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

Aagaard, Mark Faurholt; Niebuhr, Malene Hartwig; Jacobsen, Jens Duelund; Nielsen, Kurt

doi:10.3109/21681805.2013.840857

Cited by 17 publications

(10 citation statements)

References 12 publications

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“…Over a 12‐month follow‐up of 121 patients, Law et al found a 75% change in the QoL of the patients after TUNA 30 . In a study in which TUMT was applied to a catheter‐dependent patient group similar to ours, the change in QoL was found as 79% 23 . In the current study, when we compared the before‐treatment and 24th‐month measurements of the catheter‐free group, we detected a 70.6% change in QoL.…”

Section: Discussionsupporting

confidence: 67%

“…Aagaard et al published the 6‐month follow‐up data of 124 patients who were not eligible for surgical treatment and determined the success of TUMT based on the percentage of patients who were no longer dependent on a catheter. They reported that 77% of patients no longer needed a catheter 23 . Similarly, in another TUMT study with a mean follow‐up period of 26 months, urinary retention was resolved in 63.7% of the patients 24 .…”

Section: Discussionmentioning

confidence: 85%

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Bipolar radiofrequency thermotherapy treatment of the prostate in urinary catheter‐dependent men

Salar

Özbay

Öncel

2020

LUTS

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Objectives In this study, for the first time in the literature, we evaluated patients with benign prostatic hyperplasia (BPH) who had undergone permanent urinary catheterization for urinary retention and who were treated with radiofrequency (RF) thermotherapy as an alternative method due to their inoperability based on the high risk associated with anesthesia. We aimed to investigate these patients' posttreatment parameters concerning the catheter‐free rates, quality of life (QoL) changes, and retrospective treatment efficacy. Methods RF thermotherapy was applied to 62 permanent patients catheterized within the last 3 months due to urinary retention. The follow‐up data of the patients were retrospectively analyzed. The patients who were free of catheters and those who required permanent catheterization were determined. The changes in the International Prostate Symptom Score (IPSS), QoL, postvoiding residue (PVR), and maximal flow rate (Qmax) values were analyzed. Results A total of 52 patients were evaluated in terms of treatment success in relation to the elimination of the need for a urinary catheter, which was calculated as 73.07%. The Qmax, IPSS, QoL, and PVR values of 38 patients who no longer required a catheter were monitored for 24 months, and statistically significant changes were observed in all parameters. Conclusion Bipolar RF thermotherapy was found to be beneficial for men dependent on catheters due to BPH. It can be recommended as a safe, minimally invasive treatment method for elderly patients with a high anesthesia risk.

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Section: Discussionsupporting

confidence: 67%

Section: Discussionmentioning

confidence: 85%

Bipolar radiofrequency thermotherapy treatment of the prostate in urinary catheter‐dependent men

Salar

Özbay

Öncel

2020

LUTS

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“…Due to the increased operative risk of TURP, as well as AEs for these patients, nonsurgical treatment alternatives are required to meet their needs. Studies in the early 2000s and after reported the first successes with TUMT for urinary retention with TWOC success rates ranging from 72 to 82% [14][15][16][17][18][19]. In a later randomized, controlled trial of catheter-dependent patients treated with TUMT or TURP/enucleation at 6 months of follow-up 79 and 88% of men were catheter free, respectively [18].…”

Section: Discussionmentioning

confidence: 99%

Water vapor thermal therapy to alleviate catheter-dependent urinary retention secondary to benign prostatic hyperplasia

McVary

Holland

Beahrs

2019

Prostate Cancer Prostatic Dis

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Background Water vapor thermal therapy utilizes convectively delivered thermal energy to target ablation of obstructive prostatic tissue. We report results of this thermal therapy for relief of nonneurogenic complete urinary retention associated with BPH. Patients and methods We conducted a retrospective analysis of 38 catheter-dependent men with complete urinary retention consecutively enrolled in a registry in two centers: median age 75.5 years and multiple comorbidities, median prostate volume 58.5 cc (23-153), median 2 failed trials without catheter (TWOCs), and median catheter dependency 3 months (0.3-35). The Rezūm™ System thermal therapy procedure was performed in an ambulatory surgery center with conscious sedation or an office procedure room with a modified periprostatic block. Water vapor injections were customized to the configuration of the hyperplastic gland, including median lobe and/or enlarged central zone. Results Of the 38 treated patients, one was lost to follow-up and 26 of 37 (70.3%) voided spontaneously (mean of 1.6 ± 0.8 TWOCs) and were catheter free a median of 26 days (range 4-65) after the procedure; 18 of these 26 (69%) patients discontinued BPH medications. No significant differences in age, prostate volume, number of water vapor injections, or presence of the median lobe were associated with predicting a successful treatment outcome. Duration of follow-up for 20 catheter-free patients was a median of 475 days or 15.8 months (140-804 days); six patients were followed a median of 31.5 days (0-60). Adverse events were infrequent, mild, and resolved quickly including dysuria in five patients (13%), gross hematuria in four (10.5%), and UTIs in two (2.6%) with indwelling catheters. Conclusions Water vapor thermal therapy may provide an effective and safe alternative to surgical treatment in this group of catheter-dependent patients in complete urinary retention.

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“…The condition is correlated not only with the physiology of aging, but also with comorbidities and their treatment [ 31 – 33 ]. More than 70% of men over the age of 50 years have various diseases of the prostate, including BPH [ 6 , 12 , 43 ]. In the present study, erectile dysfunction occurred in over 75% of our patients.…”

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

Cited by 17 publications

References 12 publications

Bipolar radiofrequency thermotherapy treatment of the prostate in urinary catheter‐dependent men

Bipolar radiofrequency thermotherapy treatment of the prostate in urinary catheter‐dependent men

Water vapor thermal therapy to alleviate catheter-dependent urinary retention secondary to benign prostatic hyperplasia

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

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