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Transurethral microwave thermotherapy for prostatism: early Mayo Foundation experience
M L Blute1, K M Tomera, D K Hellerstein
1Department of Urology, Mayo Clinic Jacksonville, Florida.
Mayo Clinic Proceedings
|May 1, 1992
Summary
Transurethral microwave thermotherapy effectively treated benign prostatic hypertrophy in men. This minimally invasive procedure improved symptoms like nocturia and urinary flow with no major adverse events.
Area of Science:
- Urology
- Minimally Invasive Therapies
Background:
- Benign prostatic hypertrophy (BPH) is a common condition affecting older men.
- Symptomatic BPH significantly impacts quality of life.
- Current treatments have limitations and potential side effects.
Purpose of the Study:
- To evaluate the safety and efficacy of transurethral microwave thermotherapy (TUMT) for symptomatic BPH.
- To assess symptom improvement and urinary flow changes following TUMT.
Main Methods:
- A multicenter trial involving 60 men with symptomatic BPH.
- Treatment administered using the Prostatron device for concurrent prostate heating and urethral cooling.
- Single office-based treatment session.
Main Results:
- TUMT was well-tolerated with no major adverse events.
- Significant symptomatic improvement observed, particularly in nocturia and urgency.
- Urinary flow rate improved at the 6-week follow-up.
Conclusions:
- Transurethral microwave thermotherapy is a safe and effective treatment option for benign prostatic hypertrophy.
- The procedure offers rapid symptomatic relief and improved urinary function.
- TUMT shows promise for long-term management of BPH symptoms.
