Yasumoto R, Wada S, Kiyota A, Kamikawa S, Kawano M, Sakakura T, Ameno Y, Asakawa M, Yoshihara H, Sakamoto W
Department of Urology, Osaka City University Medical School.
Nihon Hinyokika Gakkai Zasshi. 1991 Feb;82(2):196-203. doi: 10.5980/jpnjurol1989.82.196.
Hyperthermic treatment was performed in 31 patients with benign prostatic hypertrophy (BPH). Eight patients of them had a urethral catheter because of urinary retention. The prostate was heated trans-rectally to 43-45 degrees C. The treatment consisted of 10 sessions of 60 min. each. To evaluate this treatment, the following parameters were determined before, during and one week after the last hyperthermia session: subjective symptoms score, and residual urine volume, uroflowmetry and transrectal ultrasound of the prostate as objective data. Symptoms score improve in all patients. Of 8 patients with a catheter, the catheter could be removed from 4 patients. There was no significant change in prostate volume, but significant decreases of residual urine volume, and increases of maximum flow rate and mean flow rate were observed. No adverse reactions were seen. Judging from the above results, this treatment is considered to be useful for patients with BPH.
对31例良性前列腺增生(BPH)患者进行了热疗。其中8例因尿潴留留置了尿道导管。经直肠将前列腺加热至43 - 45摄氏度。治疗包括10次,每次60分钟。为评估该治疗方法,在最后一次热疗前、热疗期间及热疗后一周测定了以下参数:主观症状评分、残余尿量、尿流率以及作为客观数据的前列腺经直肠超声。所有患者的症状评分均有改善。8例留置导管的患者中,4例可拔除导管。前列腺体积无显著变化,但残余尿量显著减少,最大尿流率和平均尿流率增加。未观察到不良反应。从上述结果判断,该治疗方法对BPH患者有用。