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Microwave Therapy

Millions of men suffer from urinary incontinence or pain during urination, and in most cases the cause of lower urinary tract symptoms (LUTS) is an issue with the prostate. Prostate cancer can be one cause, but another more common reason for these pelvic issues is an enlarged prostate, also known as benign prostatic hyperplasia (BPH).

Microwave therapy, also called Transurethral Microwave Therapy (TUMT), is a cutting edge outpatient procedure which uses high temperatures to kill tissue inside the prostate. Transurethral microwave therapy for enlarged prostate is only used when the enlarged prostate is benign and not cancer related. It is an alternative to medication which would shrink the prostate, or surgery which would remove some or all of the prostate.

Skyline Urology is proud to offer microwave therapy in our Men’s Health program to provide a safe, effective treatment for the causes and symptoms of lower urinary tract conditions and pelvic pain due to an enlarged prostate.

Procedure:

Microwave therapy is a one-time, outpatient procedure which usually requires about 60 minutes in our offices to complete.

During TUMT a specially designed type of catheter, is inserted into the urethra and prostate. There is a microwave antenna inside the catheter. The antenna emits microwave energy to heat the interior of the prostate, and as the treated tissue heals it shrinks to reduce the blockage of urine flow and painful side effects of the condition. A cooling substance flows around the antenna so as to not burn the walls of the urethra, and a temperature sensor allows the outside temperature of the prostate to stay at reasonable levels.

Microwave therapy accomplishes similar results to the traditional surgical treatment for enlarged prostate, which uses an electronic knife to resection the prostate. Because TUMT usually does not affect the walls of the prostate, however, there is often a minimized amount of irritation and fewer urinary side effects from this procedure.

When you get home:

Diet:

In most instances you will be able to eat a regular meal on the evening of the procedure. However, there will be some difficulty with urination and possibly bowels for a short time after the procedure, while the prostate and urethra heal, so your physician may discuss a dietary regimen which would reduce these side effects.

Exercise:

As with most procedures, you will experience soreness and irritation after your microwave therapy, and you should follow your physician’s guidance on when to resume strenuous activity. In most cases it will be at least several days before you will be able to return to normal activity, and you should like refrain from sex for at least two weeks.

Side Effects:

The most serious side effect of Microwave Therapy is that you will not be able to void urine for a variable length of time – in some cases up to a week. This can be treated by medication but should be reported immediately to avoid serious complications or infection, and will likely be treated by the temporary insertion of a catheter to release urine.

Other side effects which might follow a treatment of Microwave Therapy could include:

  • Frequent urination
  • Blood in the urine
  • Irritation and burning with urination
  • Erectile dysfunction

Follow Up:

You should schedule your follow-up within 24-48 hours of the procedure, and make an appointment with your physician within two weeks of the procedure.