title: Prospective short-term evaluation of transurethral needle ablation procedure in an ambulatory setting.
abstract: OBJECTIVE
  To assess the results of transurethral needle ablation (TUNA) (Prostiva®, Medtronic, France) performed in an ambulatory setting in men with lower urinary tract symptoms (LUTS)/benign prostatic hyperplasia (BPH).
  
  
  METHODS
  A multicenter open-label study was conducted. Short-term success was defined by ability to leave the hospital on the evening of the intervention, and absence of rehospitalization due to complications during the first postoperative month. Sexual and urinary functions were evaluated by validated questionnaires.
  
  
  RESULTS
  The procedure was successful in 44/49 patients. Sexual and ejaculatory function was not affected or slightly improved in the majority of patients. Urinary parameters improved with a 32% decrease in the International Prostate Symptom Score. At 1 month postoperation, more than 80% of patients were satisfied, and 36/41 patients were prepared to undergo the procedure again if needed. Our study was limited by the short follow-up duration.
  
  
  CONCLUSIONS
  TUNA can be successfully performed in an ambulatory setting under local and/or general anesthesia with a high level of patient satisfaction and a low short-term morbidity, especially on sexual function. Thus, the procedure is a suitable mini-invasive option for patients who cannot/do not want to take medical therapy or undergo invasive surgical procedures, or want to preserve their sexual function.
authors.affiliation: Urology Department, Tenon Hospital, 4 rue de la Chine, Paris Cedex 20, France. jncornu@hotmail.fr
authors.forename: Jean-Nicolas
authors.initials: JN
authors.lastname: Cornu
authors.forename: François
authors.initials: F
authors.lastname: Desgrandchamps
authors.forename: Alexandre
authors.initials: A
authors.lastname: de la Taille
authors.forename: Eric
authors.initials: E
authors.lastname: Vicaut
authors.forename: Mounir
authors.initials: M
authors.lastname: Aout
authors.forename: Bertrand
authors.initials: B
authors.lastname: Lukacs
mesh_terms: D000368:Aged; D000556:Ambulatory Surgical Procedures; D006801:Humans; D059411:Lower Urinary Tract Symptoms / Q000209:etiology / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D011470:Prostatic Hyperplasia / Q000150:complications / Q000601:surgery*; D013997:Time Factors; D020728:Transurethral Resection of Prostate / Q000379:methods*