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RecruitingNCT07723378MISTERUpdated Jul 23, 2026

MISTER Study: Minimally Invasive Steam Therapy - Russian Effectiveness Registry

An interventional study of Rezūm in Benign Prostate Hypertrophy(BPH) and LUTS(Lower Urinary Tract Symptoms), sponsored by Sechenov University. Recruiting at 1 site in Russia. Open to male participants aged 18 Years to 85 Years. Per ClinicalTrials.gov, last updated 2026-07-23.

Sponsored by Sechenov University · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
1,400
Allocation
Non-randomized
Ages
18 Years to 85 Years
Sex
Male
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Study summary

Rezūm is a minimally invasive procedure that uses water vapor (steam) to treat urinary symptoms caused by an enlarged prostate (benign prostatic hyperplasia, BPH). It has been used in clinical practice since receiving FDA approval in 2015 and is recommended as a treatment option for men with moderate-to-severe urinary symptoms, including those who wish to preserve ejaculatory function. Clinical trials have shown that Rezūm improves urinary symptoms and flow rates, with benefits that last for at least five years, a low reoperation rate, and a low risk of sexual side effects.

Despite this evidence, several important questions remain. It is not well understood which patients are more likely to experience temporary urinary retention after the procedure, need repeat treatment, or develop ejaculatory changes. Standardized criteria for defining overall treatment success are also lacking.

The MISTER study is a multicenter registry designed to evaluate real-world outcomes of Rezūm therapy in patients treated in the Russian Federation. Using data from a large patient cohort, the study aims to identify factors associated with urinary retention after catheter removal, the need for repeat treatment or return to medication, and changes in ejaculatory function. The study will also develop and test combined criteria for defining treatment success.

02

Conditions studied

  • Benign Prostate Hypertrophy(BPH)
  • LUTS(Lower Urinary Tract Symptoms)

Keywords

  • BPH
  • LUTS
  • water vapor thermal ablation
  • minimally invasive treatment
03

In context

Prostatic Hyperplasia

827 studies on the registry are indexed under Prostatic Hyperplasia; 179 are open to participants now.

This study's planned enrollment of 1,400 is above the median of 92 across 626 interventional studies indexed under Prostatic Hyperplasia.

Browse Prostatic Hyperplasia studies →

Lead sponsor

Sechenov University is the lead sponsor of 3 studies on the registry; 2 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 85 Years
Sexes eligible
Male
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Lower urinary tract symptoms (IPSS ≥8 points; QoL ≥3 points) due to BPH
  • Prostate volume of 30-150 cm³
  • Qmax ≤15 mL/s; post-void residual urine volume \<300 mL

Non-Inclusion Criteria

  • Prostate cancer
  • Acute infections of the urinary tract, prostate, or scrotal organs
  • Neurogenic lower urinary tract dysfunction
  • Bladder stone(s)
  • Urethral stricture
  • Prior prostate surgery

Exclusion criteria

Exclusion Criteria

  • Patient refusal to allow use of medical data for scientific analysis
  • Missing or lost data required for analysis
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Single group
Masking
None (open label)
Enrollment
1,400 participants (estimated)

Study arms

  • Experimental
    Rezūm therapy

    Convective water vapor thermal ablation for benign prostatic hyperplasia

    Procedure: Rezūm

Interventions

  • ProcedureRezūm

    Rezūm therapy is performed transurethrally by specialists at the study centers in accordance with established clinical practice. The type of anesthesia, the number and location of water vapor injections, treatment of the median lobe, characteristics of the indwelling catheter, and duration of catheterization were determined by the attending physician.

    Also known as: convective water vapor thermal ablation, minimally invasive treatment

06

What researchers measure

Primary outcomes

  1. Rate of Rezūm therapy failure

    Rate of Rezūm therapy failure within 12 months after the intervention, defined as the occurrence of at least one of the following events: * Resumption or continuation of medical therapy for LUTS/BPH * Repeat surgical intervention for BPH * Failure to restore voiding

    Time frame: 12 months

Secondary outcomes

  1. Post-void residual urine volume

    14 days

    Time frame: 14 days

  2. International Prostate Symptom Score (IPSS)

    Mild LUTS (symptom score less than of equal to 7) Moderate LUTS (symptom score range 8-19) Severe LUTS (symptom score range 20-35)

