Abstract:

Aim: The purpose of this study is to investigate the effectiveness of the prostate bipolar radiofrequency thermotherapy method on the complaint of nocturia and its safety in elderly patients. Material and Methods: The post-procedural results of 100 patients over the age of 65 with complaints of refractory nocturia were examined. The patients' pre-procedural Qmax values, prostate volumes, postvoid residual amounts, IPSS scores, frequency of nocturia, and associated quality of life questionnaire scores were recorded and compared with the results at the 3rd month after the procedure. Results: The pre-procedural and post-procedural nocturia frequencies of the patients were consecutively 4.1 (2-13) times and 2.1 (0-10)times (p=0.002). There were significant improvements in the N-QOL scores of the patients by 1.70±0.7 and in their discomfort caused by voiding at night (p<0.001). The mean QOL score of the patients before the procedure was 4.2 (1-4), whereas it was calculated as 2.5 (1-5) 3 months after the procedure. Conclusion: It was observed that this treatment method provided a significant improvement in terms of nocturia in patients over the age of 65 and a positive effect on their quality of life. It is thought that it can be a more effective and safer method in comparison to treatments that can have side effects or are not suitable for elderly patients.

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