CONTACT: ZLATKO ANGUELOV
8788 John Pappajohn Pavilion
Iowa City IA 52242
Release: Feb. 9, 2000
Seminar on advanced treatments for enlarged prostates is at UI Feb. 17
IOWA CITY, Iowa -- University of Iowa Health Care will offer a two-hour
seminar for patients on advanced treatments for enlarged prostate at 6:30
p.m. Thursday, Feb. 17 at the Hampton/Clarion Conference Center, 1220 1st
Avenue in Coralville.
Karl Kreder, M.D., professor, and Jay Sandlow, M.D., assistant professor,
faculty members in the UI department of urology and specialists in prostate
treatment, will present the seminar.
Currently, the standard therapy for enlarged prostate, or benign prostatic
hyperplasia, is transurethral resection of the prostate (TURP), which involves
surgical removal of the prostate through the urethra.
However, the use of microwave-generated heat to destroy the enlarged prostate
is a new therapy that has recently gained momentum as a minimally invasive
This new therapy, known as transurethral microwave therapy (TUMT), has been
used for more than a year by UI Health Care urologists. The technique involves
the one-time placement of a catheter in the urethra and bladder under local
anesthesia and the application of microwave-generated heat to destroy enlarged
prostate tissue. TUMT is an outpatient procedure and is covered by most insurance
The catheter has a built-in microwave generator and a cooling system to
protect the surrounding tissues from the heat's destructive effects.
"The procedure is relatively painless," Sandlow said. "However,
it doesnt work in everybody. It is best suited for patients who are
receiving medications to shrink the enlarged prostate and are either tired
of taking them, cannot tolerate them for various reasons, or for whom the
medication doesn't work."
While TURP still remains the standard therapy for enlarged prostate, TUMT
seems to be a viable option in a number of cases, especially those in which
the enlarged prostate is in a less-advanced stage. According to Sandlow, the
availability of TUMT is an alternative to TURP that requires careful selection
The main advantage of TUMT over TURP is that it is minimally invasive and
reduces side effects. Erectile dysfunction, for example, appears in up to
10 percent of patients with TURP, compared to only 1 percent with TUMT. After
TURP, 80 percent of patients experience retrograde ejaculation compared to
10 percent treated with TUMT.
All men, particularly those over 55 years of age, are encouraged to attend
Pre-registration is required. To register or for more information, please
call UI Health Access at (319) 384-8442 or toll-free (800) 777-8442.
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