Kamihira O, Sahashi M, Yamada S, Ono Y, Ohshima S
Department of Urology, Komaki Shimin Hospital.
Nihon Hinyokika Gakkai Zasshi. 1993 Jun;84(6):1095-8. doi: 10.5980/jpnjurol1989.84.1095.
Transrectal hyperthermia was performed on 13 patients with chronic non-bacterial prostatitis which failed to respond to the conventional treatments. We used "Prostathermer" (Biodan-Medical system, Israel) for heating the prostate gland. The prostate was heated at 42 degrees C-43 degrees C, for 60 minutes in 1 session. Treatment consisted of 6 sessions, and was performed during a period of three weeks on an outpatient basis. Of 11 patients re-evaluated after 3 months, 6 (55%) achieved improvement of subjective symptoms. Of 9 patients, 4 (44%) showed reduction of the number of white blood cells (> or = 10 leukocytes count per high-power field) in their expressed prostatic secretion (EPS), which however was not always correlate with improvement of subjective symptoms. No complications were encountered in our series. Our result indicates that local hyperthermia is safe, and would become new modality in the treatment for chronic prostatitis.
对13例对传统治疗无反应的慢性非细菌性前列腺炎患者进行了经直肠热疗。我们使用“Prostathermer”（以色列Biodan - Medical系统）加热前列腺。前列腺在42摄氏度至43摄氏度下加热1次，持续60分钟。治疗包括6次疗程，在三周内门诊进行。在3个月后重新评估的11例患者中，6例（55%）主观症状有所改善。在9例患者中，4例（44%）前列腺液（EPS）中的白细胞数量（每高倍视野白细胞计数≥10个）减少，然而这并不总是与主观症状的改善相关。我们的系列研究中未遇到并发症。我们的结果表明，局部热疗是安全的，并且将成为慢性前列腺炎治疗的新方式。
