In this study, the effectiveness of transrectal prostatic hyperthermia was evaluated retrospectively in 40 patients with benign prostatic hyperplasia (BPH) and urinary retention at poor operative risk. Preoperative evaluation included: history, physical examination, laboratory analysis, intravenous pyelogram, transrectal ultrasonography of the prostate, uroflowmetry and rectoscopy. The catheter had been in place for at least 3 months. Hyperthermia was delivered in ten, 60-minute long sessions, with a calculated intraprostatic temperature of 43 ± 0.5°C. At two-year follow-up, 21 patients (52%) void spontaneously with a mean residual urine volume of 60 ml and a mean peak flow rate of 13.5 ml/s. Fourteen patients were not weaned off the catheter and, in five patients, the catheter was repositioned during the first postoperative year. Age, prostatic volume and length, thermal equivalent dose, were studied statistically but no significant differences were noted between responders and failures. Only the thermal equivalent dose was slightly higher in responders. Hyperthermia plays a useful role in the treatment of non-surgical BPH patients with urinary retention.
|Translated title of the contribution||Two years follow-up in transrectal prostatic hyperthermia for the therapy of urinary retention|
|Number of pages||3|
|Journal||Acta Urologica Italica|
|Issue number||SUPPL. 6|
|Publication status||Published - 1992|
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