Thursday, December 14, 2006

TUMT 2000 article

http://www.yourpatienteducation.com/PatientPortal/Public/ArticlePromoted.aspx?ArticleID=HW5ug1939: "How Well It Works

Studies note that TUMT is more effective than treatment with the alpha-blocker terazosin when checked 18 months later.1

In one study, transurethral resection of the prostate (TURP) improved symptoms better than TUMT. But in two other studies, there was no major difference in how well the two treatments worked.1

Risks

The main complication of TUMT is the inability to urinate (urinary retention) for more than a week.2 This condition is treated by inserting a tube directly through the abdominal wall into the bladder to drain urine (suprapubic catheter). Erection problems and retrograde ejaculation (ejaculation backward into the bladder) appear to be less common after TUMT than after TURP.2

Other complications include persistent irritation of the urethra and blood in the urine.1

Recent reports have warned that the procedure has in a small number of cases caused serious injuries and complications, including damage to the penis and urethra. Injuries have required colostomies, partial amputation of the penis, and other procedures. In December 2000, the U.S. Food and Drug Administration (FDA) issued a warning about these injuries.3"