前立腺肥大症に対する経直腸的温熱療法

Abstract

経直腸的温熱療法を60例の前立腺肥大症に行った.適格例は49例で完全例は36例であった.1)完全例36例中, 自覚症状の改善は31例であった.2)他覚的には前立腺の縮小は認められなかったが, 残尿量は73%, 尿流量測定は33%の改善を認めた.3)適格例49例中10例に副作用をみたが, 1例を除いて治療継続の妨げにはならなかった.4)有用以上は25例で, 有用率は69%であった.5)長期経過観察を自覚症状を中心に行ったが, 比較的治療直後の症状を持続していた

The PRIMUS system was designed as a dedicated microwave hyperthermia system for treatment of benign prostatic hyperplasia (BPH). Completed cases were 36 patients. Hyperthermia was subjectively effective in 31 patients (86%), but no appreciable changes were noted with regard to the size of the prostate. Side effects occurred in 10 of the evaluable 49 cases (20%). However, no severe side effects were recognized except in one case. The effective ratio revealed 25 of 36 cases (69%). Therefore, transrectal prostatic hyperthermia would be a useful method especially in cases of BPH with severe complications.