Urodynamic changes in benign prostatic hyperplasia patients treated by transurethral microwave thermotherapy

D. Porru, R. M. Scarpa, A. Delisa, E. Usai

Research output: Contribution to journalArticle

Abstract

Our study describes the results obtained in 44 patients with benign prostatic hyperplasia (BPH) who underwent transurethral microwave thermotherapy (TUMT) and their follow-up at 12 months. Prostatron, a prostatic TUMT device which comprised a microwave heat generator and a cooling system, was used at our centre. Forty-four out of the 60 patients given the treatment had a 12-month follow-up to be evaluated. The evaluation of subjective symptoms, according to the Boyarsky symptom score, demonstrated a significant rate of response (p <0.0005). The analysis of pressure-flow recordings demonstrated a reduction of mean detrusor opening pressure (p <0.0005), a reduction of detrusor pressure at maximum flow 12 months after treatment (p <0.0005) and an improvement of mean values of maximum flow after treatment (p <0.0005). This study shows that TUMT, though it cannot be considered an alternative to surgical or endoscopic therapy of BPH for severely obstructed patients, can produce improvement of both subjective and objective parameters of mild prostatic bladder outflow obstruction.

Original languageEnglish
Pages (from-to)303-308
Number of pages6
JournalEuropean Urology
Volume26
Issue number4
Publication statusPublished - 1994

Keywords

  • Benign prostatic hyperplasia
  • Transurethral microwave thermotherapy
  • Urodynamics

ASJC Scopus subject areas

  • Urology

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