[ microwave thennotherapy 〔 TUMT ) at high letnpcratufe ( 60 to 70 ℃ ) wit ] 1 ProstatroTl 2. 5 ( EDAP Techllomed ) was proposed to symptomatlc pa 吐 ients with ] arge obstructivc prostates , originally candidates fbr open prostatectomy . TECHN 匸 QVE l ambulatory procedure , 1se g . sion of I hour widl patients under IieL ! roleptic analgesia . Pos1 TUMT bladder cathelerisation was systematic . INDICAT10NS : 25 patients ( 111ean age 67)w 建 h iarge obstnict ¢ d pros 吐 atc , average weight 78g (

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... − 133) en 畳 ered the pro巳oc ⊂ } l after Signing lhe consent fofln . RESULTs ; The ellcl ' gy delivercd by the equipme ■ 1t averaged 181 kJ、 Bladder catheterisation averaged 2 wccks ( 8 ω 45days ) . 50 % ofoatheters wel 層 e relnovcd at da 8. RESULTS PRE3MONTHS6MONTHS IPSS 17 7 4 Q. MAX m1 ' s ) 7 . 9 14. 3 19. 8 Residuai Vol. ( ml ) 100 25 26 No significallt sidc effects wcre noticcd l llo lmpotenee . Ilo illcelltillcl1C . e , ] 10 しireth : . al stenosis , 110 吐 rans 貪1sio11 ・ A seco 且 1dary TURP ( due to median lobc )had to bG perfbrmed on one patient . CONCLUSION : 「 11UMT wit111 ) rostatron 2、 5 in large ( ≧ 609 ) a : 1d obs 亡 ructive pros 〔 a に s considerab ] y ilnproves bo【 h objective ( Qmax + 150 % ) and sし lhlective ( 11 ⊃ SS −75 % ) s } ・ ] 11Ptellls a 【 6nnonths . Median lobe remaills all exclusion criteria . Res. ults are coiitinuously improving over thc 6 monlh pcriod . PURPosE :ln lhe evaluati 。1 】 。 fa new tcchnology fer the treatment ofBPH , lhe results should be compared willl tllose ebtained usillg a 8cneraL ] y acccpted inethod . We repQrt on tlle l − ycar fhLlew − uP of a prospectLve randomized st匸1dy comparing high e ] lerg } ・ TUMT alld TURP itl patients wiLh v idingcomp ] a [ ntsb ¢ causc ofBPH . METHODs :Patients with symptomatic BPH wcre treated by eitlier TしRP ( 21 patlents : 1ncall a 呂 e 69. 6 ± 8、 5 years) or TUMT ( 31 paticnts : llleatl age 69. 3 ± 5. 9 years) and asgesg. cd using the MadserL sy ] nptoln score , measurcments o 「 voidii ユ 9 paralnetel ・ s , transrectal ullrasound alld cystometry including pressure tlow analyses . Exainiiiatio 窗 ls were rcpeated at fixed intcrvals fbr up to l2 1nonths post treallllent . RESULTS : A [ lcr botlL TURP and TUM 「 r lherc was a significant i】nprovcment in all clinical para 匸 neters . At l year fc ) llow 凾 up , a symptomatic ilnpT ' ovelllellt Qf 78 % in the TURP group 、 vas tbund alld of 68 % hl T し 「 MT 暫 up . The inlpr 〔 } v 巳mcllts i監 1 free tlow rate arc I