Feedback microwave thermotherapy versus TURP/prostate enucleation surgery in patients with benign prostatic hyperplasia and persistent urinary retention: A prospective, randomized, controlled, multicenter study

Transurethral microwave thermotherapy treatment of chronic urinary retention in patients unsuitable for surgery

“…The percentage of patients seen as high risk and unsuitable for surgery varied in these studies. In the studies by Schelin [6] and Schelin et al [11] all of the patients were suitable for surgery. In the studies by Naqvi et al [5], Kellner et al [9] and Djavan et al [4] the percentage of patients unsuitable for surgery owing to comorbidities was 15%, 51% and 87%, respectively.…”

“…In the studies by Djavan et al [4] and Naqvi et al [5] the mean age was 66 and 67 years, respectively. In the remaining studies mentioned above the mean age was either 73 or 74 years [6,[9][10][11][12]. The percentage of patients seen as high risk and unsuitable for surgery varied in these studies.…”

“…Naqvi et al [5] showed in 2000 that about 93% of 200 patients with an indwelling catheter were relieved of it in a 2-year follow-up period after high-energy TUMT. In 2001, Schelin [6] [11], respectively treating 41, 39, 19 and 120 patients with urinary retention. In these studies, 79-89% of the patients were successfully relieved of their catheter and an increase in quality of life was found.…”

“…The risks associated with TUMT are substantially lower than those associated with surgery [1,11] making TUMT an important complementary alternative in the treatment of BPH for these high-risk patients. This study confirms previous studies in relieving 77% of the treated patients of their catheter, enabling them to void spontaneously and increasing their quality of life.…”

Nonablative minimally invasive thermal therapies in the treatment of symptomatic benign prostatic hyperplasia

“…A large protruding prostate middle lobe is contraindicated, but limits towards maximum prostate for treatment are not yet set. In contrast, the bigger prostates do very well [17,20 ]. On the other hand, until recently the minimal prostatic urethral length needed for a safe treatment was 3.5 cm.…”