ISSN:0963-0643    

出版商:OVID    

年代:1996

数据来源: OVID

摘要:

Transurethral prostatectomy remains the most efficacious method of treating symptomatic benign prostatic hyperplasia and has been termed the 'gold standard'. However, significant morbidity such as bleeding and transurethral syndrome is associated with the transurethral prostatectomy. With simple application of known electrosurgical principles, the desired effects of the transurethral prostatectomy can be achieved without these morbidities. This review focuses on this technique, transurethral electrovaporization of the prostate, which combines electrosurgical vaporization and desiccation to surgically treat benign prostatic hyperplasia. The technique is simple, hemostatic, does not produce a transurethral syndrome, and uses currently available equipment. Basic electrosurgical theory, transurethral electrovaporization of the prostate equipment, technique and clinical experience with transurethral electrovaporization of the prostate will be discussed.

ISSN:0963-0643    

出版商:OVID    

年代:1996

数据来源: OVID

ISSN:0963-0643    

出版商:OVID    

年代:1996

数据来源: OVID

摘要:

Transurethral microwave thermotherapy is a promising, minimally invasive treatment for patients with complaints related to benign prostatic hyperplasia. Since the initial review of transurethral microwave thermotherapy for benign prostatic hyperplasia inCurrent Opinion in Urology, data continue to mature. The results of phase II studies and placebo control studies suggest real therapeutic benefit for certain patient groups who undergo this treatment. A number of reports have appeared that confirm the thermotherapy principle, and add to the knowledge of patient selection and provide data to suggest that the treatment is durable. Consistently, transurethral microwave thermotherapy appears to be a remarkably safe procedure, and refinement in patient selection will confirm a place for this treatment between medical and surgical alternatives for benign prostatic hyperplasia.

ISSN:0963-0643    

出版商:OVID    

年代:1996

数据来源: OVID

ISSN:0963-0643    

出版商:OVID    

年代:1996

数据来源: OVID

摘要:

Transurethral needle ablation of the prostate is a new form of thermal therapy that uses radiofrequency energy for the treatment of symptomatic benign prostatic hyperplasia. The inner region of the prostate is selectively ablated with temperatures approaching 100 C while the prostatic urothelium is preserved. Significant objective and subjective improvements in the symptoms of benign prostatic hyperplasia are seen, as judged by the changes in symptom scores and in peak flow rates. The transurethral needle ablation procedure is a simple, efficacious, low-cost treatment that can be performed under topical xylocaine anesthesia in an outpatient setting.

ISSN:0963-0643    

出版商:OVID    

年代:1996

数据来源: OVID

摘要:

Canine and human histological studies have proved the safety and efficacy of contact-free intraprostatic tissue ablation by transrectal high-intensity focused ultrasound. Data from an international phase II clinical trial for benign prostatic hyperplasia have demonstrated an improvement of symptoms, uroflow, residual volume, and urodynamic parameters. Histological data and clinical results from a pilot study look promising for treating localized prostate cancer in the future. At present, the high-intensity focused ultrasound procedure is modified with respect to transducer design, duty cycle, and treatment protocol to enhance the clinical efficacy.

ISSN:0963-0643    

出版商:OVID    

年代:1996

数据来源: OVID

摘要:

Interstitial laser therapy or coagulation is a relatively new, minimally invasive procedure for the treatment of benign prostatic hyperplasia. Recent articles on interstitial laser coagulation have demonstrated safety and effectiveness, compared it with other benign prostatic hyperplasia treatment approaches, demonstrated new application devices, and outlined some basic techniques for performing the procedure. Current approaches include comparison with alternative therapies, techniques for shortening treatment time, comparisons of various laser energy sources, optimization of indication, and the combination of interstitial laser coagulation with other benign prostatic hyperplasia treatments for optimal effects. This article will review recent work on these subjects and discuss avenues for future research in the field of interstitial laser therapy.

ISSN:0963-0643    

出版商:OVID    

年代:1996

数据来源: OVID

ISSN:0963-0643    

出版商:OVID    

年代:1996

数据来源: OVID

摘要:

Both subclinically infected and clinically infected urologic prostheses can be successfully treated and the devices preserved. Long-term oral antibiotics can suppress or cure many infections. If a device is overtly or subclinically infected, antibiotics can suppress the infection and, if no cure occurs, the prosthesis can be successfully explanted and a new one inserted at the same surgery.

ISSN:0963-0643    

出版商:OVID    

年代:1996

数据来源: OVID