IPERTERMIA PROSTATICA TRANSRETTALE E CANCRO PROSTATICO AVANZATO: RESULTATI CLINICI AD 1 ANNO DI FOLLOW-UP

Translated title of the contribution: Transrectal prostatic hyperthermia and advanced prostatic cancer: Clinical results of one year follow-up

F. Montorsi, G. Guazzoni, F. Bergamaschi, L. Galli, R. Colombo, P. Consonni, L. Barbieri, P. Rigatti

Research output: Contribution to journalArticlepeer-review

Abstract

Forty-six patients with advanced prostate cancer and bladder outlet obstruction, unrelieved by total androgen ablation, were submitted to transrectal microwave hyperthermia of the prostate. Twenty-four patients had an indwelling catheter and 22 were obstructed but not in urinary retention. Hyperthermia was administered in ten, sixty-minute long sessions, with a calculated intraprostatic temperature of 43 ± 0.5°C. At one year follow-up. 12 patients (50%) were still catheter-free. Mean residual urine volume was significantly reduced (p <0.05), while peak flow rate and maximum flow nomogram were improved but not significantly. Most patients experienced a marked improvement of subjective symptoms and quality of life. The only major complication was a prostatorectal fistula that was cured by leaving a urethral catheter in place for one month. Transrectal prostatic hyperthermia is a safe and effective palliative procedure for bladder outlet obstruction caused by advanced prostate cancer.

Translated title of the contributionTransrectal prostatic hyperthermia and advanced prostatic cancer: Clinical results of one year follow-up
Original languageItalian
Pages (from-to)471-474
Number of pages4
JournalActa Urologica Italica
Volume6
Issue numberSUPPL. 6
Publication statusPublished - 1992

ASJC Scopus subject areas

  • Urology

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