Is transurethral needle ablation of prostate out of fashion? Outcomes of single session office-based transurethral needle ablation of prostate in patients with symptomatic benign prostatic hyperplasia

Law, Yu Xi Terence; Chen, Kelven Weijing; Shen, Liang; Chua, Wei Jin

doi:10.4111/icu.2019.60.5.351

Cited by 10 publications

(14 citation statements)

References 5 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…It is well known that catheters negatively affect the QoL of patients. Over a 12‐month follow‐up of 121 patients, Law et al found a 75% change in the QoL of the patients after TUNA 30 . In a study in which TUMT was applied to a catheter‐dependent patient group similar to ours, the change in QoL was found as 79% 23 .…”

Section: Discussionsupporting

confidence: 65%

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

Salar

Özbay

Öncel

2020

LUTS

View full text Add to dashboard Cite

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.

show abstract

Section: Discussionsupporting

confidence: 65%

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

Salar

Özbay

Öncel

2020

LUTS

View full text Add to dashboard Cite

show abstract

“…Compared to transurethral resection of the prostate (TURP), officebased TUNA is an appealing alternative as it is minimally invasive and avoids general anesthesia. 40 The current study demonstrated both significant subjective and objective improvements over 10 and 8 years of followup, respectively. Haroun H et.…”

Section: Surgical Treatmentsupporting

confidence: 54%

“…39 Transurethral Needle Ablation (TUNA): Transurethral needle ablation (TUNA) is a minimally invasive procedure for the treatment of symptomatic benign prostatic hyperplasia (BPH). 40 It employs subordinate radiofrequency energy to trigger discerning necrosis of the hyperplastic prostatic tissue while conserving the urethra and neighbouring structures. Compared to transurethral resection of the prostate (TURP), officebased TUNA is an appealing alternative as it is minimally invasive and avoids general anesthesia.…”

Section: Surgical Treatmentmentioning

confidence: 99%

Recent Updates in Surgical Treatment of Benign Prostatic Hyperplasia: A Review Article

Shakya¹,

Poudel²

2022

Medphoenix

View full text Add to dashboard Cite

Benign prostatic hyperplasia refers to the non-malignant growth or enlargement of the prostate gland and is a general cause of lower urinary tract symptoms in men which rises with growing age. There is a wide range of management options available from watchful waiting, and medicinal therapy to various surgical intervention methods. Though medicinal therapy is the preliminary treatment for benign prostatic hyperplasia, some patients lack the desire to keep on with the extended duration, and on occasion, they must break either due to treatment failure or side effects. Lately, numerous innovative surgical methodologies have been established to provide patients with efficient therapy on a day-care basis, without the risk of general anaesthesia and with rapid recovery, marginal morbidity, and safeguarding the reproductive function. Existing treatment alternatives for benign prostatic hyperplasia differ in the extent of intrusiveness, efficiency, complications, and cost-effectiveness. Various treatment modalities are available these days that are less invasive and have lesser complications as compared to conventional transurethral resection of the prostate. It helps curtail expenses, preserve time for recovery, curb untoward general and reproductive side effects. Laser, endoscopic, robotic, water vapor utilization, and various other minimally invasive methods have demonstrated their effectiveness in the treatment of benign prostatic hyperplasia in various studies.

show abstract

“…The mean relapse‐free survival for TUNA is 6.1 years. The 1st, 3rd, and 5th year relapse‐free survival rates were 91.7%, 76.6% and 63.7% respectively …”

Section: Discussionmentioning

confidence: 98%

Our experiences in bipolar radiofrequency thermotherapy system as an alternative treatment in LUTS

Özbay

Salar

Ferat

2020

LUTS

View full text Add to dashboard Cite

We aimed to evaluate the efficacy of the bipolar radiofrequency thermotherapy system as a minimally invasive treatment method in lower urinary tract symptom treatment and its effect on the patients’ quality of life (QoL). The thermotherapy system was applied to 118 patients between May 2016 and September 2017 with the requirement of surgical treatment for benign prostatic hyperplasia, who either could not be operated upon due to their comorbidities or preferred to undergo this procedure as an alternative treatment method. The International Prostate Symptom Score (IPSS) and QoL scores and maximal flow rate (Qmax) and post‐voiding residue (PVR) values were evaluated before and after treatment. For the 80 patients who completed the 2‐year follow‐up period, the Qmax values were observed to be increased at each follow‐up evaluation and PVR, QoL and IPSS were observed to be decreased. These changes were statistically significant from the baseline. In this study we found there was 48.8% increase in Qmax, 72.1% decrease in IPSS, 70.8% decrease in the QoL score, 51.1% decrease in PVR of 80 patients who underwent bipolar radiofrequency prostate ablation. The bipolar radiofrequency prostate thermotherapy system can be safely applied as an outpatient treatment in high‐risk cases or for those who are anxious about surgical interventions.

show abstract

Is transurethral needle ablation of prostate out of fashion? Outcomes of single session office-based transurethral needle ablation of prostate in patients with symptomatic benign prostatic hyperplasia

Cited by 10 publications

References 5 publications

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

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

Recent Updates in Surgical Treatment of Benign Prostatic Hyperplasia: A Review Article

Our experiences in bipolar radiofrequency thermotherapy system as an alternative treatment in LUTS

Contact Info

Product

Resources

About