Document Detail


Initial and superior experience with 30 minute TUMT.
MedLine Citation:
PMID:  11108565     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Transurethral microwave thermotherapy (TUMT) is an evolving technique with different machines, protocols, intraprostatic temperatures, marketing claims, and clinical outcomes that can be confusing to the clinician. We report our initial and superior results with 30 Minute TUMT over previous treatment protocols in 16 patients. Patient discomfort and acceptance are greatly improved, with reduced analgesic requirements (11 vs. 24 mL of remifentanil), visual analogue pain scores of 0-2, and no power interruption required in any patients. All four patients in urinary retention are catheter-free 1 week after therapy. Post-treatment catheterization was required in only one patient who was voiding spontaneously before the procedure. Urinary flow rates and postvoid residuals improved in all patients. Prostatic cavities were found in all patients having prostate ultrasound 3 months after TUMT. 30 Minute TUMT is not simply a shortened 30-minute TUMT treatment. Rather it is a very different TUMT with an initial power of 80 W and initial urethral cooling water of 48 degrees F/8 degrees C. Mean maximum intraprostatic temperatures achieved are 154 degrees F/68 degrees C or 43 degrees F/24 degrees C greater than previous versions of microwave thermotherapy. 30 Minute TUMT s increased cooling and shorter times result in minimal discomfort and elimination of routine catheterization, but the initial 80-W energy and avoidance of power interruption provide higher intraprostatic temperatures and prostatic cavities in almost all patients in this office-based treatment.
Authors:
K M Tomera; F M Tomera; W R Clark
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Publication Detail:
Type:  Evaluation Studies; Journal Article    
Journal Detail:
Title:  Techniques in urology     Volume:  6     ISSN:  1079-3259     ISO Abbreviation:  Tech Urol     Publication Date:  2000 Dec 
Date Detail:
Created Date:  2001-03-13     Completed Date:  2001-05-31     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9508161     Medline TA:  Tech Urol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  276-7     Citation Subset:  IM    
Affiliation:
Alaska Urological Associates, Anchorage.
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MeSH Terms
Descriptor/Qualifier:
Aged
Aged, 80 and over
Humans
Hyperthermia, Induced / methods*
Male
Microwaves / therapeutic use*
Middle Aged
Pain Measurement
Patient Acceptance of Health Care
Prostatic Hyperplasia / therapy*
Urethra
Urinary Catheterization
Urodynamics

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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