Urodynamic indices change as a result of transrectal microwave thermotherapy (TMT) in benign prostatic hyperplasia (BPH).
Fifty-three patients with BPH have been evaluated and treated with TMT with a follow-up at 7 months. The prostate was heated transrectally to 42-43 degrees C and the treatment consisted of 5 to 6 sessions. The duration of each session was 60 minutes. The urodynamic parameters studied revealed an increase of the maximum flow rate and a decrease of the detrusor opening pressure as well as the detrusor pressure at maximum flow. A significant improvement in the amount of residual urine was seen in all patients. Based on the above, we propose TMT as a viable alternative to open surgical or transurethral removal of the prostate. Furthermore, TMT may serve as a preferred treatment option in patients with indwelling urethral catheters and highly increased surgical risk.
Liatsikos
E
E
Department of Urology, University of Patras, University Hospital, Greece.
Dadinis
K
K
Barbalias
G
G
D000368:Aged; D005069:Evaluation Studies as Topic; D005500:Follow-Up Studies; D006801:Humans; D006979:Hyperthermia, Induced / Q000379:methods*; D008297:Male; D008875:Middle Aged; D011379:Prognosis; D011470:Prostatic Hyperplasia / Q000503:physiopathology* / Q000628:therapy*; D012007:Rectum; D016055:Urinary Retention / Q000503:physiopathology; D014563:Urodynamics