Transurethral microwave thermotherapy: an evolving technology in the treatment of benign prostatic enlargement

Wildt, M.J.A.M. de; Rosette, Jean J.M.C.H. de la

doi:10.1111/j.1464-410x.1995.tb07774.x

Cited by 29 publications

(8 citation statements)

References 36 publications

(42 reference statements)

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“…"9 Our present study shows that symptomatic improvement is in the same range as reported in previous studies of low energy thermotherapy. 29 The Madsen symptom score usually shows a baseline value of approximately 13 with an expected outcome of approximately 4, Our study is comparable with a mean improvement from 13.9 at baseline to 5.3, 6 months after treatment. The same degree of improvement may be seen in the I-PSS.…”

Section: Discussionsupporting

confidence: 71%

Pressure-Flow Study Analyses in Patients Treated with High Energy Thermotherapy

et al. 1996

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Purpose: We evaluated the urodynamic changes after high energy microwave thermotherapy in patients with lower urinary tract symptoms and benign prostatic enlargement.Materials and Methods: A total of 120 patients was available for analysis with urodynamic investigation and pressure-flow studies before and 6 months after treatment. Several obstruction parameters were used to evaluate treatment outcome.Results: A significant decrease (p <0.001) in all obstruction parameters was noted. Mean detrusor pressure at maximum flow decreased from 64.7 to 39.1 cm. water, urethral resistance factor from 41,8 to 23.5 cm. water and linear passive urethral resistance relation from 3.0 to 1.4. Analysis of subgroups showed better results in patients with greater degrees of obstruction.Conclusions: High energy thermotherapy results in a significant and substantial decrease in bladder outlet obstruction.

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Section: Discussionsupporting

confidence: 71%

Pressure-Flow Study Analyses in Patients Treated with High Energy Thermotherapy

et al. 1996

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“…It has been demonstrated that lower energy thermotherapy is a safe treatment with low morbidity and good tolerability. This treatment has few adverse effects on sexual dysfunction and has effective short-term outcome [16][17][18]. However, at long term large numbers of nonresponders have been reported in need of additional therapy.…”

Section: Effect and Mechanism Of Transurethral Microwave Thermotherapymentioning

confidence: 99%

Transurethral microwave thermotherapy in benign prostatic hyperplasia

2000

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This article reviews the available literature and data on high-energy transurethral microwave therapy (TUMT) in the treatment of benign prostatic hyperplasia (BPH) causing lower urinary tract symptoms (LUTS). TUMT is a safe, durable, (1-hour) procedure, without the need for anesthesia. Emphasis is made on the effect and mechanism of TUMT, the different devices available including different energy protocols, and accompanying clinical results.

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“…Generally, one can expect approximately 75% of treated patients to respond favorably with an approximate 65% reduction in symptom scores (Sx) and an approximate 35% improvement in peak flow rates (PFR) [3, 4]. Patients with symptomatic BPH, prostatic lengths of 35–50 mm and minimal bladder outlet obstruction are the best patients for the low energy protocol [5, 6].…”

Section: Materials and Techniquementioning

confidence: 99%