Transurethrale Microwave Thermotherapy (TUMT) in Patients with Benign Prostatic Hyperplasia (BPH)

Tissue Ablation in Benign Prostatic Hyperplasia with High-Intensity Focused Ultrasound

“…From the data collected so far, however, the fol lowing conclusions can be drawn. Similarly to what has been reported for other minimally invasive techniques, a significant improvement in obstructive and, in particular, irritative symptoms was noticed [7][8][9], As regards the objective benefit (uroflow, postvoid residual volume), the advantage over hyperthermia is substantial and matches, or even exceeds, that of transurethral microwave thermo therapy and transurethral ultrasound-guided laser-in duced prostatectomy [7-9, 15], mately 60% (fig. 4).…”

“…Al though the mortality of this procedure has decreased sig nificantly during the past two decades to less than 1 %, the morbidity is still as high as 15-18% [1][2][3]. This rather high morbidity led to increasing interest in alternative, less invasive therapeutic options [4][5][6][7][8][9]. Table 1.…”

“…However, heat applied conductively to the hyperplastic prostate (e.g. laser, transurethral ther motherapy) requires transurethral manipulation leading to significant urethral discomfort postoperatively and car ries the risk of urethral complications such as stricture [7][8][9], Highly focused ultrasound waves are capable of gener ating a narrowly localized heat impulse (60-100 °C) within a clearly defined tissue segment in the focal point of the transducer […”

Hyperthermia and Thermotherapy of Benign Prostatic Hyperplasia: A Critical Review

“…With this device the efficacy is dose depen dent and in accordance with the software used. The sec ond protocol delivers a higher thermal dose than the first one while the third allows temperatures reaching 75 °C, but these last results are only very preliminary [30], Sig nificant improvement in objective and subjective param eters was reported by Devonec et al [26] and Carter et al [28] but were not sustained by the group of Debruyne that showed only a symptomatic improvement but a very lim ited increase in the peak flow [31] (table 2). Data from other groups seem to show a relationship between the peak flow at entry and its increase at 3 months: the lower the peak flow, the higher its increase (table 3) [32,34,35].…”

Transurethral Microwave Therapy: Patient Selection and Outcome

“…Laduc et al [20] reported the results of a study utilising a single transurethral treatment. This study differed from…”