Transurethral microwave thermotherapy treatment of chronic urinary retention in patients unsuitable for surgery. (June 2014)

• Record Type: Journal Article
• Authors: Aagaard, Mark Faurholt; Niebuhr, Malene Hartwig; Jacobsen, Jens Duelund; Krøyer Nielsen, Kurt
• Is Part Of: Scandinavian journal of urology. Volume 48:Number 3(2014)
• Page Start: 290
• Page End: 294
• Publication Date: 2014-06
• Subjects: Urology -- Periodicals; 616.6
• DOI: 10.3109/21681805.2013.840857
• Languages: English
• ISSNs: 2168-1805

Abstract

<abstract> <title>Abstract</title> <p> <italic>Objective.</italic> The aim of this study was to evaluate transurethral microwave thermotherapy (TUMT) in the treatment of chronic urinary retention due to benign prostatic hyperplasia (BPH) in patients unsuitable for surgery. <italic>Material and methods.</italic> The study enrolled 124 patients with chronic urinary retention due to BPH. The median age was 80 years (61–92 years). Of the enrolled patients, 77 (62%) were assessed by an anaesthesiologist as being unsuitable for surgery owing to cardiac, pulmonary, neurological or other diseases. Overall, 115 patients (93%) had an indwelling catheter. The remaining nine patients (7%) performed clean intermittent self-catheterization. The treatment was performed under local anaesthesia in the outpatient department using the ProstaLund® Coretherm Device. At the 6-month follow-up, the Danish version of the International Prostate Symptom Score (DAN-PSS), postvoiding residual volume and urinary peak flow were measured. Improvement in quality of life was also registered. <italic>Results.</italic> The success of TUMT was assessed by looking at the percentage of patients relieved of their catheter and by the improvement in quality of life. Overall, 77% of patients were relieved of their catheter and 79% reported an improvement in their quality of life. <italic>Conclusion.</italic> In this study, both the median age and the percentage of patients unsuitable for surgery were larger than in previous studies. Despite this, TUMT relieved 77% of their catheter and 79% reported an improvement in their quality of life. This study shows that TUMT is an effective treatment for patients unsuitable for surgery and with chronic urinary retention.</p> </abstract>