Local Hyperthermia in the Treatment of Benign Prostatic
Hyperplasia 
Assessment of 100 Patients

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.

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Urodynamic indices change as a result of transrectal microwave thermotherapy (TMT) in benign prostatic hyperplasia (BPH)

Liatsikos

Dadinis

Barbalias

1996

International Urology and Nephrology

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Is There a Role for Transrectal Microwave Hyperthermia in the Treatment of Benign Prostatic Hyperplasia? A Critical Review of a Six-Year Experience

Montorsi

Guazzoni

Rigatti

et al. 1995

Journal of Endourology

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We critically reviewed our 6-year experience with transrectal microwave hyperthermia of the prostate for benign prostatic hyperplasia (BPH) in 320 patients either at high surgical risk or refusing surgery. Transrectal prostatic hyperthermia was given in five to ten 60-minute sessions with an intraprostatic temperature ranging from 42 degrees to 43.5 degrees C. Although an amelioration of symptoms and urodynamic measures was seen initially in most patients, only residual urine volume showed a statistically and clinically significant improvement at the long-term follow-up. According to maximum flow nomograms, bladder outlet obstruction was not resolved by the treatment. We conclude that although the transrectal hyperthermia proved to be a safe procedure, it did not cure BPH in the long term. Considering the results seen with newer nonsurgical procedures such as prostatic stents and prostatic lasers, we believe that transrectal hyperthermia should not be recommended to symptomatic BPH patients.

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Microwave Thermotherapy: Historical Overview

Laguna

Muschter²,

Debruyne³

2000

Journal of Endourology

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The application of heat with curative aim is an old and very well-known principle in medicine. A review of the history of heat use in the treatment of prostatic disease is presented. The article is based on bibliographic research (MEDLINE Search and PubMed) and focuses on treatment of benign prostatic hyperplasia (BPH) since the first clinical documentation of transrectal hyperthermia for this condition. Then, in a chronological sequence, not only the evolution toward thermotherapy but also enhancements of the latest techniques are presented. The new advances in the field of patient selection, indications, and outcome predictors, as well as new trends in treatment are briefly considered.

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Local Hyperthermia in the Treatment of Benign Prostatic Hyperplasia Assessment of 100 Patients

Cited by 5 publications

References 6 publications

Urodynamic indices change as a result of transrectal microwave thermotherapy (TMT) in benign prostatic hyperplasia (BPH)

Urodynamic indices change as a result of transrectal microwave thermotherapy (TMT) in benign prostatic hyperplasia (BPH)

Is There a Role for Transrectal Microwave Hyperthermia in the Treatment of Benign Prostatic Hyperplasia? A Critical Review of a Six-Year Experience

Microwave Thermotherapy: Historical Overview

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