The majority of patients diagnosed with BPH can be treated with CoreTherm, although you and your urologist should decide what treatment option is best for you. CoreTherm is an excellent treatment option for patients who have had mixed results with medications, patients who are currently using an indwelling catheter or performing self catheterization, or those who are considering surgery for long-term system relief.
Because of the unique way CoreTherm administers local anesthesia with Schelin Catheter, most patients do not find the therapy uncomfortable or painful. There may be some minor discomfort during treatment, such as feeling a sudden urge to urinate or pelvic pressure. It is important to communicate with your doctor if you are experiencing any unusual sensations during treatment.
If you suspect you have a BPH problem, you should contact your doctor or urologist. Correct diagnosis is important. Once diagnosed with BPH, you and your doctor/urologist should discuss the advantages and disadvantages of the various treatment methods.
The final decision to treat BPH is yours.
If BPH is not treated, there may be complications affecting other organs. Initially the bladder will be affected and more rarely, even the upper urinary tract, which may lead to kidney damage. Bladder stones and chronic urinary tract infections are relatively common complications. Urinary retention, a sudden inability to urinate, may also occur. This acute condition is very painful and requires emergency medical treatment. Make sure to contact your doctor and discuss your concerns.
Not at all. BPH has been treated using thermotherapy since the beginning of the 1990s. This year alone it is estimated that around 100,000 BPH patients worldwide will be treated using some type of thermotherapy.
What are the differences between CoreTherm Procedure and other Transurethral Microwave Therapies (TUMT)?
CoreTherm is a further development of TUMT, where the temperature in the prostate is monitored throughout the entire procedure. Standard TUMT uses a predetermined treatment time and microwave power setting, without measuring the temperature in the prostate during the procedure. When CoreTherm therapy is used the doctor knows the actual temperature reached in the prostate can adjust both the microwave power setting and the treatment time based on the needs of the individual patient. The correct temperature must be achieved during the procedure in order to produce a good outcome and avoid unnecessary injury.
Scientific studies have shown that CoreTherm is as effective as surgical treatment (TURP). It is associated with fewer risks and is more convenient for the patient. The procedure can be carried out in an outpatient setting with no hospitalization and no general or spinal anesthesia is necessary.
Before you have CoreTherm therapy a urologist must examine you to make sure your problems are caused by BPH and not something else. Such an examination usually involves a questionnaire, measurement of urine flow, ultrasound examination of the prostate and a digital rectal examination by the doctor feel the prostate.
CoreTherm therapy is carried out under local anaesthesia. You will be given medication to help you relax, but will remain awake during the procedure and able to tell the medical team how you are feeling. Some differences in this treatment regimen may occur, depending on local practices.
The procedure itself generally takes about 10-15 minutes and you can normally go home immediately afterwards.
How long will it take until I feel well again after the procedure and how long will I continue to feel well?
CoreTherm is a single treatment therapy. It normally takes some time before you notice the full effects of the therapy. Scientific studies have shown that 8 out of 10 patients who have CoreTherm® therapy are satisfied and notice the effects within three months.
While some patients feel no discomfort after therapy, others experience urinary urgency. This is due to swelling and irritation of the prostate which gradually disappears over times. Some patients feel that urinary urgency is a problem, especially during the first few days after therapy. This problem gradually resolves as the swelling goes down and then disappears completely.
After the procedure you will need a catheter for a week or longer. Your doctor will decide how long.
It is not unusual to be given antibiotics when you have an indwelling catheter. In the days, immediately after therapy some patients will need to take medication as needed to reduce pain and urgency. Talk to your urologist about your individual needs. No long-term medications will be required following CoreTherm therapy.
At the conclusion of your treatment, there will be a cone-shaped cavity in the prostate surrounding the urethra, similar to the one created by a TURP surgical procedure. To help ensure proper urination and to prevent infection during the healing period, you will be given antibiotics and will require a temporary catheter. Patients report this is a minor inconvenience and worth the long-term benefits. No long-term medications will be required following CoreTherm therapy.