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[经尿道微波治疗良性前列腺增生。1年随访结果]

[Transurethral microwave therapy of benign prostatic hyperplasia. Results after 1-year follow-up].

作者信息

Knutsen T, Marteinsson V, Westrheim L, Due J, Rosenlund A F

机构信息

Kirurgisk avdeling, Regionsykehuset i Tromsø.

出版信息

Tidsskr Nor Laegeforen. 1993 Mar 10;113(7):828-32.

PMID:7683148
Abstract

We describe the results after one year follow-up of the first 17 patients treated with transurethral microwave therapy at the University Hospital in Tromsø. We used the Prostatron (Technomed International), a microwave generator delivering heat to the prostate through a water-cooled transurethral catheter. After six weeks we recorded significant improvement in symptom score, residual urine and peak flow rate. There was continuous improvement in all recorded parameters until the last control 13 months after treatment, except in the case of symptom score, where the level was the same after 13 months as after six months. We found a high incidence of urinary tract infections after treatment, owing to liberal use of prophylactic transurethral catheters. In one patient we also recorded retrograde ejaculation as an adverse effect of treatment. To our knowledge this has not been reported earlier.

摘要

我们描述了在特罗姆瑟大学医院接受经尿道微波治疗的首批17例患者随访一年后的结果。我们使用了Prostatron(Technomed International公司生产),这是一种通过水冷式经尿道导管向前列腺输送热量的微波发生器。六周后,我们记录到症状评分、残余尿量和峰值尿流率有显著改善。在治疗后的13个月内,所有记录参数持续改善,症状评分除外,其在13个月时的水平与6个月时相同。我们发现治疗后尿路感染的发生率较高,这是由于预防性经尿道导管的大量使用。在一名患者中,我们还记录到逆行射精是治疗的一种不良反应。据我们所知,此前尚未有过相关报道。

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