Transurethral Microwave Therapy

 

Transurethral Microwave Therapy

Transurethral microwave therapy (TUMT) is an outpatient procedure to treat urinary symptoms caused by an enlarged prostate. It's generally used for men with small- to moderate-sized prostates.

 

The Procedure

A small microwave antenna is inserted through the tip of the penis into the tube that carries urine from the bladder (urethra). Your doctor extends the antenna until it reaches the area of the urethra surrounded by the prostate. The antenna emits a dose of microwave energy that heats and destroys excess prostate tissue blocking urine flow.

TUMT is one of several minimally invasive treatment options for an enlarged prostate, a condition known as benign prostatic hyperplasia (BPH). To determine the right treatment for you, your doctor will consider the severity of your symptoms, any other health problems you have, and the size and shape of your prostate.

TUMT helps reduce urinary symptoms caused by BPH, including:

  • Frequent, urgent need to urinate
  • Difficulty starting urination
  • Slow (prolonged) urination
  • Increased frequency of urination at night
  • Stopping and starting again while urinating
  • The feeling you can't completely empty your bladder
  • Urinary tract infections

TUMT can offer advantages over other methods of treating BPH, such as transurethral resection of the prostate (TURP) and open prostatectomy. The advantages might include:

  • Lower risk of bleeding. TUMT can be a good option for men who take medication to thin their blood or who have a bleeding disorder that doesn't allow their blood to clot normally.
  • No hospital stay. TUMT is generally done on an outpatient basis and might be a safer option than surgery if you have certain other health problems.
  • Lower risk of dry orgasm. TUMT is less likely than some other BPH treatments to cause the release of semen into the bladder during ejaculation instead of out the body through the penis (retrograde ejaculation).

It might take several weeks to months for you to experience noticeable improvement in urinary symptoms. Your body needs time to break down and absorb overgrown prostate tissue that's been destroyed by microwave energy.