Heat Treatment of the Prostate
Read about the process before, during, and after the treatment.
About the Treatment
Heat treatment is an outpatient procedure for an enlarged prostate. Using microwaves, the prostate is heated to 55-60 degrees Celsius. The heat breaks down the tissue in the part of the prostate gland surrounding the urethra, improving urine flow. The treatment lasts between 30 minutes to an hour. Local anesthesia is administered to the prostate immediately before the treatment.
Important Preparation
If you are taking blood-thinning medication, you must pause as agreed with the doctor at the clinic. You should not drive home after the treatment.
On the Day of the Treatment
Two hours before the scheduled time, take the prescribed medication:
- 1 tablet of Bioclavid 500 mg (antibiotic)
- 1 tablet of Brufen 400 mg (pain reliever)
- 2 tablets of Panodil 500 mg (pain reliever)
- 1 tablet of Betmiga 50 mg (bladder relaxant)
You do not need to fast, and you may take your usual medication.
The treatment begins with the administration of local anesthesia to the prostate through a catheter. Then, the treatment catheter is inserted into the bladder, a temperature sensor is placed around the penis, and another temperature sensor is inserted into the rectum. Everything is connected to a computer, and the treatment starts. The temperature sensors ensure constant monitoring of the surrounding area¡¯s temperature. During the treatment, you may feel discomfort in the form of a strong urge to urinate and possibly a bowel movement due to the heat. If the discomfort is significant, you can receive pain relief or relaxing medication.
The urethra and prostate swell during the treatment, making it necessary to place a catheter in the bladder after the heat treatment. The catheter must remain in place for four weeks.
After the Treatment
Pain
You may experience aching or pain for the first few days. This can be alleviated with 2 tablets of Panodil (500 mg) or 2 tablets of Ipren (200 mg), up to three times daily.
Bladder Catheter
The catheter is connected to a urine bag. Once a day, the area around the catheter should be washed with mild soap. Avoid pulling or bending the catheter. Lay it in a soft loop in your underwear. The catheter tube can be fastened to the thigh with tape.
Bleeding
There may be blood in the urine for the first 2-3 days. It is important to drink plenty of fluids (2-3 liters daily) and ensure the catheter functions properly with urine flow. If the catheter becomes blocked, a home nurse can flush it, or you can contact the Emergency Telephone at 1813.
There will be some bloody discharge along the catheter, especially initially. This is because there is a wound in the prostate that gradually sheds tissue debris. If there is no blood in the urine after three days, the urine bag can be disconnected, and the valve can be opened during the urge to urinate, at least every three hours during the day. At night, connect the urine bag with a long tube. There may also be some urine leakage along the catheter due to bladder irritation. This can be managed by reattaching the urine bag. It is necessary to use male pads for a period. You will be provided with the necessary aids before you go home.
Antibiotics
You will need antibiotic treatment with Bioclavid 500 mg tablets, three times daily for three days. The medication will be provided by the nurse at the clinic.
Catheter Removal
The catheter will be removed at the clinic you are affiliated with 4-5 weeks after the treatment. Follow-up will occur via a telephone consultation approximately six months after your treatment.
Effect of Heat Treatment
The full effect of the treatment can only be assessed after 3 to 6 months. There will be frequent urination and sudden urges, which can be difficult to control. These symptoms will gradually disappear. Up to 5% of patients may experience problems achieving a normal erection, and the treatment may result in the absence of ejaculation. There is a very small risk of permanent urinary incontinence.
Contact for Complications
If you need help, you can contact Urological Diseases, Clinic 1, or your general practitioner during daytime hours. Outside of these hours and on weekends, you should contact the Emergency Telephone at 1813, which may refer you to the Emergency Department.
Contact Information for the Department of Urological Diseases
the heat then was probably ozone sauna with the attachment that go to a specific body part..I have been getting ozone, but for only for the entire body
