What question did this study set out to answer?

To assess the therapeutic efficacy and safety of transurethral microwave thermotherapy (TUMT) for men with symptomatic benign prostatic hyperplasia.

September 4, 2012Cochrane library

Microwave thermotherapy for benign prostatic hyperplasia

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Authors

RHRichard M. HoffmanUniversity of Iowa MMManoj MongaUniversity of San Diego SESean P. ElliottUniversity of Notre Dame

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Implication

Systematic review of randomized trials shows microwave thermotherapy relieves symptoms with fewer complications than resection in men with benign prostatic hyperplasia, suggesting a viable...

Key Points

To assess the therapeutic efficacy and safety of transurethral microwave thermotherapy (TUMT) for men with symptomatic benign prostatic hyperplasia.
Systematic review of 15 randomized controlled trials including 1,585 participants (mean age 66.8 years) with follow-up durations ranging from 3 to 60 months.
Evaluated TUMT against transurethral resection of the prostate (TURP; 6 trials), sham thermotherapy procedures (8 trials), and an alpha-blocker (1 trial).
TURP provided greater improvements than TUMT in both symptom reduction (77% vs 65%; IPSS weighted mean difference [WMD] -1.00, 95% CI -2.03 to -0.03) and peak urinary flow (119% vs 70%; WMD 5.08 mL/s, 95% CI 3.88 to 6.28 mL/s).
TUMT significantly outperformed sham procedures in IPSS symptom scores (WMD -5.15, 95% CI -6.04 to -4.26) and peak urinary flow (WMD 2.01 mL/s, 95% CI 0.85 to 3.16).
Compared with TURP, TUMT showed reduced risks of retrograde ejaculation, strictures, hematuria, blood transfusions, and transurethral resection syndrome, but increased risks of dysuria, urinary retention, and retreatment.

Cite This Study

Hoffman et al. (2012) studied this question.

synapsesocial.com/papers/6a758b6d72c9f0ed5b5ffd80 https://doi.org/10.1002/14651858.cd004135.pub3

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Implication

Systematic review of randomized trials shows microwave thermotherapy relieves symptoms with fewer complications than resection in men with benign prostatic hyperplasia, suggesting a viable...

Microwave thermotherapy for benign prostatic hyperplasia

Discussion

Member takes

Implication

Key Points

Cite This Study

Microwave thermotherapy for benign prostatic hyperplasia

Discussion

Member takes

Implication

Key Points

Cite This Study

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