Bipolar prostate thermotherapy for the improvement of chronic prostatitis symptoms and ejaculation problems

Diri, Mehmet Akif; Gül, Murat

doi:10.1080/13685538.2019.1650906

Cited by 9 publications

(5 citation statements)

References 30 publications

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“…First, TEMPRO is intended to promote ablation and coagulation necrosis of the prostate tissue with a specially designed smaller urethral catheter containing six heat rings at its tip. In addition, a recent study of patients with chronic prostatitis has shown that thermotherapy does not affect sexual function (Diri & Gul, 2019). In addition, TUNA is not suitable for prostates larger than 75 ml (Chapple, Issa, & Woo, 1999).…”

Section: Discussionmentioning

confidence: 99%

“…The most important advantage of TEMPRO thermoablation is the application of the procedure to the prostate tissue, performing the procedure with local anaesthesia and not developing complications in the short term. In addition, a recent study of patients with chronic prostatitis has shown that thermotherapy does not affect sexual function (Diri & Gul, 2019). Comparison of the heat-based minimally invasive methods for BPH is shown in Table 5.…”

Section: Discussionmentioning

confidence: 99%

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Effect of bipolar radiofrequency thermotherapy on benign prostate hyperplasia

Diri

Gül

2019

Andrologia

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| INTRODUC TI ONBenign prostatic hyperplasia (BPH) is the most common type of benign neoplasms in the male population. It affects approximately 50% and 90% men >60 and at around 85 years of age respectively (Lim, 2017). BPH can have a major effect on the quality of life because of symptoms, such as urinary urgency, frequency, nocturia, incomplete voiding of urine, weak urinary flow and hesitancy. The treatment options for BPH include conventional medications, such as alpha-1 blockers, 5-alpha reductase inhibitors and transurethral resection of the prostate (TURP; Foster et al., 2018). Although medical treatment slows the progression of BPH, approximately one in 10 patient expe-Abstract This study aims to evaluate the safety and efficacy of the new bipolar radiofrequency thermotherapy device (TEMPRO) in treating patients with benign prostate hyperplasia (BPH). Between December 2017 and November 2018, 72 male patients with BPH were included. All patients completed the International Prostate Symptom Score (IPSS) and International Index of Erectile Function-5 (IIEF-5) questionnaires. Physical examinations were performed, and prostate volume, prostatic urethral length andpost-voiding residual urine (PVR) were measured using ultrasound. Uroflowmetry was used to calculate the maximum flow rate of urination (Qmax). Bipolar radiofrequency thermotherapy was applied with TEMPRO system containing a 16Fr applicator. All patients were re-evaluated at 6 months post-operatively. The mean age of the patients was 63.22 ± 6.68 years. All patients were treated with local anaesthesia, and three patients were unable to complete the procedure. The median (IQR) visual analogue scale score was 1 (0-3) at 6 hr post-operatively. After 6 months, significant improvements were observed in the IPSS, QoL, Qmax and PVR values of the patients (p < .001 for Qmax, IPSS and QoL; p = .03 for PMR). The success rate of the procedure was similar between patients with prostate volumes <70 and >70 ml. Due to its low rate of complication, the TEMPRO © treatment is effective in treating BPH, especially among aged patients and those with serious symptoms. K E Y W O R D Sbenign prostate hyperplasia, radiofrequency, thermotherapy, treatment How to cite this article: Diri MA, Gul M. Effect of bipolar radiofrequency thermotherapy on benign prostate hyperplasia.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Effect of bipolar radiofrequency thermotherapy on benign prostate hyperplasia

Diri

Gül

2019

Andrologia

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“…The internal administration of TCM can reduce prostate inflammation without increasing the incidence of adverse reactions in the short term. [10] In addition, heat therapy, [11] acupuncture, enema, and other external therapies improve symptoms. As an alternative therapy, TCM treatment based on syndrome differentiation and acupuncture can be combined with other treatment methods to further exert a synergistic effect, and massage and other traditional methods can also be used in the treatment process and daily preventive strategies.…”

Section: Tcm Can Affect Immune-mediated Inflammatory Factors To Reduc...mentioning

confidence: 99%

Traditional Chinese medicine regulates inflammatory factors in chronic prostatitis/chronic pelvic pain syndrome: A review

Wang¹,

Zhao²,

Zhang³

et al. 2023

Integr Med Nephrol Androl

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Chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS) is a common male urological disease, and its clinical manifestations are closely related to the dysregulation of inflammatory factors. Nonsteroidal anti-inflammatory drugs have been shown to be effective in managing inflammation and providing pain relief, but their clinical application remains controversial. Traditional Chinese medicine (TCM) is widely used to regulate inflammatory factors in CP/CPPS, and treatment with TCM has gained some advantages based on an “individualized” or “personalized” medical approach. In addition, TCM extracts and acupuncture therapy have also been proven to be effective for CP/CPPS, as they regulate related inflammatory factors. However, current systematic reviews tend to verify the efficacy and safety of TCM therapies in CP/CPPS, and there is still a deficiency in sorting out their mechanisms of modulating inflammatory factors. Based on the current evidence, our review summarizes the application of TCM in regulating inflammatory factors in CP/CPPS to provide a reference for the treatment of CP/CPPS with TCM therapy and a potential direction with future studies in this field.

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“…It does not need to be applied in operating room conditions; patients can be discharged on the same day. The same device can be used in the treatment of chronic prostatitis by changing the temperature and time setting 18 . The early postoperative complication rate is very low, and therefore it can be considered as a suitable treatment option, especially for elderly patients with a high anesthesia risk and in cases where possible complications of other invasive treatments are to be avoided 19 .…”

Section: Discussionmentioning

confidence: 99%

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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Bipolar prostate thermotherapy for the improvement of chronic prostatitis symptoms and ejaculation problems

Cited by 9 publications

References 30 publications

Effect of bipolar radiofrequency thermotherapy on benign prostate hyperplasia

Effect of bipolar radiofrequency thermotherapy on benign prostate hyperplasia

Traditional Chinese medicine regulates inflammatory factors in chronic prostatitis/chronic pelvic pain syndrome: A review

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

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