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Transurethral microwave thermotherapy : ウィキペディア英語版 | Transurethral microwave thermotherapy
Transurethral microwave thermotherapy (TUMT) is one of a number of effective and safe〔Stravodimos KG, Goldfischer ER, Klima WJ, Jabbour ME, Smith AD. 1998 Jun. Transurethral microwave thermotherapy for management of benign prostatic hyperplasia: a single-institution experience. | PMID 9609641〕 procedures used in the treatment of lower urinary tract symptoms (LUTS) caused by benign prostatic hyperplasia (BPH). TUMT provides a one-time efficacious treatment of LUTS due to BPH. It is an alternative treatment to pharmacotherapy such as Alpha blockers, transurethral resection of the prostate (TURP), transurethral needle ablation of the prostate (TUNA), photoselective vaporization of the prostate (PVP) and prostatic removal or prostatectomy.〔Jonathan Rubenstein, MD | Transurethral Microwave Thermotherapy of the Prostate (TUMT) http://www.emedicine.com/med/topic3070.htm | Feb 6, 2008〕 ==Process== TUMT is a non-surgical, minimally invasive therapy that can be performed under a local anesthetic on an outpatient basis. The treatment involves inserting a special microwave urinary catheter into the hyperplastic prostatic urethra. The microwave antenna within the catheter then emits microwaves to heat and destroy the surrounding prostatic tissue. The procedure can take from 30 minutes to one hour and is well tolerated by patients. Following the procedure, the prostatic tissue will be swollen and irritated. Urologists often place a Foley catheter to prevent the patient from having urinary retention. After 3 to 5 days the Foley can be replaced by a temporary prostatic stent to improve voiding without exacerbating irritation symptoms.〔Dineen MK, Shore ND, Lumerman JH, Saslawsky MJ, Corica AP (2008 Mar 26). Use of a Temporary Prostatic Stent After Transurethral Microwave Thermotherapy Reduced Voiding Symptoms and Bother Without Exacerbating Irritative Symptoms. PMID 18374395〕
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