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How do TUMT and TURP compare for benign prostatic hyperplasia?

Marc B. Garnick, MD
Hematology & Oncology
In the treatment of benign prostatic hyperplasia (BPH), transurethral microwave thermotherapy (TUMT) appears to be less effective than transurethral resection of the prostate (TURP), according to a study in The Journal of Urology. This study reported that 18% of men who underwent TUMT needed additional treatment after 36 months, compared with 13% of those who received TURP.

An analysis of 14 studies of the procedures found that TURP also yielded greater improvements in urine flow and urinary symptoms than TUMT. However, compared with TURP, TUMT results in no blood loss, fewer surgical complications because anesthesia isn't needed, and less risk of retrograde ejaculation (an adverse effect of prostate surgery that causes semen to flow back into the bladder rather than out through the penis).

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