Nonablative minimally invasive thermal therapies in the treatment of symptomatic benign prostatic hyperplasia

D'ancona, F. C. H.

doi:10.1097/mou.0b013e3282f20157

Cited by 6 publications

(3 citation statements)

References 50 publications

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“…Nonablative minimally invasive thermal therapies in the treatment of symptomatic benign prostatic hyperplasia lead to AEO in 2.0% of cases [23]. Intravesical treatment for superficial bladder tumors may cause AEO in 0.3% [24].…”

Section: Discussionmentioning

confidence: 99%

URINARY TRACT INFECTION Acute epididymo-orchitis: staging and treatment

Banyra¹,

Shulyak²

2012

cejurol3/2012

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IntroductionAcute epididymo-orchitis (AEO) is an acute inflammatory disease of the epididymis and ipsilateral testis. Treatment should be started immediately after diagnosis and includes antibiotics, analgesics, and, if necessary, surgery.Materials and methodsAfter AEO diagnosis, patients were treated conservatively with analgesics and antibiotics. If no clinical improvement was observed within the first 48-72 hours of conservative treatment, patients underwent surgery. Depending on examination results, 254 patients (pts.) were divided into three groups: 1) with palpable differences between the epididymis and testis (E/T+), and without neither hydrocele, local softening (malacia), nor abscess of the epididymis or testis; 2) with E/T+, absence of malacia, presence of hydrocele, and none, one, or a few small abscesses within the epididymis/testis and 3) without palpatory differentiation between the epididymis and testis, with or without malacia, with hydrocele, and none, one, or more abscesses of any size. We analyzed the clinical outcomes in each group.ResultsAll of patients from the first group were successfully treated with antibiotics. In the second group, conservative treatment was effective in 70 pts. (85.4% of this group), but the other 12 pts. (14.6%) did not show clinical improvement and underwent organ-sparing surgery. The majority of patients from the third group did not demonstrate an objective response to antibacterial treatment during the first 48-72 hours and, therefore, underwent surgery. Based on examination results and clinical outcomes we developed a classification system for AEO, which divides AEO into three stages and recommends an approach to its treatment.ConclusionsOur classification is able to systematize treatment approaches in patients with AEO.

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Section: Discussionmentioning

confidence: 99%

URINARY TRACT INFECTION Acute epididymo-orchitis: staging and treatment

Banyra¹,

Shulyak²

2012

cejurol3/2012

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“…Like TUMT or TUNA, this approach is minimally invasive, but it spares the urethra entirely, theoretically minimizing complications such as urethral injury or bladder neck contractures. Like TUNA and TURP, it is an ablative modality with the potential for a durable effect (2–4). Although only a minority of patients with symptomatic BPH are refractory to medical and/or surgical management, the large number of men with BPH implies that a still sizable population of patients might benefit from an alternative approach.…”

Section: Discussionmentioning

confidence: 99%

“…Surgical or minimally invasive therapies are appropriate for patients for whom medical management fails, or in patients who do not want or cannot tolerate medical therapy. While transurethral resection of the prostate (TURP) remains the gold standard for surgical treatment, alternative minimally invasive treatment methods, including endoscopic laser prostatectomy, transurethral microwave therapy (TUMT) and transurethral needle ablation (TUNA) generally have fewer co-morbidities (2–4). …”

Section: Introductionmentioning

confidence: 99%

MR Imaging–guided Cryoablation for the Treatment of Benign Prostatic Hyperplasia

Ghanouni

Gill

Kaye

et al. 2011

Journal of Vascular and Interventional Radiology

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A patient with benign prostatic hyperplasia presented with chronic lower urinary tract symptoms despite prior surgery and continued medical therapy. Using a MR-guided transperineal approach, two cryoprobes were placed into the transition zone of the prostate gland, and two cryoablation freeze-thaw cycles were performed. Ten weeks after treatment, the frequency of nocturia had decreased from once every 1.5 hours to once per night, urinary peak flow rates had increased from 5.1 mL/s to 10.3 mL/s, and post-void residual urinary bladder volume had decreased from 187 mL to 58 mL. Improved flow rates and symptoms remained stable 16 weeks after treatment.

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Benignes Prostatasyndrom

Reich

Seitz²,

Gratzke³

et al. 2009

Urologe

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The surgical treatment options available today for benign prostatic hyperplasia (BPH) can take various forms and often follow a course of pharmacological therapy. In addition to conventional transurethral resection of the prostate (TURP) and its modifications (bipolar resection), which has represented the standard therapeutic option for decades, the focus of research and clinical application has shifted to alternative so-called "minimally invasive" instrumental techniques, such as transurethral microwave therapy (TUMT) and, particularly more recently, to the different laser-assisted techniques. By reviewing the current literature, preferably from randomized controlled trials, critical appraisals of the individual procedures are made.

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Nonablative minimally invasive thermal therapies in the treatment of symptomatic benign prostatic hyperplasia

Cited by 6 publications

References 50 publications

URINARY TRACT INFECTION Acute epididymo-orchitis: staging and treatment

URINARY TRACT INFECTION Acute epididymo-orchitis: staging and treatment

MR Imaging–guided Cryoablation for the Treatment of Benign Prostatic Hyperplasia

Benignes Prostatasyndrom

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