP-HM)
Marseille, France Recruiting
Study contacts
- Study coordinator: Michael Baboudjian, MD
- Email: michael.baboudjian@ap-hm.fr
- Phone: 04.91.96.87.18
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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Sonablate HIFU Registry for Prostate Cancer and BPH
This registry collects real-world data from men treated with Sonablate HIFU to see how well it works and how it affects urinary and sexual function over the long term.
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Tamsulosin alone vs. tamsulosin with tadalafil for troublesome urinary symptoms from enlarged prostate
This study tests whether adding tadalafil to tamsulosin helps men with BPH see better urinary symptoms and quality of life, using two tadalafil doses over 12 weeks.
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MRI-DTI look at the urethral sphincter ring and prostate base shape
This imaging study tests how the male urethral internal sphincter ring appears on MRI-DTI and how it relates to prostate base morphology in men undergoing clinically indicated MRI.
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Tamsulosin With or Without Tadalafil for a Trial Without Catheter After Acute Urinary Retention
This study tests whether adding tadalafil to tamsulosin helps men with a first episode of acute urinary retention due to enlarged prostate pass urine without needing a catheter.
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Tamsulosin dose change or switch to silodosin before catheter removal in men with BPH-related acute urinary retention
This trial tests whether continuing tamsulosin, increasing its dose, or switching to silodosin helps men with BPH-related acute urinary retention go without a catheter after seven days.
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Water Vapor Therapy vs Ejaculation-Sparing Enucleation for Benign Prostatic Hyperplasia
This study tests whether Water Vapor Thermal Therapy (Rezum) or an ejaculation-sparing enucleation procedure better helps sexually active men with bothersome BPH symptoms.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.