Tubaro A, Paradiso Galatioto G, Trucchi A, Begani A, Stoppacciaro A, Trucchi E, Begani Provinciali R, Furbetta A, Laurenti C, Albanese R
Department of Surgery, L'Aquila University Medical School, Italy.
Eur Urol. 1993;23(2):285-91. doi: 10.1159/000474614.
One hundred and forty-four patients with symptomatic benign prostatic hyperplasia were treated by transurethral microwave thermotherapy between January and December 1991. Before entering the study, all patients had a Boyarsky symptom score > or = 8, peak flow rate < or = 15 ml/s and postvoiding residual urine < or = 200 ml. Transurethral thermotherapy with the Prostatron (Technomed) was carried out as a single session (60 min) without any analgesia or sedation. Acute urinary retention occurred in 19.4% of the patients after treatment requiring catheterization for 2-3 weeks; morbidity rate was 5.5%. Six months after treatment, Boyarsky symptom score decreased from 11.73 +/- 4.97 to 4.40 +/- 3.21 (mean values +/- SD); peak flow rate increased on average from 8.97 +/- 4.18 to 13.07 +/- 4.87 ml/s and postvoiding residual urine decreased from 135 +/- 17.9 to 63 +/- 34.7 ml. Slight further improvement was shown, in a few patients, at the 1-year follow-up visit.
1991年1月至12月期间,144例有症状的良性前列腺增生患者接受了经尿道微波热疗。在进入研究之前,所有患者的博亚尔斯基症状评分≥8分,最大尿流率≤15 ml/s,排尿后残余尿量≤200 ml。使用前列腺治疗仪(Technomed)进行经尿道热疗,单次治疗(60分钟),无需任何镇痛或镇静。治疗后19.4%的患者发生急性尿潴留,需要留置导尿管2至3周;发病率为5.5%。治疗6个月后,博亚尔斯基症状评分从11.73±4.97降至4.40±3.21(平均值±标准差);最大尿流率平均从8.97±4.18增至13.07±4.87 ml/s,排尿后残余尿量从135±17.9降至63±34.7 ml。在少数患者中,1年随访时显示有轻微进一步改善。