ISSN 2149-3235 | E-ISSN 2149-3057
Original Article
The safety and efficacy of transurethral microwave therapy in high-risk catheter-dependent men
1 Oregon Health and Science University, Portland, USA  
2 Veterans Affairs Portland Health Care System, Portland, USA  
Turk J Urol ; : -
DOI: 10.5152/tud.2018.09622
Key Words: Microwave; prostatic hypertrophy; safety; thermotherapy; urinary retention
Abstract

Objective: Previous studies have demonstrated the efficacy of transurethral microwave therapy (TUMT) in the management of high-risk catheter-dependent men, although few have assessed safety in high-risk patients, including those continuing anticoagulation therapy during treatment. Our goal was to assess the safety and effectiveness of TUMT in a population of high-risk catheter-dependent men.


Material and methods
: A retrospective analysis of patients who underwent TUMT at a single Veterans Affairs facility for the treatment of benign prostatic hyperplasia was completed. The primary outcome was 30-day postprocedural complications by Clavien-Dindo grade, including bleeding events. The secondary outcome was success in catheter removal.


Results
: We performed TUMT in 157 men, 105 of whom had urinary retention-requiring an indwelling urethral catheter or clean intermittent catheterization. Overall, 86% of patients underwent TUMT while on anticoagulant therapy and 25% were treated while taking warfarin. The median age of the patients was 76.9 years (95% CI 74.9-78.8) median ASA-score was 3, and median follow-up was 26 months (range 1-65). Only two men experienced hematuria requiring treatment postoperatively and no transfusions were required. Only two patients (1.9%) required readmission within 30 days after treatment. There were 24 (22.9%) Clavien-Dindo grade I-II complications without grade III or higher complications. Urinary retention resolved in 63.7% of men after treatment.


Conclusion
: Our results suggest that TUMT is a safe and reasonably effective treatment for high-risk catheter-dependent men. Furthermore, the low incidence of adverse bleeding events suggests that TUMT is a safe treatment modality for men requiring uninterrupted anticoagulation.


Cite this article as
: Saitz TR, Conlin MJ, Tessier CD, Hatch TR. The safety and efficacy of transurethral microwave therapy in high-risk catheter-dependent men. Turk J Urol 2018. DOI: 10.5152/tud.2018.09622

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