FDA Adverse Event Injury Summary report: N

REZUM

MDR report key: 22919131 · Received August 28, 2025

Report

Report Number
2124215-2025-55588
Event Type
Injury
Date Received
August 28, 2025
Date of Event
January 1, 2013
Report Date
September 23, 2025
Manufacturer
BOSTON SCIENTIFIC CORPORATION
Product Code
KNS
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
IL, US
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

THERE WAS NO DEVICE AVAILABLE FOR ANALYSIS; THEREFORE, NO VISUAL ANALYSIS OF THE PRODUCT COULD BE PERFORMED. THERE WAS NO REPORT OF A DEVICE PERFORMANCE ALLEGATION. THE REPORTED PATIENT SYMPTOMS ARE KNOWN RISK ASSOCIATED WITH THIS DEVICE TYPE AND INDICATED AS SUCH IN THE INSTRUCTIONS FOR USE. MCVARY, K. T., ROGERS, T., AND ROEHRBORN, C. G. (2019). REZUM WATER VAPOR THERMAL THERAPY FOR LOWER URINARY TRACT SYMPTOMS ASSOCIATED WITH BENIGN PROSTATIC HYPERPLASIA: 4-YEAR RESULTS FROM RANDOMIZED CONTROLLED STUDY. UROLOGY, 126, 171-179. HTTPS://DOI.ORG/10.1016/J.UROLOGY.2018.12.041 B3. DATE OF EVENT THE EXACT DATE OF THE EVENT IS UNKNOWN, ESTIMATED. DETAILED PRODUCT INFORMATION WAS NOT PROVIDED TO BSC. BASED ON THE NATURE OF THE INFORMATION PROVIDED TO BSC. BECAUSE THE PRODUCT IS UNKNOWN AT THIS TIME, WE ARE UNABLE TO PROVIDE THE COMPLETE UNIQUE IDENTIFIER (UDI) # AND OTHER PRODUCT SPECIFIC INFORMATION. IF ADDITIONAL DETAILS BECOME AVAILABLE, A SUPPLEMENTAL REPORT WILL BE SUBMITTED.

Additional Manufacturer Narrative · 0

MCVARY, K. T., ROGERS, T., AND ROEHRBORN, C. G. (2019). REZUM WATER VAPOR THERMAL THERAPY FOR LOWER URINARY TRACT SYMPTOMS ASSOCIATED WITH BENIGN PROSTATIC HYPERPLASIA: 4-YEAR RESULTS FROM RANDOMIZED CONTROLLED STUDY. UROLOGY, 126, 171-179. HTTPS://DOI.ORG/10.1016/J.UROLOGY.2018.12.041. B3. DATE OF EVENT THE EXACT DATE OF THE EVENT IS UNKNOWN, ESTIMATED. DETAILED PRODUCT INFORMATION WAS NOT PROVIDED TO BSC. BASED ON THE NATURE OF THE INFORMATION PROVIDED TO BSC. BECAUSE THE PRODUCT IS UNKNOWN AT THIS TIME, WE ARE UNABLE TO PROVIDE THE COMPLETE UNIQUE IDENTIFIER (UDI) # AND OTHER PRODUCT SPECIFIC INFORMATION. IF ADDITIONAL DETAILS BECOME AVAILABLE, A SUPPLEMENTAL REPORT WILL BE SUBMITTED.

Description of Event or Problem · 0

IT WAS REPORTED TO BOSTON SCIENTIFIC VIA AN ARTICLE PUBLISHED IN PROSTATIC DISEASES AND MALE VOIDING DYSFUNCTION, THAT A PROSPECTIVE, MULTICENTER, DOUBLE-BLIND RANDOMIZED CONTROLLED STUDY WAS CONDUCTED ON PATIENTS TREATED WITH REZUM AND FOLLOWED ANNUALLY FOR 4 YEARS SINCE 2013 OR 2014. A TOTAL OF 197 PATIENTS WERE INCLUDED AND RANDOMLY ASSIGNED 136 PATIENTS TO WATER VAPOR THERMAL THERAPY AND 61 TO SHAM/CONTROL PROCEDURE. ALL PROCEDURES WERE SUCCESSFULLY PERFORMED WITHOUT PERIOPERATIVE DEVICE OR PROCEDURE-RELATED ADVERSE EVENTS. REGARDING NON-SERIOUS ADVERSE EVENTS, THE PATIENTS EXPERIENCED DYSURIA, HEMATURIA, FREQUENCY AND URGENCY, ACUTE URINARY RETENTION AND URINARY TRACT INFECTION SUSPECTED. ALL THE CASES WERE TREATED ROUTINELY OR RESOLVED WITHOUT TREATMENT WITHIN 3 WEEKS. ALSO, ONE PATIENT HAD A BLADDER NECK CONTRACTURE AND BLADDER CALCULI 6 MONTHS POST PROCEDURE. ANOTHER PATIENT PRESENTED UROSEPSIS. AFTER 4 YEARS, SURGICAL INTERVENTION WAS PERFORMED IN 6 PATIENTS AND 7 PATIENTS-INITIATED USE OF ALPHA BLOCKERS WITHIN 4 YEARS OF FOLLOW UP. OVER A FOUR-YEAR FOLLOW-UP PERIOD, WATER VAPOR THERMAL THERAPY DEMONSTRATED SIGNIFICANT AND SUSTAINED IMPROVEMENTS IN URINARY SYMPTOMS AND FLOW RATES. THE MEAN INTERNATIONAL PROSTATE SYMPTOM SCORE (IPSS) SCORES SHOWED CONSISTENT REDUCTIONS FROM BASELINE. URINARY FLOW RATE (QMAX) IMPROVEMENTS REMAINED SIGNIFICANT, THOUGH SLIGHTLY REDUCED OVER TIME, FROM AN AVERAGE INCREASE. PATIENTS WITH MEDIAN LOBE ENLARGEMENT EXPERIENCED SIMILAR BENEFITS TO THOSE WITHOUT. BOTH MODERATE AND SEVERE LOWER URINARY TRACT SYMPTOMS (LUTS) PATIENTS SHOWED COMPARABLE SYMPTOM RELIEF, WITH IPSS IMPROVEMENTS. QUALITY OF LIFE AND BPH IMPACT INDEX SCORES REMAINED SIGNIFICANTLY IMPROVED, AND CROSSOVER SUBJECTS SHOWED SIMILAR IMPROVEMENT PATTERNS TO THE ORIGINAL TREATMENT GROUP OVER THREE YEARS.

