Current Status of Thermotherapy of the Prostate

Rosette, Jean J.M.C.H. de la; D'ancona, F. C. H.; Debruyne, F.M.J.

doi:10.1097/00005392-199702000-00002

Cited by 46 publications

(48 citation statements)

References 32 publications

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“…However, with this software the ability of TUMT to reduce infravesical obstruction is clearly limited, and some studies have shown limited durability of the symptomatic response in a high proportion of patients, as re-treatment rates within 2-3 years of 43-48% have been reported [14,15]. The newer software, Prostasoft v2.5, with a higher maximum effect and increased rectal threshold temperatures, has improved the effect on BOO but remains slightly inferior to TURP [16].…”

Section: Introductionmentioning

confidence: 99%

Transurethral interstitial laser coagulation of the prostate and transurethral microwave thermotherapy vs transurethral resection or incision of the prostate: results of a randomized, controlled study in patients with symptomatic benign prostatic hyperplasia

2002

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Objective To compare the efficacy and frequency of complications of transurethral interstitial laser coagulation (ILC) and transurethral microwave thermotherapy (TUMT) with transurethral resection or incision of the prostate (TURP/TUIP) in patients with symptomatic benign prostatic hyperplasia (BPH). Patients and methods Forty-eight patients were randomized to undergo ILC, 46 to TUMT and 24 to TURP/ TUIP; they were followed for 6 months and the outcome analysed on an intention-to-treat basis. Results At 6 months the symptom scores and maximum urinary flow rate (Q max ) had improved significantly in all groups. At 6 months the mean symptom score was 9.2 in both experimental groups and 6.8 in the control group ( P > 0.05); the mean Q max was 20.6 mL/s in the control group, 16.2 in the ILC group ( P > 0.05 vs control) and 13.2 in the TUMT group ( P < 0.05 vs. the control group). In the TUMT group patients developing urinary retention afterward had a significantly greater increase in Q max than those who did not. The types of complications in the three groups varied. Urinary tract infection occurred frequently in the experimental groups, especially after ILC, whereas the 'well-known' complications of TURP occurred in the control group.Overall, 36% in the ILC, 54% in the TUMT and 73% in the control group had no complications (retrograde ejaculation excluded) during the first 6 months. One patient in the TUMT group underwent TURP after 3 months, whereas no patients in the ILC or the control group were re-treated for BPH within the first 6 months. Conclusion In the short term both ILC and TUMT are reasonable alternatives to standard transurethral surgery for symptomatic BPH, where the reduction of symptoms is the primary goal of treatment. However, both ILC and TUMT were associated with morbidity, although the complication profiles differed from those after TURP/TUIP. Both ILC and TUMT seem advantageous in some patients because of the reduced risk of bleeding and the eliminated risk of TUR syndrome, and because TUMT only requires local anaesthesia. Thus, as neither treatment is better in all aspects, the advantages of one technique over the other must be weighed when deciding how to treat each patient.

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Section: Introductionmentioning

confidence: 99%

Transurethral interstitial laser coagulation of the prostate and transurethral microwave thermotherapy vs transurethral resection or incision of the prostate: results of a randomized, controlled study in patients with symptomatic benign prostatic hyperplasia

2002

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“…Within the last decade, numerous minimally invasive treatments have emerged [1]including thermotherapy [2], high intensity focused ultrasound [3], and transurethral needle ablation [4]. Recently, Goya et al [5]reported a small study on the efficacy and safety of direct dehydrated ethanol injection into the prostate using a transurethral approach.…”

Section: Introductionmentioning

confidence: 99%

Percutaneous Ethanol Injection of the Prostate as Minimally Invasive Treatment for Benign Prostatic Hyperplasia: Preliminary Report

Savoca¹,

Stefani²,

Gattuccio³

et al. 2001

Eur Urol

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“…The invasiveness of ‘less invasive’ procedures and the therapeutic efficacy seem to correlate closely. Ultimately the long–term outcome of patients undergoing ‘less invasive’ procedures is the decisive factor for determining their usefulness [10, 11, 12, 13, 14]. Unfortunately, there are no long–term data from RCT available.…”

Section: Introductionmentioning

confidence: 99%

Two–Year Results of Transurethral Resection of the Prostate versus Four ‘Less Invasive’ Treatment Options

Schatzl¹,

Madersbacher²,

Djavan³

et al. 2000

European Urology

106

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Current Status of Thermotherapy of the Prostate

Abstract: Please be advised that this information was generated on 2018-05-09 and may be subject to change.

Cited by 46 publications

References 32 publications

Transurethral interstitial laser coagulation of the prostate and transurethral microwave thermotherapy vs transurethral resection or incision of the prostate: results of a randomized, controlled study in patients with symptomatic benign prostatic hyperplasia

Transurethral interstitial laser coagulation of the prostate and transurethral microwave thermotherapy vs transurethral resection or incision of the prostate: results of a randomized, controlled study in patients with symptomatic benign prostatic hyperplasia

Percutaneous Ethanol Injection of the Prostate as Minimally Invasive Treatment for Benign Prostatic Hyperplasia: Preliminary Report

Two–Year Results of Transurethral Resection of the Prostate versus Four ‘Less Invasive’ Treatment Options

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Current Status of Thermotherapy of the Prostate

Abstract: Please be advised that this information was generated on 2018-05-09 and may be subject to change.

Cited by 46 publications

References 32 publications

Transurethral interstitial laser coagulation of the prostate and transurethral microwave thermotherapy vs transurethral resection or incision of the prostate: results of a randomized, controlled study in patients with symptomatic benign prostatic hyperplasia

Transurethral interstitial laser coagulation of the prostate and transurethral microwave thermotherapy vs transurethral resection or incision of the prostate: results of a randomized, controlled study in patients with symptomatic benign prostatic hyperplasia

Percutaneous Ethanol Injection of the Prostate as Minimally Invasive Treatment for Benign Prostatic Hyperplasia: Preliminary Report

Two&ndash;Year Results of Transurethral Resection of the Prostate versus Four &lsquo;Less Invasive&rsquo; Treatment Options

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Two–Year Results of Transurethral Resection of the Prostate versus Four ‘Less Invasive’ Treatment Options