Low Energy Prosoft 2.0에 의한 Transurethral Microwave Thermotherapy (TUMT)의 임상경험
Long-term follow up of Transurethral Microwave Thermotherapy (TUMT) with Low Energy Prosoft 2.0
이풍규, 최낙규,
소속 상세정보
이풍규 ( )
한양대학교
최낙규 ( )
한림대
KMID : 0358319970380040363
Abstract
From August 1991 to July 1992, 262 patients of benign prostatic hyperplasia (BPH) were treated with transurethral microwave thermotherapy (TUMT). Among those, 64 patients were followed up more than 1 year and 26 patients were followed up more
than
4
years without other treatment.
The patient's age ranged from 49 to 80 years with a mean of 64.3 years. Prostate volume determined by transrectal ultrasonography ranged from 27.0㎤ to 73.6㎤, the mean 40.8㎤.
After 1 year, maximum flow rate increased from 8.1±2.3ml/sec to 11.5±3.6ml/sec, Madsen symptom score decreased from 12.6±3.8 to 6.6±4.7, and residual urine volume decreased from 75.6±33.5ml to 43.4±35.3ml. Complete response of maximum flow
rate
and Madsen symptom score observed in 17.2% in each group, partial response in 50.0% and 40.6%, and non-response in 32.8% and 42.2%. Improvement of subjective symptoms were evaluated by patients themselves and divided into 3 group: "satisfactory"
was
28.1%, "acceptable" 34.4%,and "not effective" 37.5%. Complications were 1 case of erectile dysfunction and 4 cases of dry ejaculation.
Among the 64 patients who were followed up more than 1 year, 26 patients (40.6%) were remained without other treatment, 20 (3.13%) patients were medicated additionally, 11 (17.2%) patients required TUR-P during the follow-up period due to
persistent
symptoms, and 7(10.9%) patients were performed re-TUMT.
In conclusion, TUMT could be useful, safe and inexpensive treatment for BPH when it is applied selectively and should be advanced in mechanism to be more effective in treatment of BPH.
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