Description of Event or Problem · 0

IT WAS REPORTED TO BOSTON SCIENTIFIC VIA AN ARTICLE PUBLISHED IN PROSTATIC DISEASES AND MALE VOIDING DYSFUNCTION, THAT A PROSPECTIVE, MULTICENTER, DOUBLE-BLIND RANDOMIZED CONTROLLED STUDY WAS CONDUCTED ON PATIENTS TREATED WITH REZUM AND FOLLOWED ANNUALLY FOR 4 YEARS SINCE 2013 OR 2014. A TOTAL OF 197 PATIENTS WERE INCLUDED AND RANDOMLY ASSIGNED 136 PATIENTS TO WATER VAPOR THERMAL THERAPY AND 61 TO SHAM/CONTROL PROCEDURE. ALL PROCEDURES WERE SUCCESSFULLY PERFORMED WITHOUT PERIOPERATIVE DEVICE OR PROCEDURE-RELATED ADVERSE EVENTS. REGARDING NON-SERIOUS ADVERSE EVENTS, THE PATIENTS EXPERIENCED DYSURIA, HEMATURIA, FREQUENCY AND URGENCY, ACUTE URINARY RETENTION AND URINARY TRACT INFECTION SUSPECTED. ALL THE CASES WERE TREATED ROUTINELY OR RESOLVED WITHOUT TREATMENT WITHIN 3 WEEKS. ALSO, ONE PATIENT HAD A BLADDER NECK CONTRACTURE AND BLADDER CALCULI 6 MONTHS POST PROCEDURE. ANOTHER PATIENT PRESENTED UROSEPSIS. AFTER 4 YEARS, SURGICAL INTERVENTION WAS PERFORMED IN 6 PATIENTS AND 7 PATIENTS-INITIATED USE OF ALPHA BLOCKERS WITHIN 4 YEARS OF FOLLOW UP. OVER A FOUR-YEAR FOLLOW-UP PERIOD, WATER VAPOR THERMAL THERAPY DEMONSTRATED SIGNIFICANT AND SUSTAINED IMPROVEMENTS IN URINARY SYMPTOMS AND FLOW RATES. THE MEAN INTERNATIONAL PROSTATE SYMPTOM SCORE (IPSS) SCORES SHOWED CONSISTENT REDUCTIONS FROM BASELINE. URINARY FLOW RATE (QMAX) IMPROVEMENTS REMAINED SIGNIFICANT, THOUGH SLIGHTLY REDUCED OVER TIME, FROM AN AVERAGE INCREASE. PATIENTS WITH MEDIAN LOBE ENLARGEMENT EXPERIENCED SIMILAR BENEFITS TO THOSE WITHOUT. BOTH MODERATE AND SEVERE LOWER URINARY TRACT SYMPTOMS (LUTS) PATIENTS SHOWED COMPARABLE SYMPTOM RELIEF, WITH IPSS IMPROVEMENTS. QUALITY OF LIFE AND BPH IMPACT INDEX SCORES REMAINED SIGNIFICANTLY IMPROVED, AND CROSSOVER SUBJECTS SHOWED SIMILAR IMPROVEMENT PATTERNS TO THE ORIGINAL TREATMENT GROUP OVER THREE YEARS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
247131 REZUM UNIT, ELECTROSURGICAL ENDOSCOPIC (WITH OR WITHOUT ACCESSORIES) KNS BOSTON SCIENTIFIC CORPORATION

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown Hospitalization| O