MICROWAVE TRANSURETHRAL THERMOTHERAPY FOR PROSTATIC ADENOMA

We report 195 patients with prostatic adenoma treated with microwave t ransurethral thermotherapy. All patients were initially subjected to a clinical assessment including Madsen-Iversen symptom score, digital r ectal examination, measurement of urine flow rate and residual urine v olume, transrectal prostatic ultrasound examination and blood prostate specific antigen determination. A prostatron(R) machine was used, ins talling an urethral probe under local anesthesia. Endourethral and rec tal temperatures were simultaneously measured and the procedure was co ntrolled by a special software. The treatment was performed in an outp atient basis with a single procedures that lasted 60 min. Of 31 patien ts with chronic urinary retention, 28 were /eft voiding spontaneously, without urethral catheters and 84% of 164 symptomatic patients were r elieved. No complications ocurred, although 31.1% of patients has a tr ansitory urinary retention after the procedure. It is concluded that m icrowave thermotherapy is a good therapeutic alternative for prostatic adenoma.