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Emphysematous sloughed floating ball after prostate water vaporization Rezum: A case report
Mansour Alnazari1, Abdulaziz Bakhsh1, Emad Sabri Rajih1,2
1Department of Urology, Taibah University, Madinah 16655, Al Madinah, Saudi Arabia.
Background:
Rezūm™ water vapor therapy is a new minimally invasive endoscopic technology for the management and treatment of benign prostatic hyperplasia.
Case Summary:
A 63-year-old male presented to our department with severe dysuria, frequency, urgency, and interrupted stream 2 mo after receiving Rezūm™ therapy. The symptoms were caused by a retained floating emphysematous necrotic sloughed tissue. We also discovered a persistent bacterial infection that was resistant to parenteral antimicrobial therapy. The treatment of the patient included surgical removal of the necrotic tissue.
Conclusion:
Despite the good safety profile and minimal adverse events related to Rezūm™ therapy, major complications can still occur.

