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Medical Forum / Diseases and Disorders / Prostate BPH / December 2004Prolieve
The Jan/Feb AARP magazine lists Prolieve as an alternative to PVP, apparently non-surgical. Has anybody had any experience with this, or thoughts about it? AARP says 60% get relief with this. Jesse > The Jan/Feb AARP magazine lists Prolieve as an alternative to PVP, > apparently non-surgical. Has anybody had any experience with this, or > thoughts about it? AARP says 60% get relief with this. > > Jesse Also known as or similar to TUMT (TransUrethral Microwave Thermotherapy ) Derek. See http://www.fda.gov/cdrh/MDA/DOCS/p030006.html for further information. It seems that in addition to thermotherapy the Prolieve procedure (unlike other TUMT systems) also involves balloon compression of the prostate. Entertainingly, my web search revealed that Prolieve is also the name of a hormone cream for menopausal women. Don't get the two mixed up, or you might have unexpected side effects! (Of course, female hormones do shrink the prostate, I believe...) Richard Slessor > See http://www.fda.gov/cdrh/MDA/DOCS/p030006.html for further > information. It seems that in addition to thermotherapy the Prolieve [quoted text clipped - 7 lines] > > Richard Slessor We had a recent comedy series on British TV featuring a village Doctor. He was puzzled by the number of his male patients who were growing breasts. It transpired that they were all the lovers of a born again menopausal nymphomaniac who was applying the cream liberally to her person. Derek. Prolieve is the Celsion Microwave (TUMT). It is nothing new. I was one of the Phase 2 clinical trial members in 2001 who got no improvement from it. The company has been trying for several years to get FDA approval for the device. I guess they finally got approval. It is a TUMT with the added benefit of balloon dilation. > The Jan/Feb AARP magazine lists Prolieve as an alternative to PVP, > apparently non-surgical. Has anybody had any experience with this, or > thoughts about it? AARP says 60% get relief with this. > > Jesse I saw that AARP article too. Good read. If anyone has not checked it out, I found the excerpt-- "When drugs aren't enough, the standard surgery, transurethral resection of the prostate (TURP), expands the hole through the middle of the gland. TURP gets the job done 80 percent of the time, but this Roto-Rooter-like treatment usually requires a hospital stay and can cause sexual problems: 5 to 10 percent of TURP patients have a hard time getting erections. (Viagra and similar drugs are prescribed for this.) In the past decade, a dozen less-invasive outpatient techniques have become available, each less likely to cause side effects than TURP. Most of these thread tiny catheters through the penis into the prostate, where excess tissue is blasted away with lasers, microwaves, or radio waves. One of the latest, Prolieve, combines microwaves with a balloon that compresses the prostate. About 60 percent of patients get relief from their symptoms with Prolieve, which causes ED only 1 percent of the time." http://www.aarp.org/health/Articles/a2004-11-29-mag-weeproblem.html > The Jan/Feb AARP magazine lists Prolieve as an alternative to PVP, > apparently non-surgical. Has anybody had any experience with this, or > thoughts about it? AARP says 60% get relief with this. > > Jesse "Prolieve? Prolieve? Thermodilatation System is a transurethral microwave thermotherapy (TUMT) device that also uses a special balloon catheter to open up (dilate) the urethra, as well as microwave energy to heat and destroy enlarged prostatic tissue. In this procedure, the balloon catheter is filled with warm water. After the temperature of the tissue returns to normal, the urethra remains open. Prolieve?, which takes about 45 minutes, is performed in a physician?s office under local anesthesia. In a recent study, about 5% of patients required catheterization following the procedure. " It has all the advantages and disadvantages of conventional TUMT except for a much lower incidence of catheterization. I recall conventional TUMT being 100% requiring catheterization. Absolutely NG for median-lobe ball-valve BPH. Probably of interest to a small sub-set of BPH patients. Might be difficult to locate a uro with lots of experience with this procedure. Like I had said previously, Prolieve is nothing new. I was one of 120 men in the Phase 2 trial of the device. It is a milder TUMT with a balloon dialation of the prostatic urethra. I had it done in November 2001. For a month, because of the ballon dialation I had good flow. But then all synptoms returned. I then had a PVP in June 2002 and am fine ever since. Prolieve is useless on a large median lobe. Patrick >> The Jan/Feb AARP magazine lists Prolieve as an alternative to PVP, >> apparently non-surgical. Has anybody had any experience with this, or [quoted text clipped - 20 lines] > small sub-set of BPH patients. Might be difficult to locate a uro with > lots of experience with this procedure. last year I spent some time on the prostate cancer group and I remember a few postings which stated that radiation therapy for cancer was not possible on a previously microwaved prostate. Surgery was the only option. Something to consider if contemplating a microwave job. richie >> The Jan/Feb AARP magazine lists Prolieve as an alternative to PVP, >> apparently non-surgical. Has anybody had any experience with this, or [quoted text clipped - 19 lines] >small sub-set of BPH patients. Might be difficult to locate a uro with lots >of experience with this procedure. |
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