    Time frame: 3, 6, and 12 months

  3. Qmax

    Time frame: 3, 6, and 12 months

  4. Prostate volume

    Time frame: 3, 6, and 12 months

  5. PSA level

    Time frame: 3, 6, and 12 months

  6. International Index of Erectile Function (IIEF-5)

    severe ED (5-7), moderate ED (8-11), mild to moderate ED (12-16), mild ED (17-21), and no ED (22-25)

    Time frame: 3, 6, and 12 months

  7. Rate of de novo retrograde ejaculation

    Time frame: 3, 6, and 12 months

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Study locations

1 of 1 sites recruiting
  • Institute for Urology and Reproductive Health, Sechenov University
    Moscow, 119435, Russia
    Recruiting
08

References and documents

Publications

  • 1. Sandhu J. S., Bixler B. R., Dahm P. et al. Management of Lower Urinary Tract Symptoms Attributed to Benign Prostatic Hyperplasia (BPH): AUA Guideline Amendment 2023 // The Journal of Urology. - 2024. - Vol. 211, № 1. - P. 11-19. - DOI: 10.1097/JU.0000000000003698. 2. Dixon C. M., Rijo Cedano E., Mynderse L. A., Larson T. R. Transurethral convective water vapor as a treatment for lower urinary tract symptomatology due to benign prostatic hyperplasia using the Rezūm® system: evaluation of acute ablative capabilities in the human prostate // Research and Reports in Urology. - 2015. - Vol. 7. - P. 13-18. - DOI: 10.2147/RRU.S74040. 3. McVary K. T., Gange S. N., Gittelman M. C. et al. Minimally invasive prostate convective water vapor energy ablation: a multicenter, randomized, controlled study for the treatment of lower urinary tract symptoms secondary to benign prostatic hyperplasia // The Journal of Urology. - 2016. - Vol. 195, № 5. - P. 1529-1538. - DOI: 10.1016/j.juro.2015.10.181. 4. McVary K. T., Gittelman M. C., Goldberg K. A. et al. Final 5-year outcomes of the multicenter randomized sham-controlled trial of a water vapor thermal therapy for treatment of moderate to severe lower urinary tract symptoms secondary to benign prostatic hyperplasia // The Journal of Urology. - 2021. - Vol. 206, № 3. - P. 715-724. - DOI: 10.1097/JU.0000000000001778. 5. Akgul B., Aydin A., Cakir O. O. et al. Impact of minimally invasive surgical therapies on sexual function in benign prostatic hyperplasia: a systematic review // Minerva Urology and Nephrology. - 2025. - Vol. 77, № 4. - P. 459-471. - DOI: 10.23736/S2724-6051.25.06374-8. 6. Özkaptan O., Sevinç C., Çanakcı C. et al. Comparison of outcome for holmium laser enucleation prostate and Rezum system in benign prostate hyperplasia: a matched pair analysis // World Journal of Urology. - 2025. - Vol. 43, № 1. - Art. 242. - DOI: 10.1007/s00345-025-05644-y. 7. López Alcina E., Fernández Arjona M., Fernández Guzmán E. et al. Exp

Individual participant data

Plan to share: No

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 23, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07723378
Lead sponsor
Sechenov University
Collaborators
Russian University of Medicine, N. I. Pirogov Clinic of High Medical Technologies, UGMK-Zdorovie Medical Center, SM-Clinic Multidisciplinary Medical Holding, MEDSI Group of Companies, URO-PRO Clinic, Avicenna Clinical Hospital, Neftyanik Medical and Sanitary Unit, St. Luke's Clinical Hospital, N. A. Semashko Railway Clinical Hospital ("RZD-Meditsina"), Liniya Zhizni LLC, S. P. Botkin Moscow Multidisciplinary Scientific and Clinical Center, European Medical Center, RTH (Real Trans Hair) Medical Center
Responsible party
Vladislav Petov (Assosiate Professor, urologist, Sechenov University) — Principal investigator
First posted
Jul 23, 2026
Start date
Aug 1, 2026 (estimated)
Primary completion
Aug 2027 (estimated)
Completion
Sep 2027 (estimated)
Last update
Jul 23, 2026

Study contacts

Vladislav Petov
Contact
pettow@mail.ru
+7 925 351 75 49

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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