Prolieve® Thermodilatation System Treatment

Dr Png Keng Siang
Dr Png Keng Siang
Senior Consultant Urologist & Robotic Surgeon

Prolieve® Thermodilatation is a minimally invasive medical procedure designed to alleviate symptoms associated with benign prostatic hyperplasia (BPH), commonly known as an enlarged prostate. The procedure uses both microwave energy and a dilating balloon to heat and widen the prostatic urethra. This dual-action approach helps to reduce prostate obstruction and ease urinary symptoms without the need for more invasive surgical techniques.

Who is a Suitable Candidate?

The Prolieve® Thermodilatation System is designed for men experiencing symptoms of Benign Prostatic Hyperplasia (BPH). Here are the key criteria that make someone a suitable candidate for this treatment:

Diagnosed with BPH

The primary indication for this treatment is a diagnosis of benign prostatic hyperplasia. Candidates typically exhibit lower urinary tract symptoms (LUTS) associated with an enlarged prostate.

Moderate to Severe Symptoms

Ideal candidates are those with moderate to severe urinary symptoms that significantly impact their quality of life. Symptoms may include frequent urination, urgency, weak urine stream, and difficulty starting urination.

Inadequate Response to Medications

Candidates who have not responded adequately to medications for BPH or who experience side effects from these medications may benefit from this treatment.

Absence of Severe Comorbidities

Suitable candidates are generally in good health with no severe comorbid conditions that could complicate the procedure or recovery.

Benefits of Prolieve® Treatment

The Prolieve® Thermodilatation System offers several benefits for men suffering from Benign Prostatic Hyperplasia (BPH). These benefits include:

Symptom Relief

The treatment effectively alleviates symptoms of BPH, such as urinary frequency, urgency, weak stream, and the feeling of incomplete bladder emptying. Patients often experience significant improvement in their urinary flow and overall comfort.

Reduced Risk of Complications

As a non-surgical treatment, Prolieve® Thermodilatation may carry a lower risk of complications compared to surgical interventions like TURP or open prostatectomy. Common surgical risks such as bleeding, infection, and issues related to anaesthesia are markedly reduced.

The Prolieve® Treatment Procedure

The Prolieve® Thermodilatation System treatment is a straightforward and efficient procedure designed to provide relief from BPH symptoms with minimal discomfort and recovery time. Here’s a step-by-step overview of what to expect during the Prolieve® treatment procedure:

Pre-Procedure Preparation

Before the treatment, patients will undergo a thorough medical evaluation to confirm the diagnosis of BPH and assess their overall health. This may include a physical examination, medical history review, and necessary diagnostic tests. Patients may be advised to avoid certain medications and foods before the procedure.

Anaesthesia

The procedure is typically performed under local anaesthesia. This ensures that the patient is comfortable and experiences minimal discomfort during the treatment.

Insertion of the Catheter

The treatment begins with the insertion of a special catheter through the urethra into the prostate. The catheter is carefully positioned to ensure that the microwave energy and balloon dilation target the precise area of the enlarged prostate.

Microwave Thermotherapy

Once the catheter is in place, the Prolieve® system delivers controlled microwave energy to the prostate tissue. This energy generates heat, causing the targeted tissue to shrink. The microwave thermotherapy is carefully monitored and controlled to ensure effective treatment while protecting surrounding tissues.

Balloon Dilation

Simultaneously, the catheter’s balloon is inflated within the prostatic urethra. This dilation process helps to stretch and widen the urethral passage, improving urine flow and reducing pressure on the bladder. The combination of microwave thermotherapy and balloon dilation enhances the overall effectiveness of the treatment.

Monitoring and Adjustment

Throughout the procedure, real-time feedback and monitoring systems ensure that the treatment is proceeding safely and effectively. The doctor can adjust the microwave energy and balloon pressure as needed, tailoring the treatment to the individual patient’s needs.

Completion of Treatment

The entire Prolieve® treatment procedure typically takes about 45 minutes to complete. Once the treatment is finished, the catheter is removed, and the patient is monitored for a short period before being allowed to go home.

Post-Treatment Care and Recovery

Following the Prolieve® Thermodilatation System treatment, patients can expect a relatively quick recovery with minimal disruption to their daily activities. Proper post-treatment care is recommended to ensure optimal recovery and effectiveness of the procedure. Here’s what patients can expect during the recovery period:

  • Immediate Post-Treatment Period: After the procedure, patients are monitored for a short period to ensure there are no immediate complications. Most patients can return home the same day. Mild discomfort or a burning sensation during urination may be experienced, but this typically resolves within a few days.
  • Managing Discomfort: Patients may be advised to take over-the-counter pain relievers to manage any post-procedure discomfort. Drinking plenty of water can help flush out the urinary system and reduce irritation.
  • Activity Restrictions: While the Prolieve® treatment allows for a quick return to normal activities, patients are generally advised to avoid strenuous activities or heavy lifting for a few days following the procedure. Gentle exercise and walking are usually acceptable.
  • Follow-up Appointments: Follow-up visits with the doctor are important to monitor the healing process and evaluate the treatment’s effectiveness. This may include urinary flow tests and discussions about any residual symptoms.

Potential Side Effects and Risks

While the Prolieve® Thermodilatation System is generally considered safe and effective, as with any medical procedure, there are potential side effects and risks that patients should be aware of. Understanding these can help patients make informed decisions and know what to expect during and after treatment.

Most side effects associated with Prolieve® treatment are mild and temporary. They include:

Urinary Discomfort: Patients may experience a burning sensation during urination, which typically resolves within a few days.

Frequent Urination: An increased need to urinate may occur for a short period following the procedure. A temporary sense of urgency to urinate can be expected but usually subsides as the prostate heals.

Mild Pain: Some patients report mild pain or discomfort in the pelvic area, which can be managed with over-the-counter pain relief.

Though less common, some patients might experience:

Blood in Urine: Small amounts of blood in the urine (hematuria) can occur but usually clear up on their own.

Urinary Retention: In rare cases, patients may experience difficulty urinating or urinary retention, requiring temporary catheterization.

While rare, the following complications can occur and may require medical attention:

Infection: There is a small risk of urinary tract infection (UTI), which can be treated with antibiotics.

Severe Pain: Persistent or severe pain should be reported to the doctor immediately.

Prostate Swelling: Temporary swelling of the prostate can lead to increased urinary symptoms, but this typically resolves with time.

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    Prolieve® Thermodilatation System Treatment

    Frequently Asked
    Questions

    How Long Do the Effects of Prolieve® Thermodilatation System Last?

    The effects of the Prolieve® Thermodilatation System can vary from patient to patient. Most men enjoy symptom relief for several years post-treatment; however, the prostate may continue to grow, and symptoms could return, necessitating further treatment.

    Is the Procedure Painful?

    Prolieve® Thermodilatation System is performed under local anaesthesia; most patients report minimal discomfort during the procedure. Post-procedural pain is typically mild and can usually be managed with over-the-counter pain relievers.

    Can I Resume Normal Activities After the Procedure?

    Most patients are able to resume their normal daily activities within a few days following Prolieve® Thermodilatation. Avoiding strenuous activities for a short period is advised to ensure proper recovery.

    What Should I Do If I Experience Complications After the Procedure?

    If any complications arise, such as severe pain, fever, difficulty urinating, or signs of infection, it is important to contact your urologist immediately. Early management of complications can prevent more serious issues.