{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,18]],"date-time":"2025-12-18T08:53:01Z","timestamp":1766047981988},"reference-count":21,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2006,10,2]],"date-time":"2006-10-02T00:00:00Z","timestamp":1159747200000},"content-version":"vor","delay-in-days":274,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Neurourology and Urodynamics"],"published-print":{"date-parts":[[2006,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aims<\/jats:title><jats:p>To evaluate the long\u2010term outcome of transurethral resection of the prostate (TURP) and transurethral microwave thermotherapy (TUMT) in men with symptomatic benign prostatic hyperplasia (BPH), when allocation to the treatment\u2010group was based on urodynamic diagnosis of bladder outlet obstruction (BOO).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A total of 231 elderly men with symptomatic BPH were treated either by TURP or by low\u2010energy TUMT. A pressure\u2010flow study was performed to detect the obstruction and to help in the selection of the two treatments. The patients were examined at baseline then checked again after 2 and 8 years.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>At 2 years of follow\u2010up there was a significant improvement for both IPSS and QoL (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.0001) in both groups of treatment. This was accompanied by a significant improvement (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.0001) in the maximum flow rate from 10.0 (5.8) to 16.4 (7.6) in the TURP group and from 12.1 (5.2) to 14.9 (5.7) in the TUMT group. These findings persisted at 8 years, they were, however, more pronounced after TURP. The overall retreatment rate reached a value of 11% in the TURP group and 27% in the TUMT group, respectively. At the follow\u2010up, 95% of the patients who underwent TURP and 70% of the patients treated by TUMT claimed to be satisfied with that choice.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>With durable symptomatic improvement and lowest retreatment rate, TURP still presents a standard treatment option for patients with severe BOO. Low\u2010energy TUMT has sufficiently relieved patients' symptoms and can be offered to less obstructed patients as an alternative. Neurourol. 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