Long-term Clinical Outcome of Transurethral Microwave Thermotherapy (TUMT) 1991-1999 at Karolinska Hospital, Sweden

Ekstrand, Vilhelm; Westermark, Sara; Wiksell, Hans; Bergman, Bo; Cronwall, K

doi:10.1080/003655902753679391

Cited by 8 publications

(3 citation statements)

References 53 publications

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“…At 5 years after TUMT with the Prostasoft 2.0, 41% of the patients had received instrumental retreatment, and 17% were being retreated with medication. 16 More recent studies [17][18][19] confirm the limited durability of clinical outcome obtained by lower-energy programs, with a retreatment rate as high as 84.4% after 5-year follow-up.…”

Section: Durabilitymentioning

confidence: 82%

Application of External Microwave Thermotherapy in Urology: Past, Present, and Future

Gravas

Laguna

Rosette

2003

Journal of Endourology

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The excellent clinical results of transurethral microwave thermotherapy (TUMT) for the treatment of symptomatic benign prostatic hyperplasia (BPH) gave to TUMT the leading position among the microwave thermotherapy modalities available for the treatment of different urologic conditions. Research in TUMT has focused on operating software, temperature monitoring, intraprostatic heat distribution, cell-kill calculations, and correlations with clinical variables. Randomized comparisons of TUMT with other established therapies for BPH, including transurethral resection, have facilitated the evaluation of the clinical outcome, durability, morbidity, and costs of the treatment. The applications of microwave thermotherapy in other urologic diseases are also presented in this review.

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Section: Durabilitymentioning

confidence: 82%

Application of External Microwave Thermotherapy in Urology: Past, Present, and Future

Gravas

Laguna

Rosette

2003

Journal of Endourology

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“…Many studies mainly focused on the problem of urination, showing a significant advantage for transurethral electroresection over other therapies, with a therapeutic effectiveness rate on urination disorders of over 80% [ 9 , 27 ], while in our research the positive effects of TUMT on urinary problems was only around 50%. However, there are more optimistic reports on TUMT in the literature, in which improvement in urination was achieved in about 70% of patients [ 7 , 11 , 12 , 15 , 38 ]. Despite TUMT having some limitations, its lack of mortality and low morbidity make it an almost optimal strategy for patients with high expectations of sexual activity after the procedure [ 7 , 39 , 40 ].…”

Section: Discussionmentioning

confidence: 99%

“…However, there are more optimistic reports on TUMT in the literature, in which improvement in urination was achieved in about 70% of patients [ 7 , 11 , 12 , 15 , 38 ]. Despite TUMT having some limitations, its lack of mortality and low morbidity make it an almost optimal strategy for patients with high expectations of sexual activity after the procedure [ 7 , 39 , 40 ]. Consistent with the present study, Hoffman et al did not report any serious erectile dysfunction in patients after TUMT [ 11 , 12 ].…”

Section: Discussionmentioning

confidence: 99%

Transurethral Microwave Thermotherapy (TUMT) in the Treatment of Benign Prostatic Hyperplasia: A Preliminary Report

Ziętek¹,

Ziętek²

2021

Med Sci Monit

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Background One treatment option for benign prostatic hyperplasia (BPH) is transurethral microwave thermotherapy (TUMT). Unfortunately, TUMT has been increasingly marginalized recently. The aim of this study was to evaluate erectile function and urinary symptoms in patients after TUMT for BPH and compare the results with those of patients on pharmacological treatment for BPH. Material/Methods The study group consisted of 840 patients with BPH treated with TUMT and a control group consisting of 1040 patients who underwent pharmacotherapy. Erectile dysfunction was evaluated using the International Index of Erectile Function-5 questionnaire and the Individual Postoperative Erectile Assessment (IPEA) questionnaire, which was created by the authors for this study. Urinary symptoms were evaluated using the International Prostate Symptom Score (IPSS) questionnaire. Results More than 50% of all patients experienced an improvement in urinary symptoms after TUMT, compared with only approximately 30% in the control group. Differences in each of the IPSS symptom scales between the TUMT and control groups were statistically significant ( P <0.031, P <0.041, and P <0.025 for mild, moderate, and severe symptoms, respectively). Improvement in erectile dysfunction after TUMT was also statistically significant ( P <0.0001, P <0.0001, P <0.05 for mild, moderate, and severe erectile dysfunction, respectively). Based on the IPEA questionnaire, approximately 24% of the TUMT group reported significant improvement in erectile function, while a decrease in erectile function was reported in the control group. Conclusions TUMT may still be a valuable option in the treatment of BPH. TUMT may be especially suitable for patients who expect to improve urinary symptoms without decreasing erectile function.

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Microwave Therapy

Gravas¹

2012

Smith's Textbook of Endourology

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Long-term Clinical Outcome of Transurethral Microwave Thermotherapy (TUMT) 1991-1999 at Karolinska Hospital, Sweden

Abstract: These long-term clinical data show that TUMT treatment with ECP (electro-coagulation, prostate), gives a good success-rate, with reduction of symptoms. Furthermore there is a good chance of becoming catheter-free after TUMT.

Cited by 8 publications

References 53 publications

Application of External Microwave Thermotherapy in Urology: Past, Present, and Future

Application of External Microwave Thermotherapy in Urology: Past, Present, and Future

Transurethral Microwave Thermotherapy (TUMT) in the Treatment of Benign Prostatic Hyperplasia: A Preliminary Report

Microwave Therapy

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