ARTICLE
TITLE

A review of the effects of transurethral microwave thermotherapy (TUMT) for lower urinary tract symptoms (LUTS) in men with benign prostate hyperplasia

SUMMARY

In the last decade of the new millennium, it can be seen that the number of transurethral microwave thermotherapy (TUMT) treatments has decreased significantly. Investigating the reasons for this trend, it was decided to review the literature data on TUMT. This review mainly focuses on the effectiveness of TUMT on lower urinary tract symptoms (LUTS) and the impact on erectile function (EF). The reference method was transurethral resection of the prostate (TURP). MEDLINE, EMBASE, Scopus and Cochrane Library databases between 1991–2021 were searched to identify studies on TUMT. The review included both randomized controlled trials and non-randomized trials; 55 items were selected for further analysis. They included 13 randomized reports, 1 non-randomized report and 8 reviews. Surprisingly, data analysis shows that TUMT is almost as effective in reducing LUTS as TURP. However, significant differences in complication profiles were noted. Transurethral microwave thermotherapy showed negligible morbidity and no serious complications compared to TURP. Transurethral microwave thermotherapy is also characterized by a slight influence on erectile dysfunction and retrograde ejaculation in contrast to TURP. Two facts of TUMT draw attention: the lack of precise qualification criteria and too few randomized controlled trials. Despite the critical attitude of some researchers to TUMT, it seems to be a valuable method and a suitable alternative to TURP. However, further research is needed with an increasing number of randomized controlled trials. This review aims to discuss the effects on EF of TUMT for LUTS in men with benign prostate hyperplasia.

PAGES

 Articles related

Yatsyk Yelyzaveta, Oleksandr Kozlov, Svitlana Tkachenko    

Introduction. The constant action of harmful factors, increased levels of neuropsychological stress and stress-associated decline in immunity increase scientific interest for studying the therapeutic properties of phytoadaptogens. In particular, the stud... see more


Aneela Hussain, Anum Rahim, Anila Sheikh, Ahsun Jiwani    

Background & Objective: HIV/AIDS is mostly seen in people who inject recreational drugs (PWID). Adherence has to be optimum for its treatment to be effective. Compliance to HIV medication has been problematic in PWID making HIV control difficult. Man... see more


Morbimortalidad materna / Maternal morbimortalidad Morbimortalidad materna / Maternal morbimortalidadObjetivo: abordar la morbimortalidad materna teniendo en cuenta las causas y las consecuencias que trae para el recién nacido y para la madre.Métodos: se realizó una revisión bibliográfica, se utilizaron 34 referencias bibliográficas.Resultados: la mortalidad materna como indicador expresa el riesgo de morir durante el embarazo o dentro de los 42 días siguientes, por complicaciones obstétricas de la gestación, antes del embarazo o durante la gestación que no es producto de causas obstétricas directas, pero sí agravadas por los efectos del embarazo, la actualización,la capacitación del personal vinculado a la atención materna, la auditoría médica de los servicios obstétricos y el  análisis de la morbilidad materna extremadamente grave, permiten analizar los casos obstétricos complicados paraencontrar los factores relacionados y buscar soluciones que minimicen el riesgo para brindar una mejor atención a estas pacientes.Conclusiones: la actualización y la capacitación continua del personal vinculado a la atención materna, la auditoría médica de los servicios obstétricos y el análisis de la morbilidad materna extremadamente grave en cada institución,permiten analizar los casos obstétricos complicados para encontrar los factores relacionados y buscar soluciones que minimicen el riesgo y conduzcan a brindar una mejor atención a estas pacientes.ABSTRACTObjective: to address maternal morbidity and mortality taking into account the causes and consequences it brings to the newborn and to the mother.Methods: a bibliographic review was carried out; 34 bibliographic references were used.Results: maternal mortality as an indicator expresses the risk of dying during pregnancy or within 42 days,due to obstetric complications of pregnancy, before pregnancy or during pregnancy that is not the productof direct obstetric causes, but is aggravated by the effects of pregnancy, updating, the training of personnel linked to maternal care, the medical audit of obstetric services and the analysis of extremely severe maternal morbidity, allow us to analyze complicated obstetric cases to find the related factors and look for solutions that Minimize the risk to provide better care to these patients.Conclusions: the updating and continuous training of personnel linked to maternal care, the medical auditof obstetric services and the analysis of extremely serious maternal morbidity in each institution, allow us to analyze complicated obstetric cases to find the related factors and find solutions that minimize the risk and lead to provide better care to these patients.Keywords: maternal mortality; risk factor’s; prevention.

Josué David Vaca Kahut,Aliosmy Cordero González    

Métodos: se realizó una revisión bibliográfica, se utilizaron 34 referencias bibliográficas.Resultados: la mortalidad materna como indicador expresa el riesgo de morir durante el embarazo o dentro de los 42 días siguientes, por complicaciones obstétricas... see more


Hyder Osman Mirghani    

Background & Objective: Dates fruit is known for its great nutritional value and two to three servings of dates fruit/day are beneficial for patients with diabetes. However, some may advice against this cheap and widely available fruit consumption. B... see more


     

Wounds are inevitable events that can occur daily due to many factors such as; physical, chemical and biological, which can cause tissue, cell and in some events bone damage. The process of wound healing is complicated as it involves many factors; theref... see more