Efficacy and Safety of Prostate Radiofrequency Thermotherapy in Elderly Patients with BPO and Nocturia Resistant to Alpha-Blocker Therapy: An Observational Study

Authors : Ahmet YÜCE, İbrahim YAZICI, Erdal BENLİ, Abullah ÇIRAKOĞLU, İsmail NALBANT

Pages : 196-201

Doi:10.29058/mjwbs.1247066

View : 39 | Download : 48

Publication Date : 2023-08-31

Article Type : Research Paper

Abstract :Aim: The purpose of this study is to investigate the effectiveness of the prostate bipolar radiofrequency thermotherapy method on the complaint of nocturia and its safety in elderly patients. Material and Methods: The post-procedural results of 100 patients over the age of 65 with complaints of refractory nocturia were examined. The patients\` pre-procedural Qmax values, prostate volumes, postvoid residual amounts, IPSS scores, frequency of nocturia, and associated quality of life questionnaire scores were recorded and compared with the results at the 3rd month after the procedure. Results: The pre-procedural and post-procedural nocturia frequencies of the patients were consecutively 4.1 insert ignore into journalissuearticles values(2-13); times and 2.1 insert ignore into journalissuearticles values(0-10);times insert ignore into journalissuearticles values(p=0.002);. There were significant improvements in the N-QOL scores of the patients by 1.70±0.7 and in their discomfort caused by voiding at night insert ignore into journalissuearticles values(p<0.001);. The mean QOL score of the patients before the procedure was 4.2 insert ignore into journalissuearticles values(1-4);, whereas it was calculated as 2.5 insert ignore into journalissuearticles values(1-5); 3 months after the procedure. Conclusion: It was observed that this treatment method provided a significant improvement in terms of nocturia in patients over the age of 65 and a positive effect on their quality of life. It is thought that it can be a more effective and safer method in comparison to treatments that can have side effects or are not suitable for elderly patients.
Keywords : Noktüri, yaşlı, radyofrekans, termoterapi, prostat