Two prostate treatments compared for sexual function preservation

This trial compares two minimally invasive treatments for an enlarged prostate that causes urinary problems. One treatment, called Rezum, uses heated water vapor to shrink prostate tissue. The other is a surgical technique that carefully removes excess prostate tissue while trying to protect the structures involved in ejaculation. Both approaches aim to improve urinary symptoms while keeping sexual function intact—something that matters a lot to sexually active men.

Enlarged prostate is very common in older men and can seriously affect quality of life, sleep, and sexual health. Many existing treatments work well for urinary symptoms but can damage ejaculation. This trial exists to find out whether these two newer approaches can solve the urinary problem while better preserving normal ejaculation.