An overview of Transurethral Microwave Thermotherapy (TUMT)
Transurethral microwave thermotherapy (TUMT) is a minimally invasive medical procedure used to treat urinary symptoms caused by an enlarged prostate, known as benign prostatic hyperplasia (BPH). During the procedure, a small microwave antenna is inserted through the tip of the penis into the urethra to emit microwave energy and destroy excess prostate tissue that is blocking urine flow. TUMT is an outpatient procedure and offers advantages such as a lower risk of bleeding, no hospital stay, and a lower risk of dry orgasm. Possible risks of TUMT may include new onset or worsening urinary symptoms, urinary tract infections, and the need for re-treatment in some cases. It may take several weeks to months for noticeable improvement in urinary symptoms after the procedure.
What is Transurethral Microwave Thermotherapy (TUMT) used for?
Transurethral microwave thermotherapy (TUMT) is a minimally invasive procedure used to treat urinary symptoms caused by an enlarged prostate, known as benign prostatic hyperplasia (BPH). It helps reduce symptoms such as frequent urination, difficulty starting urination, slow urination, and the feeling of incomplete bladder emptying. TUMT is generally considered a safe procedure with a low risk of side effects and is often used for men with other health conditions who are not good candidates for more invasive surgery.
How is Transurethral Microwave Thermotherapy (TUMT) conducted?
Transurethral microwave thermotherapy (TUMT) is conducted by inserting a small microwave antenna through the tip of the penis into the urethra. The antenna is extended to the area surrounded by the prostate, where it emits microwave energy to heat and destroy excess prostate tissue that is blocking urine flow. The procedure is generally done on an outpatient basis and is considered a safe treatment for urinary symptoms caused by an enlarged prostate.
How are Transurethral Microwave Thermotherapy (TUMT) results reported?
The results of transurethral microwave thermotherapy (TUMT) are generally reported in terms of improvement in urinary symptoms, which may take several weeks to months to become noticeable. After the procedure, it's important to have a digital rectal exam once a year to check the prostate and screen for prostate cancer. If you notice any worsening urinary symptoms, you should consult your doctor. Some men may require re-treatment.
Understanding the report
The results of transurethral microwave thermotherapy (TUMT) are typically interpreted based on the improvement in urinary symptoms caused by benign prostatic hyperplasia (BPH). After the procedure, it may take several weeks to months for noticeable improvement in urinary symptoms, as the body needs time to break down and absorb the overgrown prostate tissue that has been destroyed by microwave energy. To evaluate the success of the treatment, doctors usually assess the patient's symptoms before and after the procedure. Improvement in symptoms such as frequent or urgent urination, difficulty starting urination, slow or prolonged urination, and the inability to completely empty the bladder are considered positive outcomes. Additionally, follow-up digital rectal exams and prostate-specific antigen (PSA) tests may be performed to monitor the patient's prostate health and screen for potential prostate cancer. If worsening urinary symptoms occur or re-treatment is needed, consultation with a healthcare professional is recommended.
Limitations and Considerations
The transurethral microwave thermotherapy (TUMT) procedure is generally considered safe with a low risk of side effects. However, possible limitations or risks associated with TUMT include:
- New onset or worsening urinary symptoms: TUMT may sometimes result in chronic inflammation within the prostate, causing symptoms such as a frequent or urgent need to urinate, painful urination, or difficulty starting or stopping urination.
- Temporary difficulty urinating: After the procedure, you might have trouble urinating for a few days. A catheter will be inserted to help drain urine from your bladder during this time.
- Urinary tract infection: Infections are a possible complication after any prostate procedure and are more likely to occur if a catheter is in place for an extended period. Antibiotics may be necessary to treat the infection.
- Need for re-treatment: TUMT may not be as effective in treating urinary symptoms as other minimally invasive treatments or surgery. You may need to undergo another BPH therapy.
- Limitations for specific patient groups: TUMT may not be a suitable treatment option for individuals with certain medical conditions, such as a penile implant, narrowing of the urethra, or specific types of BPH treatment affecting the median lobe of the prostate. Additionally, if you have a pacemaker or defibrillator, TUMT may not be advised due to potential risks. It is essential to discuss your medical history and specific concerns with your doctor to determine if TUMT is the right treatment option for you.