Transurethral needle ablation of the prostate: outcome at 1 year.
BACKGROUND
Urologists continue to search for alternatives to transurethral prostatectomy that carry a lower potential for complications.


METHODS
Twenty-five patients on the public waiting list for transurethral resection of the prostate, all spontaneously voiding, underwent transurethral needle ablation of the prostate (TUNA). Eight patients had a simultaneous bladder neck incision (BNI). Follow-up with International Prostate Symptom Scores and flow rate measurement was performed at 6 weeks, 7 months, and 1 year.


RESULTS
A statistically significant increase in flow rate and fall in symptom scores occurred out to 1 year after TUNA. Despite this result, six patients (24%) were not satisfied with their outcome and underwent a second endoscopic operation.


CONCLUSIONS
In our hands, TUNA produced an unsatisfactory clinical result.
Holmes
M A
MA
Auckland Hospital, New Zealand.
Stewart
J
J
Boulton
J B
JB
Chambers
R M
RM
D000368:Aged; D000818:Animals; D017115:Catheter Ablation / Q000295:instrumentation; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D019060:Minimally Invasive Surgical Procedures; D009339:Needles; D011184:Postoperative Period; D011467:Prostate / Q000601:surgery*; D011470:Prostatic Hyperplasia / Q000150:complications / Q000601:surgery; D011788:Quality of Life; D012086:Reoperation; D016896:Treatment Outcome; D001748:Urinary Bladder Neck Obstruction / Q000209:etiology / Q000503:physiopathology; D014554:Urination