Richter S, Rotbard M, Nissenkorn I
Department of Urology, Sapir Medical Center, Kfar Saba School of Medicine, Tel-Aviv University, Israel.
Urology. 1993 May;41(5):412-6. doi: 10.1016/0090-4295(93)90498-y.
From February 1990 through May 1991, 37 patients with benign prostatic hyperplasia were treated by transurethral hyperthermia according to two different protocols. In group I, 10 patients with an indwelling catheter underwent six one-hour sessions twice a week for three weeks, at a temperature of 43 degrees C. The 27 patients from group II (11 with indwelling catheter) had two sessions of two hours each for one week, at a temperature of 44.5 degrees C. Prostatic volume, Madsen symptom score, two estimates of peak flow, average flow, and residual urine measurements were recorded before treatment and one week, one month, six months, and one year after completing the sessions. Hyperthermia was applied through a metal ring, which was used both for heating and temperature control, mounted on a 16-F Foley-Tieman-like catheter. The follow-up period was five to fifteen months. From those who had an indwelling catheter, 5 of 10 patients (50%) from group I and 8 of 11 patients (72.7%) from group II regained spontaneous micturition and continued to void satisfactorily throughout the follow-up period. Nine of 16 patients without catheter (56.3%), showed objective and subjective improvement. Transurethral hyperthermia is a new, simple, noninvasive, and well-tolerated method for the treatment of benign prostatic hyperplasia.
从1990年2月至1991年5月，37例良性前列腺增生患者按照两种不同方案接受经尿道热疗。在第一组中，10例留置导尿管的患者每周两次，每次1小时，共进行6次治疗，持续3周，温度为43摄氏度。第二组的27例患者（11例留置导尿管）在1周内进行2次，每次2小时的治疗，温度为44.5摄氏度。在治疗前以及治疗结束后1周、1个月、6个月和1年记录前列腺体积、马德森症状评分、两个峰值流速估计值、平均流速以及残余尿量测量值。热疗通过安装在16F Foley - Tieman样导管上的金属环进行，该金属环用于加热和温度控制。随访期为5至15个月。在留置导尿管的患者中，第一组10例患者中有5例（50%），第二组11例患者中有8例（72.7%）恢复了自主排尿，并且在整个随访期内排尿情况良好。16例未留置导尿管的患者中有9例（56.3%）显示出客观和主观上的改善。经尿道热疗是一种治疗良性前列腺增生的新的、简单的、非侵入性且耐受性良好的方法。
