Treatment of benign prostatic hypertrophy using transurethral thermotherapy. Initial experience

: One hundred patients with benign prostatic hypertrophy have been treated from July 22, 1990 to April 3, 1991 (86 had been treated between July 22, 1990 and February 27, 1991) at the Department of Urology of Clinica La Luz. Measurement of residual urine with a catheter, maximum flow and index, and nocturnal frequency and urgency were determined in all patients. Patient subjective evaluation post-thermotherapy used a score from 0 to 10. Patients with improvement of 4 parameters were classed as excellent, with 3 as good, 2 fair, and 1 or 0 as poor. Of the overall patient group, 62 were evaluable. Of these, excellent or good results were achieved in 39 out of 62 patients (63%), fair in 8 patients (13%), and poor in 15 (24%). Of these 62 patients, if we exclude those with a catheter before treatment, high residual volume, middle lobe, had undergone previous urethral endoscopic surgery, or with prostates larger than 45 mm. longitudinal diameter on the ultrasound, we are left with a group of 25 patients. In this patient group excellent and good results were achieved in 21 of 25 patients (84%) and fair in 16%. We had no poor results.(ABSTRACT TRUNCATED AT 250 WORDS)