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

Year 2023, , 196 - 201, 31.08.2023

Ahmet Yüce , İbrahim Yazıcı , Erdal Benli , Abullah Çırakoğlu , İsmail Nalbant

https://doi.org/10.29058/mjwbs.1247066

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 (2-13) times and 2.1 (0-10)times (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 (p<0.001). The
mean QOL score of the patients before the procedure was 4.2 (1-4), whereas it was calculated as 2.5
(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

Nocturia, elderly, radiofrequency, thermotherapy, prostate

Prostat Radyofrekans Termoterapinin Alfa Bloker Tedaviye Dirençli Noktürisi Olan BPO' lu Yaşlı Hastalarda Etkinliği ve Güvenliği: Gözlemsel Çalışma

Abstract

Amaç: Bu çalışmanın amacı yaşlı hastalarda bipolar radyofrekans prostat termoterapi yönteminin
nokturi şikayeti üzerine etkinliğini ve güvenliğini incelemektir.
Gereç ve Yöntemler: Altmış beş yaş üstü ve dirençli nokturi şikayeti olan 100 hastanın işlem sonrası
sonuçları incelendi. Hastaların, işlem öncesi Qmax, prostat volümleri, işeme sonrası rezidü miktarı,
IPSS skorları, nokturi frekansı ve Nocturia Quality of Life sorgulama formu kaydedilip işlem sonrası 3.
ay sonuçları ile karşılaştırıldı.
Bulgular: Nokturi sıklığı ortalama 4,1 (2-13) kez görülürken işlem sonrası bu sayı 2,1 (0-10)’ya geriledi
(p=0,002). N-QOL yaşam kalitesi formunda 1,70±0,7 oranında ve gece idrara çıkmanın vermiş olduğu
rahatsızlıklarda anlamlı iyileşme görüldü (p<0,001). Hastaların işlem öncesinde yaşam kalitesi indeksi
skoru ortalama 4,2 (1-4) iken üçüncü ayda 2,5 (1-5) olarak hesaplandı.
Sonuç: Bu tedavi yönteminin 65 yaş üzeri hastalarda nokturi açısından anlamlı derecede iyileşme, hastaların yaşam kalitelerine pozitif
yönde etki sağladığı görüldü. Yaşlı hastalarda yan etkisi olabilen veya kullanımı uygun olmayan tedavilere göre daha etkili ve güvenilir bir
yöntem olabileceği düşünülmektedir

Keywords

Noktüri, yaşlı, radyofrekans, termoterapi, prostat

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