[The treatment of prostatic adenoma by means of local hyperthermia and thermotherapy].

The study was aimed at clinical evaluation of different heat treatment modalities: transrectal microwave hyperthermia (TRMH), transurethral microwave hyperthermia (TUMH) and transurethral microwave thermotherapy (TUMT). The treatment of 311 patients with TRMH, 79 patients with TUMH and 59 patients with TUMT was performed using integrated software and hardware system "Yakhta-4M" (432 MHz, 200 W). The temperature within the prostate achieved 43-44 degrees C (hyperthermia) and 54-55 degrees C (thermotherapy). The results were evaluated by both subjective (I-PSS symptom scoring system) and objective (prostatic size, residual urine, mean peak flow) criteria. The study showed reliability, simplicity, low morbidity and high efficiency of the above modalities. According to both subjective and objective criteria thermal treatment produced marked improvement of the condition.