Prolieve® Thermodilatation

What Is Prolieve® Thermodilatation?

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.

When Is Prolieve® Thermodilatation Needed?

Prolieve® Thermodilatation is primarily recommended for men experiencing moderate to severe symptoms of BPH who have not responded well to conventional medical therapies. Indications for considering this treatment include:

• Persistent Urinary Symptoms: Patients experiencing urinary frequency, urgency, weak stream, and difficulty starting urination despite using medication.
• Alternative to Invasive Surgery: This procedure is suitable for those who wish to avoid more invasive surgical procedures, such as transurethral resection of the prostate (TURP) or prostatectomy, which typically require longer recovery times and carry higher risks of complications.
• Risk of Urinary Retention: Prolieve® is also considered for patients at an increased risk of urinary retention, where the person is unable to empty their bladder fully, causing frequent discomfort and potential for kidney damage.

Preparing For Prolieve® Thermodilatation

Preparing for Prolieve® Thermodilatation involves several steps to ensure the procedure is safe and effective. Patients are typically advised to:

• Consultation and Evaluation: A thorough consultation and evaluation with a urologist is important before the procedure. This includes a detailed medical history and a physical examination to confirm that Prolieve® Thermodilatation is the most suitable treatment option based on the patient’s symptoms and health status.
• Medication Review: Patients should discuss their current medications with their doctor. Some medications, especially those that affect blood clotting, such as aspirin or anticoagulants, may need to be adjusted or temporarily discontinued before the procedure.
• Fasting Requirements: Depending on the specific protocols of the treating facility and the type of anaesthesia used, patients may be required to fast for several hours before the procedure.

Potential Risks And Side Effects

While Prolieve® Thermodilatation is generally considered safe and less invasive than traditional surgical treatments for BPH, it is not without potential risks and side effects. Patients considering this procedure should be aware of the following possible complications:

• Urinary Tract Infections (UTIs): Inserting any instrument into the urethra can introduce bacteria, potentially leading to infections. Symptoms of a UTI may include pain, burning during urination, and frequent and urgent needs to urinate.
• Mild Discomfort Or Pain: Some men may experience mild discomfort or pain during or after the procedure, particularly around the treated area. This discomfort is usually temporary and can often be managed with over-the-counter pain relievers.
• Urinary Retention: In some cases, swelling caused by the treatment or the initial irritation can lead to difficulty urinating or complete urinary retention. This condition may require temporary catheterisation.
• Hematuria (Blood in Urine): It is not uncommon for patients to notice a small amount of blood in their urine immediately following the procedure. This should resolve on its own within a few days.
• Transient Urinary Symptoms: Following the procedure, some patients may experience transient urinary symptoms such as urgency, frequency, or incontinence. These symptoms typically improve as the healing process progresses.
• Rare Complications: Although rare, more serious complications such as severe infection, significant bleeding, or damage to the urethra can occur. Immediate medical attention is required if any of these severe symptoms are observed.