Transurethral Microwave
Thermotherapy in the
Treatment of Symptomatic
Benign Prostatic Hyperplasia

Tubaro, Andrea; Galatioto, Giuseppe Paradiso; Trucchi, Alberto; Begani, Andrea; Stoppacciaro, Antonella; Trucchi, E; Provinciali, R. Begani; Furbetta, A; Laurenti, C; Albanese, Roberta; Miano, Lucio

doi:10.1159/000474614

Cited by 43 publications

(8 citation statements)

References 9 publications

(11 reference statements)

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“…Three versions of the operating software have been used in general clinical trials. The standard operating soft ware for the Prostatron is version 2.0, and worldwide, re markably similar clinical results have been reported from several centres [11][12][13][14]. Most studies use the MadsenIversen physician-guided symptom score (MSS) which ranges from 0 to 27.…”

Section: Prostasoft 20 Resultsmentioning

confidence: 80%

“…In a study by Dahlstrand et al of 39 patients treated with TUMT, 4 pa tients were considered non-responders and, therefore, un derwent TURP [18]. Blute et al presented the results of 150 patients with a follow-up of 1 year, and 19 patients were regarded as non-responders [11], In contrast to these results, Van Cauwelaert et al [19] and Tubaro et al [13] show subjective and objective improvement, while the re treatment rate is acceptably low. However, the durability of response needs a longer follow-up.…”

Section: Durability Of Responsementioning

confidence: 99%

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Transurethral microwave thermotherapy: past, present and future

et al. 1994

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Section: Prostasoft 20 Resultsmentioning

confidence: 80%

Section: Durability Of Responsementioning

confidence: 99%

Transurethral microwave thermotherapy: past, present and future

et al. 1994

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“…These results are not comparable to ours, as our group was mainly composed of patients with moderate to severe 'compressive' BPH obstruction, with a mean detrusor opening pressure of 64.27 cm H2O. As transurethral resection of the prostate seems to yield less favorable results in patients with low voiding pressure (detrusor opening pressure 25-40 cm H2O) [25], the re sults of these authors [13,18], if confirmed, suggest that TUMT could represent an effective alternative in this group. Hofner et al [21] report good results of TUMT in diminishing subjective symptoms and in improving the flow rates, but no objective relief of outflow obstruction after 3 months of follow-up, which seems a brief interval.…”

Section: Discussionmentioning

confidence: 55%

Urodynamic Changes in Benign Prostatic Hyperplasia Patients Treated by Transurethral Microwave Thermotherapy

et al. 1994

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“…Reported complications after TUMT have so far been few [1,2]. Although the present patient’s prostate was small he was treated using TUMT because the length of the prostate exceeded the recommended minimum of 25 mm.…”

Section: Commentmentioning

confidence: 89%

Development of a urethrorectal fistula after transurethral microwave thermotherapy for benign prostatic hyperplasia

Nørby¹,

Frimodt‐Møller²

2000

BJU International

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A 78-year-old man had an indwelling catheter placed after a third episode of urinary retention. Because he had severe chronic obstructive lung disease he was un®t for surgery. TRUS revealed a prostate 37 mm long with a volume of 15.4 mL. The patient was treated with transurethral microwave thermotherapy (TUMT) using the Prostatron v. 2.0 software, and a treatment catheter with heated zone 10 mm below the bladder neck; the total energy applied was 134 kJ. After treatment an indwelling catheter was left in place. Two months later urine leaked from the rectum and cystography ( Fig. 1) revealed a urethrorectal ®stula, con®rmed on cystoscopy and proctoscopy. The patient continued with the indwelling catheter, but with 20 mL in the balloon to prevent urine leaking into the prostatic cavity. Within a few days the ®stula was dry and, when the catheter was removed 2 months later, the patient voided satisfactorily. CommentReported complications after TUMT have so far been few [1,2]. Although the present patient's prostate was small he was treated using TUMT because the length of the prostate exceeded the recommended minimum of 25 mm. We have treated small prostates previously with no complications, as have others [3]. It is thought that the ®stula was caused by excessive heating, resulting from an axial rotation of the rectal probe which provoked fewer interruptions of treatment controlled by rectal temperature. This was not suspected during treatment, but in retrospect it should have noticed that the rectal temperature curves did not separate (Fig. 2). Probably the thermosensors were not in contact with the rectal mucosa and thus the temperatures were those of the rectal air. Therefore, during TUMT the position of the rectal probe must be checked as carefully as that of the treatment catheter; this is especially necessary when treating small prostates.

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Transurethral Microwave Thermotherapy in the Treatment of Symptomatic Benign Prostatic Hyperplasia

Cited by 43 publications

References 9 publications

Transurethral microwave thermotherapy: past, present and future

Transurethral microwave thermotherapy: past, present and future

Urodynamic Changes in Benign Prostatic Hyperplasia Patients Treated by Transurethral Microwave Thermotherapy

Development of a urethrorectal fistula after transurethral microwave thermotherapy for benign prostatic hyperplasia

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