Please use this identifier to cite or link to this item: http://earsiv.odu.edu.tr:8080/xmlui/handle/11489/2576
Title: Can transurethral thermotherapy save elderly patients with benign prostatic obstruction and high ASA score?
Authors: Benli, Erdal
Cirakoglu, Abdullah
Nalbant, Ismail
Yazici, Ibrahim
Yuce, Ahmet
Ordu Üniversitesi
0000-0001-8485-1424
Keywords: Benign prostatic obstruction; treatment; thermotherapy; radiofrequency; complication
MICROWAVE THERMOTHERAPY
Issue Date: 2020
Publisher: TAYLOR & FRANCIS LTD, 2-4 PARK SQUARE, MILTON PARK, ABINGDON OR14 4RN, OXON, ENGLAND
Abstract: Introduction: The Aim of this study was to investigate the efficacy of the new bipolar radiofrequency prostate thermotherapy method for those with high potential surgical risk and also for patients with a chronic catheter. Material and Methods: 103 patients attending our clinic due to BPO and related complaints with high ASA score had outcomes after the procedure recorded prospectively and investigated retrospectively. Qmax, prostate volume, IPSS score, quality of life score, and presence of catheters were recorded before the procedure and analyzed with the outcomes after the procedure. Results: The ASA scores were calculated as 3.0 +/- 1.0 (IQR). Before the procedure, Qmax values (mean (SD)) were 5.11 +/- 5.37 ml/s, while in the 6th month after the procedure Qmax values were identified as 10.45 +/- 3.8 ml/s (p < 0.001). Of 53 patients (55.2%) with chronic catheters who could not be operated, 30 (61.2%) no longer required urinary catheter. Conclusion: Bipolar RF thermotherapy appears to be an effective method for patients with BPO who cannot be operated. Due to the surgical risks of patients dependent on the catheter in spite of receiving medical treatment, it is a good alternative to remove catheter dependence. It may be one of the methods that should be remembered, especially in this patient group.
URI: http://doi.org/10.1080/13685538.2020.1765329
http://earsiv.odu.edu.tr:8080/xmlui/handle/11489/2576
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