Moskovitz B, Madjar S, Halachmi S, Nativ O
Dept. of Urology, Bnai Zion Medical Center, Haifa.
Harefuah. 1998 Jun 1;134(11):833-5, 920.
The effectiveness of transurethral microwave thermotherapy (TUMT) for benign prostatic hypertrophy in poor surgical risk patients (ASA class IV) with indwelling catheters, was assessed. All had had an indwelling catheter for 1-12 months. Removal of the catheter was possible in 14 out of the 24 (58.3%). Urinary peak flow rates were 12.2 +/- 3.5 ml/sec at 3 months of follow-up and post-voiding residual urine volumes of less than 50 ml were recorded in 13 catheter-free patients. Our data suggest that TUMT is an effective procedure for management of high risk patients with indwelling catheters in whom surgery or anesthesia are contraindicated.
评估经尿道微波热疗（TUMT）对伴有留置导尿管的手术风险高的患者（美国麻醉医师协会IV级）良性前列腺增生的有效性。所有患者留置导尿管1至12个月。24例患者中有14例（58.3%）导尿管得以拔除。随访3个月时尿流率峰值为12.2±3.5毫升/秒，13例无导尿管患者的排尿后残余尿量记录少于50毫升。我们的数据表明，TUMT是治疗手术或麻醉禁忌的留置导尿管高危患者的有效方法。
