Diagnosis & Referral

Microwave thermotherapy of BPH with CoreTherm®

- Brief information for the treating/referring physician

CoreTherm® for whom?

• Symptomatic BPH
• Prostate size > 30 g
• Prostate length ≥ 35 mm

Investigations

• Standard investigations for BPH
• Medical history
• Symptom score (IPSS-score incl. bother score)
• Voiding diary
• Flow measurement
• Physical investigation, incl. rectal palpation
• Transrectal ultrasound (TRUS)
• Urinalysis, incl. hematuria and bacteriuria tests
• S-creatinine
• Prostate specific antigen (PSA), recommended for patients under 70 years of age

Optional investigations

• Urodynamics
• Urethrocystoscopy

Contra-indications

• Urethral stricture
• Patients with penile or urinary sphincter implants
• Previous radiation of pelvic region

Inform the patient

• that CoreTherm® is a policlinical treatment
• that the treatment is performed with microwaves via a catheter that is inserted into the urethra
• that the treatment will take approximately 10-30 minutes with local anesthesia
• that he might experience a (uncomfortable) sensation of heat and an urge to urinate during treatment

That after CoreTherm®

• a urinary catheter will be needed up to three weeks after treatment
• small pieces of dead tissue might be discharged with the urine and a small amount of hematuria could occur
• the urge to urinate may occur (after the catheter has been removed), but this will gradually diminish
• there is a risk of retrograde ejaculation
• over 80% of patients experience significant improvement

Other

• a temporary increased level of PSA can be found after CoreTherm
• hand out a patient brochure

For detailed information please refer to CoreTherm® Instructions for Use

Inform the patient

The treatment will take approximately 10-30 minutes