110:
Transurethral microwave thermotherapy is a non-surgical, minimally invasive therapy that can be performed under a local anesthetic on an outpatient basis. The treatment involves inserting a special microwave urinary catheter into the hyperplastic prostatic urethra. The microwave antenna within the
29:
424:
Neal D. Shore; Martin K. Dineenb‡; Mark J. Saslawskyc; Jeffrey H. Lumermand; Alberto P. Corica (1999). "Prospective randomized comparison of high energy transurethral microwave thermotherapy versus alpha-blocker treatment of patients with benign prostatic hyperplasia".
127:
According to a
Cochrane review from 2012, TUMT may be effective at safely improving symptoms, however, TUMT does not appear to be as effective as a surgical approaches such as TURP and may be associated with a greater need for retreatment when compared to
192:
after the first week following treatment. The stent is worn for 30 days and allows the patient to have volitional voiding with improved quality of life compared to a Foley catheter. Urinary flow generally improves over a few months.
187:
is expected after microwave therapy, and this can lead to a risk of urinary retention. While some protocols suggest leaving a Foley catheter in for up to two weeks in all patients, other urologists are choosing to place a temporary
339:
Dineen MK, Shore ND, Lumerman JH, Saslawsky MJ, Corica AP (May 2008). "Use of a temporary prostatic stent after transurethral microwave thermotherapy reduced voiding symptoms and bother without exacerbating irritative symptoms".
179:
survey, is often used to quantify symptoms and to monitor the response to the treatment. Convalescence is relatively rapid, with most patients able to void and a mean recovery time of less than five days at home.
118:
to prevent the patient from having urinary retention. After three to five days the Foley catheter can be replaced by a temporary prostatic stent to improve voiding without exacerbating irritation symptoms.
209:(AUA) guidelines for the treatment of BPH from 2018 stated that TUMT may be offered to patients provided they are informed that it is associated with a higher risk of necessary retreatment compared to TURP.
277:
Stravodimos KG, Goldfischer ER, Klima WJ, Jabbour ME, Smith AD (June 1998). "Transurethral microwave thermotherapy for management of benign prostatic hyperplasia: a single-institution experience".
114:
The procedure can take from 30 minutes to one hour and is well tolerated by patients. Following the procedure, the prostatic tissue will be swollen and irritated. Urologists often place a
389:
Hoffman, Richard M; Monga, Manoj; Elliott, Sean P; MacDonald, Roderick; Langsjoen, Jens; Tacklind, James; Wilt, Timothy J (2012-09-12). Cochrane
Urology Group (ed.).
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Patients maintained on alpha-blockers after transurethral microwave thermotherapy may experience fewer urinary symptoms and have a decreased incidence of retention.
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462:"Surgical Management of Lower Urinary Tract Symptoms Attributed to Benign Prostatic Hyperplasia: AUA Guideline"
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132:(TURP). Nevertheless, TUMT is associated with fewer serious side effects compared to TURP.
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Jonathan
Rubenstein, MD | Transurethral Microwave Thermotherapy of the Prostate (TUMT)
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catheter then emits microwaves to heat and destroy the surrounding prostatic tissue.
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is one of a number of effective and safe procedures used in the treatment of
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98:, photoselective vaporization of the prostate and prostatic removal or
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Foster HE, Barry MJ, Dahm P, Gandhi MC, Kaplan SA, Kohler TS (2018).
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The main risks of transurethral microwave thermotherapy include:
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Management of Non-neurogenic Male LUTS - Summary of
Changes 2019
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28:
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86:. It is an alternative treatment to pharmacotherapy such as
391:"Microwave thermotherapy for benign prostatic hyperplasia"
216:(EAU) has – as of 2019 – removed TUMT from its guidelines.
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Transurethral microwave thermotherapy catheter in situ
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618:Transurethral needle ablation of the prostate
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96:transurethral needle ablation of the prostate
500:: CS1 maint: multiple names: authors list (
374:: CS1 maint: multiple names: authors list (
311:: CS1 maint: multiple names: authors list (
76:Transurethral microwave thermotherapy (TUMT)
22:Transurethral microwave thermotherapy (TUMT)
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199:
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327:http://www.emedicine.com/med/topic3070.htm
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477:
601:Transurethral resection of the prostate
395:Cochrane Database of Systematic Reviews
130:transurethral resection of the prostate
92:transurethral resection of the prostate
826:
574:Transurethral incision of the prostate
613:Transurethral microwave thermotherapy
529:
173:International Prostate Symptom Score
556:Tests and procedures involving the
154:Pain during and after the procedure
13:
162:Urination pain after the procedure
14:
850:
773:Frenuloplasty of prepuce of penis
606:Radical retropubic prostatectomy
214:European Association of Urology
207:American Urological Association
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417:
403:10.1002/14651858.CD004135.pub3
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1:
439:10.1016/S0022-5347(01)62084-6
354:10.1016/j.urology.2007.12.015
291:10.1016/s0090-4295(98)00018-1
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233:Lower urinary tract symptoms
228:Benign prostatic hyperplasia
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84:benign prostatic hyperplasia
80:lower urinary tract symptoms
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479:10.1016/j.juro.2018.05.048
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558:male reproductive system
200:Judgements in guidelines
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839:Male genital procedures
258:Microwave thermotherapy
150:Urinary tract infection
145:Acute urinary retention
783:Penile plethysmography
628:Prostate brachytherapy
158:Retrograde ejaculation
768:Foreskin restoration
589:Transurethral biopsy
834:Urologic procedures
778:Penile Frenulectomy
183:However, prostatic
813:Scrotal ultrasound
788:Postage stamp test
686:Vasoepididymostomy
676:Vasectomy reversal
584:Transrectal biopsy
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820:
796:
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653:Spermatocelectomy
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16:Medical procedure
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645:Seminal vesicles
635:Prostate massage
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66:edit on Wikidata
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579:Prostate biopsy
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397:(9): CD004135.
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243:Prostatic stent
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190:prostatic stent
177:quality of life
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808:Semen analysis
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750:Penile implant
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472:(3): 612–619.
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285:(6): 1008–12.
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433:(1): 139–43.
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329:| Feb 6, 2008
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663:Vas deferens
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496:cite journal
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370:cite journal
348:(5): 873–7.
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175:including a
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801:Other tests
706:Orchiectomy
828:Categories
718:Orchiopexy
711:Castration
265:References
82:caused by
745:Penectomy
671:Vasectomy
167:Aftercare
566:Prostate
488:29775639
447:10037386
411:22972068
362:18374395
221:See also
123:Benefits
94:(TURP),
40:ICD-9-CM
427:J. Urol
342:Urology
299:9609641
279:Urology
106:Process
56:D020728
698:Testes
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466:J Urol
445:
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360:
297:
728:Penis
515:EAU:
185:edema
136:Harms
64:[
44:60.96
502:link
484:PMID
443:PMID
407:PMID
376:link
358:PMID
313:link
295:PMID
212:The
205:The
171:The
50:MeSH
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Text is available under the Creative Commons Attribution-ShareAlike License. Additional terms may apply.
