Transurethral Microwave Therapy with Prostate Surgery Without the Need for Anesthesia
TUMT Therapy
The purpose of TUMT application is to reduce prostate volume and improve voiding complaints. Prostate transurethral microwave therapy, briefly called TUMT, is a closed endoscopic method that uses microwave energy to destroy the parts of the prostate tissue that block the voiding canal.
After this TUMT treatment process, called coagulation, the treated part of the prostate is either absorbed by the body or excreted out of the body with urine after the procedure.
How is TUMT Therapy Performed?
For TUMT therapy, you receive general, spinal, or local anesthesia. While under anesthesia, the doctor uses a resectoscope with a microwave antenna and balloon to enter the bladder through the urethra. The antenna heats the prostate tissue with microwave energy and maintains the position of the balloon antenna in the prostate. A different catheter is placed in the bladder so that urination can be made after the procedure. A few days after the treatment, the catheter placed in the bladder is removed.

When to Treat TUMT and for Whom Is It Suitable?
TUMT therapy is a form of surgery recommended for men with a prostate between 30-80 milliliters, who prefer minimally invasive treatment, or who cannot receive anesthesia due to other medical conditions.
It is recommended and applied for men with a prostate size less than 80 grams and who prefer endoscopic treatment because of other medical conditions and who do not have surgery or other medical obstacles.
How Long Does It Take to back to Daily Activities After TUMT Therapy?
In most cases, patients can be discharged from the hospital a few hours after TUMT therapy. As an important warning, you should not drive when leaving the hospital after treatment, as you may still be sleepy after anesthesia. Attention should be paid to adequate rest after TUMT treatment. Blood may be seen in the urine for a few weeks after the catheter is removed.
What are the Things to Follow for 4-6 Weeks After the TUMT Therapy Surgery?
- Drinking every day 1-2 liters of liquid, especially water
- Do not lift anything heavier than 5 kg.
- Do not do heavy exercise and avoid cycling
- Avoid going to thermal baths or sauna
- Prevent constipation by controlling your diet
- Avoid having sex for 2-3 weeks after the procedure. You may have blood in your sperm for 2-3 weeks.
After TUMT therapy you should contact your physician or hospital immediately if:
- When have fever
- If you have a fever of more than 38 degrees
- If you are unable to urinate after catheter removal
- If you have severe bleeding or pain (urinary)
What are the Advantages of TUMT Therapy?
- Can be performed under local anesthesia
- No need to stay in hospital in most cases
- The risk of complications is low
It can be applied even when blood thinners are used (There is no need to stop such drugs before surgery)
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