Steam vs. pills: new study tests better fix for enlarged prostate in sexually active men
NCT ID NCT04838769
First seen Jun 27, 2026 · Last updated Sep 15, 2026 · Updated 6 times
Summary
This study compares a minimally invasive water vapor treatment (REZŪM) to taking two drugs together for men with an enlarged prostate that didn't get better with one drug. It includes 155 sexually active men aged 45 and older. The goal is to see which approach better improves urinary symptoms and sexual health.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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155 people
The number who actually took part.
- Started
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Sep 2021
- Expected to finish
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Dec 2026
An estimate. End dates often move.
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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45 years and older
- Sex
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Male participants only
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. Sexually active male subjects ≥ 45 years of age who have persistent non-neurogenic lower urinary tract symptoms refractory to first-line treatment with single agent Alpha Adrenoceptor Antagonist therapy 2. Subject is willing and able to answer all domains of MSHQ 3. Completed IPSS questionnaire with score ≥ 13 within 6 months prior to enrollment 4. Peak urinary flow rate (Qmax): ≤ 15 ml/sec with minimum voided volume of ≥ 150 ml within 6 months prior to enrollment 5. Post-void residual (PVR) ≤250 ml within 6 months prior to enrollment 6. Prostate volume ≥ 30 ml as measured by transrectal ultrasound or Magnetic Resonance Imaging within 3 months prior to enrollment 7. Subject is willing and capable of providing informed consent 8. Subject is willing and capable of participating in all visits associated with this study at an approved clinical study site and at the intervals defined by this Clinical Investigational Plan (CIP) 9. France subjects only: subjects must be affiliated to national security insurance Exclusion Criteria: 1. Inability to participate in full duration of study 2. Prior surgical treatment for BPH 3. Increased risk of bleeding 4. Presence of Genitourinary Cancer or other pelvic cancer 5. Functional issues with bladder 6. Presence of active infection in genitourinary tract 7. Structural and Anatomic issues with urinary tract and renal function 8. Concomitant Drug Therapy 9. Temporal restraints and risks for general anaesthesia or comorbidity that would elevate risk of participation
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Australian Clinical Trials
Wahroonga, Australia
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CHU Grenoble
Grenoble, France
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CHU d'Angers
Angers, France
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CHU de Bordeaux
Bordeaux, France
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CHU de Nice
Nice, France
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CHU de Rennes
Rennes, France
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CHU de Rouen
Rouen, France
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CHU de Toulouse
Toulouse, France
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Centre Hospitalier Privé Saint Grégoire
Saint-Grégoire, France
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Centre Hospitalier Universitaire de Lille
Lille, France
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Centre Hospitalier du Pays d'Aix
Aix-en-Provence, France
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Clinique La Croix du Sud
Quint-Fonsegrives, France
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Clinique Pasteur
Toulouse, France
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Clinique Saint Hilaire
Rouen, France
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Epworth Healthcare
Melbourne, Australia
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Hospices Civils de Lyon
Lyon, France
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Hôpital Bichat
Paris, France
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Hôpital Cochin
Paris, France
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Hôpital Privé La Louvière
Lille, France
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Hôpital privé Francheville
Périgueux, France
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Institut Mutualiste Montsouris
Paris, France
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Can a tiny spring implant replace daily pills for enlarged prostate?
- Steam and scans: a sharper way to shrink an enlarged prostate?
- New prostate surgery technique aims to shorten operation time
- Laser vs bipolar: which surgery best tames an oversized prostate?
- Banana flower extract tested to ward off prostate trouble
- New probe zaps away prostate troubles in landmark trial