BAP treats patients who suffer from BPH (benign prostatic hyperplasia) of the prostate with FDA approved technology known as TransUrethral Microwave Thermotherapy (TUMT). The equipment we use for TUMT is the Prolieve, CoolWave, or TherMatrx Systems. Our Systems are easily portable and travel throughout the State of Florida to urologist’s offices to treat patients with BPH. Please contact us at any time to find the location nearest you.TUMT is a procedure that is performed in your urologist’s office. Personnel in your urologist’s office will compile and review your pre-test results, have you sign a consent form, and have you change into a patient gown. Medication may be given by injection, orally, or the urologist may perform a prostatic block to aid in preventing discomfort during the procedure.
After undressing, you will be asked to lie down. First, you are positioned on your side to facilitate the
introduction of a small probe in the rectum. This probe is equipped with
temperature sensors that can continuously measure the rectal
temperature during treatment. Next, the urethra is locally anesthetized by inserting a local anesthetic. Then, the bladder may be emptied by inserting a urethral catheter. Subsequently, the treatment catheter is positioned in the penis. The TUMT device sends computer-regulated microwaves through the catheter to heat selected portions of the prostate.
After initiation of the treatment, you may experience an urge to urinate. This is not caused by a full bladder but is due to the heat delivered to the prostate. If this intense urge is causing too much discomfort, medication can be given. The treatment itself takes approximately one hour. With the time for preparation, treatment, and recovery time, the entire procedure can take a total of 2 hours. After treatment and removal of the treatment catheter, there may be a swelling of the prostate that causes a temporary difficulty to urinate. (In approximately 30% of cases this can lead to urinary retention.) If you are not able to urinate, a catheter may need to be inserted. In most cases, this catheter can be removed within a week.
The urologist will talk with your family at the end of the procedure and they will be asked to join you. Usually you will be discharged once you have urinated or a catheter has been placed. This time varies greatly from patient to patient. You MUST have someone drive you home.
Your physician may prescribe anti-inflammatory, antibiotic, and sedative/analgesic medications to be taken prior to and after your procedure. Please take these medications as directed. They will assist to minimize swelling and prevent infection. Prescription medications should be taken at their assigned times.
Several days before your procedure, you may be scheduled for tests that may include blood work, ECG, urinalysis, urinary flow study, transrectal ultrasound, and, possibly, cystoscopy. These tests will assist your urologist in providing you the very best of care.
In preparation for your procedure, you may have solid food up to 12 midnight prior to your procedure. Clear liquids may be consumed up to six hours prior to your procedure. Please take all prescribed heart and/or blood pressure medications with just a sip of water at the prescribed times. You must also administer a fleet enema to yourself approximately 4 to 6 hours prior to your procedure time.
If a change in your physical condition develops prior to treatment, notify your urologist before leaving home.
You may experience some general soreness after your procedure. You may also have some blood in your urine. Some patients will have an increase in urinary symptoms, or may be unable to urinate due to excessive swelling. If this occurs, a catheter may need to be placed. Any severe pain, bleeding, fever, etc. should be reported to your urologist immediately.
It is highly recommended that you schedule follow-up visits with your urologist to monitor your progress. You should see your urologist at 3 months, 6 months, and 12 months after your TUMT procedure or as requested by your urologist. TUMT provides relief from urinary frequency. It is an anesthesia-free alternative to surgery and drug regimens. TUMT is truly minimally invasive. It works with gentle, precisely-controlled heating of the prostate. In most cases, TUMT provides long-term relief from symptoms and restoration of urinary flow consistent with your age group.