Transurethral Microwave Thermotherapy (TUMT)

TUMT is a minimally invasive treatment for benign prostatic hyperplasia (BPH), also known as enlarged prostate. The procedure uses microwave energy to heat and shrink the prostate tissue, reducing symptoms of BPH.

How it Works

TUMT involves the insertion of a special catheter into the urethra, which is then positioned in the prostate area. Microwave energy is emitted from the catheter, heating the surrounding prostate tissue to a high temperature (up to 45°C). This heat causes the prostate cells to shrink and die, reducing the size of the prostate.

Procedure Details

The TUMT procedure typically takes 30-60 minutes to complete and can be performed under local anesthesia or light sedation. The patient may experience some discomfort during the procedure, but this is usually minimal.

• The catheter is inserted into the urethra and positioned in the prostate area using ultrasound guidance.
• Microwave energy is applied for a specified period, usually 30-60 minutes.
• The heat generated by the microwave energy causes the prostate tissue to shrink and die.
• After the procedure, the catheter is removed, and the patient may be required to stay in the hospital or clinic for a few hours for observation.

Benefits and Advantages

TUMT offers several benefits and advantages over traditional surgical treatments for BPH, including:

• Minimally invasive procedure with minimal bleeding and risk of complications.
• Reduced risk of erectile dysfunction and incontinence compared to traditional surgery.
• Faster recovery time, usually within a few days.
• Can be performed on an outpatient basis.

Risks and Complications

As with any medical procedure, TUMT carries some risks and complications, including:

• Urinary retention or difficulty urinating after the procedure.
• Bleeding or hematuria (blood in the urine).
• Infection or urinary tract infection (UTI).
• Erectile dysfunction or decreased libido.

Post-Procedure Care and Follow-Up

After TUMT, patients are usually required to:

• Avoid heavy lifting, bending, or strenuous activities for a few days.
• Drink plenty of fluids to help flush out the urinary system.
• Take medications as prescribed by their doctor to manage any discomfort or pain.
• Follow up with their doctor for post-procedure check-ups and to monitor their progress.

Effectiveness and Success Rates

TUMT has been shown to be effective in reducing symptoms of BPH, with success rates ranging from 70-90%. However, the effectiveness of the procedure can vary depending on individual factors, such as the size of the prostate and the severity of symptoms.