Djavan B, Marberger M
Department of Urology, University of Vienna, Vienna, Austria.
Curr Opin Urol. 2001 Jan;11(1):1-7. doi: 10.1097/00042307-200101000-00001.
Data are reviewed relating to the safety and efficacy of minimally invasive transurethral microwave thermotherapy and medical management in patients with lower urinary tract symptoms of benign prostatic hyperplasia. Recent evidence is summarized indicating more pronounced long-term beneficial effects of microwave treatment. alpha-Blockade, however, offers the advantage of more rapid action than microwave treatment. Neoadjuvant and adjuvant alpha-blocker therapy can accelerate symptom and flow rate improvement in patients receiving microwave treatment. Compared with medical management, microwave treatment possesses greater versatility, allowing patients with severe baseline symptoms and small prostate sizes to be treated with a high probability of success.
回顾了有关微创经尿道微波热疗及药物治疗对良性前列腺增生所致下尿路症状患者的安全性和有效性的数据。总结了近期证据，表明微波治疗具有更显著的长期有益效果。然而，α受体阻滞剂比微波治疗起效更快。新辅助和辅助α受体阻滞剂治疗可加速接受微波治疗患者的症状缓解及尿流率改善。与药物治疗相比，微波治疗具有更大的通用性，使基线症状严重且前列腺体积小的患者有较高的成功治疗概率。
