| Title |
Transuretrinės mikrobangų termoterapijos ankstyvieji ir vėlyvieji rezultatai gydant nepiktybinę prostatos hiperplaziją / |
| Translation of Title |
Early and follow-up clinical results of transurethral microwave thermotherapy for benign prostatic hyperplasia. |
| Authors |
Rimas, Audrius ; Dainys, Balys |
| DOI |
10.15388/LietChirur.2005.4.2290 |
| Full Text |
|
| Is Part of |
Lietuvos chirurgija.. Vilnius : Vilniaus universiteto leidykla. 2005, t. 3, Nr. 4, p. 266-274.. ISSN 1392-0995. eISSN 1648-9942 |
| Keywords [eng] |
benign prostatic hyperplasia ; transurethral microwave thermotherapy ; hyperthermia ; minimally invasive therapy |
| Abstract [eng] |
Objective To evaluate the results of transurethral microwave thermotherapy for benign prostatic hyperplasia. Patients and methods The results of thermotherapy were analysed retrospectively for 99 cases of prostatic hyperplasia. The mean age of patients was 71.9 years. Initial evaluation consisted of a history, peak urinary flow rate, transrectal prostate ultrasonography and post-voiding urinary volume. Suprapubic urinary drainage was done in 31 cases. Urinary tract pre-infection was found in 22 patients. We used a UroWave (Dornier) device for thermotherapy. Results The complaints according to IPSS decreased from 11.2 to 7 (62.5%), the prostate volume from 70 to 60 ml (15.7%), the peak flow rate increased from 8 to 15 ml/s (53.3%), residual urinary volume was insignificant after treatment, cistostoms were removed in 22 cases from 31 (70.1%), after 24 months 7 patients were operated on, 10 patients underwent retreatment with thermotherapy, medication was administered in 20 cases. We noticed the following complications: hematuria in 23 (23.3%) patients, bleeding 1 (1.01%), acute retention of urination 8 (8.08%), exacerbation of urinary tract infection 1 (1.01%). Conclusions Microwave thermotherapy is an efficacious and safe method of treatment of benign prostatic hyperplasia. Symptomatic and urodynamic improvement after thermotherapy persisted for 24 months. The best results were obtained 3–18 months after treatment. We found no high-risk complications after thermotherapy. Urinary tract infection worsened the results of microwave thermotherapy only in the early post-treatment period. |
| Published |
Vilnius : Vilniaus universiteto leidykla |
| Type |
Journal article |
| Language |
Lithuanian |
| Publication date |
2005 |
| CC license |
|
