HIGH ENERGY TRANSURETHRAL MICROWAVE THERMOTHERAPY (TUMT) IN THE TREATMENT OF BPH PATIENTS RESULTS AFTER 2 YEARS FOLLOW-UP

Frans M.J. Debruyne, Jean J.M.C.H. de la Rosette
1997 The Japanese Journal of Urology  
PuRPOSE : In d亘s prospective I . andomized study orTURP alld TUMT oll s } 1nptomatic benism prostatic hypcrplasia , we have now foll 。wed the patients 恥 r 5 years 、 MATERIAL AND METHOI )S : Seventy−olle patients were r皿 domized and iucluded in吐 he s虻udy , The two groups were very well colnparable concen ]ing age , prostatic volume , symptQln score , peak LIrinaI ' y llew and pestvoid residual 、 111 the TUMT group , 4patients did llot impro、 ・ e initially alld have had a TURP . Af モ er 60 menths
more » ... , 2patients have gQt dhninished flow and eleva 匿 ed residual urine alld are rccoinmended retreatl皿 ent , l patient llas developed a bladder stone . Ln lhe TU . RP grouI ) 3paIients llave been reoperated fc >r bleeding and 2 because Qf bladder neck selerosis . U 「ctl「 「al stricture or lneata [s量 ellosis occured ill 4 patients in thじ TURP grOUP . RESULTS : in the TUMT group ( 60 mosA 〕 c 食)rc )lMadscll score 3. 0!12, 1, 且ow 11、 9! 8, 4, PVR 42197. In the TURP group 2 . 3!L36, flow l 8. 6〆 8. 3 all(l PVR 45〆 104. All challges were statis亡 ica1 [ y significa1】t. CONCLUSIONS : Sigllificant jmprovemen 亡 s were observed a 丘er TUMT alld TURP ill all regards . The groups irnproved 巳qし 1ally lll g . ymptom SCOre alld reSidnal NVhile the ilnP「 vemellhn now was more pronounced after T . The effect aftcr TURP 、vas as 呂 ood af ヒ er 5 years as after 6 tnOnths . The effect after TUMT svag . 。 xccp 面 r 3 paticllts as good as after 5 } , ears as 諭 cr 61n。11t1】s , PURPOSE : Treatments w [ th the lligh energy TU 「 MT Pro 重 ocol usillg the Prostatroll device ( Prostasoft version 2. 5) were pe 曲 1mcd ill BPII patients 、 We illvestigated 重 he outcome ofthese patients 2 ycars after TUMT treatment. METHODS : 2U pa 宣 iellts with BPH ( mean prostate siz . e 57 . 5co ) weTe treatcd witll high energy Tum 、 Patients were assessed by usillg tlle Madsen symptQm score , physica 【 exanlillatioll, uroflowllletr > , and tt ' ansrecta ]u 】 trasound of the prostate . RESULTS : 0 丘 ' 1he 211 patients treated , ulltil now 55 patiellts llave Teached 2 years f ( ) 110w−up : Pre26wks52wks78wks104wks Qmaxlnl ! S ) 9. 214 . 3i5 . 213 . 113 、 6 ResidualmI 88 . 234 、 030 . 528 . 545 . 9 Madsen14 . 25 . 45 . 36 . 55 . 7 11patiellts ol11y we1 』 e retreatcd during fellow − up . coNCLuSlON : High ellergy thermotherapy results i ユ 1 a bjective impr・vemen し of 6 、 O ml ! s at one } ・ ear, while the subjective improv 巳mellt rctnains aIlnost the san 】 巳 at 63 % 、 The retreaument rate is IQw . Thcse rcsults see1 τ1 to be sustained 、vitll tilne , wh 巳11 co lrccted fo π tlle ini 【 ial leaniing c し 11
doi:10.5980/jpnjurol.88.190_4 fatcat:s7tryjnjjjfjpkae42t5m2hq6e