What to expect before Cooled ThermoTherapy treatment:
- You'll need to have a physical examination with a urologist trained in performing the treatment. He will explain the treatment to you in detail and answer any questions you may have.
- Your urologist will provide specific pretreatment instructions such as reducing fluid intake or modifying your diet the day of treatment.
What to expect during treatment:
- Cooled ThermoTherapy is performed in your urologist's office. You will be awake during the entire procedure. The treatment itself generally takes between 30 minutes to an hour although you should allow 2 to 3 hours for the entire office visit.
- You'll be positioned on a treatment bed in a comfortable position. You may be able to watch television, read a book or listen to music while the treatment is being done. You may be given medication to help you relax before beginning the treatment.
- To start the procedure, your urologist will insert a flexible catheter into your urethra and position it in the prostate. A soft balloon catheter will then be placed in your rectum to monitor rectal temperatures during the procedure.
- Once the treatment begins you may experience some discomfort such as:
- Bladder spasms
- The sensation of having to empty your bladder
- The sensation of needing to have a bowel movement
- A warm or burning sensation in your abdomen
- Pressure in the rectum
During the procedure, the office staff will do their best to make you as comfortable as possible.
What to expect after the treatment:
- Arrange in advance for someone to drive you home after the treatment. You may not drive if you receive narcotics.
- Because the tissue surrounding the urethra may be irritated after the treatment, you may go home with a urinary catheter.
- You may experience a couple of side effects from the treatment such as:
- Soreness in the lower abdomen
- Frequent urination
How the healing process works:
You may notice no change in your BPH symptoms immediately after treatment. However, your body is actively working to heal itself. In the 6 to 12 weeks after treatment, your body will gradually reabsorb the tissue treated with Cooled ThermoTherapy, and your enlarged prostate will get smaller. As your prostate shrinks, the pressure on your urethra decreases and your BPH symptoms will be reduced. The shrinkage may continue for several months.
Most men start to see improvement in symptoms in 6 to 12 weeks, although this varies with the individual.
Frequently Asked Questions
Q: What is the prostate gland?
The prostate gland is part of the male reproductive system.
The adult prostate is about the size and shape of a walnut.
Its primary function is to produce semen, the fluid that
carries sperm. It surrounds the urethra, the tube that
carries urine from the bladder.
Q: What is BPH?
BPH (benign prostatic hyperplasia) is commonly known as
enlarged prostate. BPH is a non-cancerous condition in
cells grow, enlarging the gland and causing it to squeeze
the urethra. A variety of symptoms may result, including
difficult, frequent or urgent urination.
Q: How Common is
It is very common. An estimated 50% of all men over the
age of 60 suffer from BPH.
Q: When should I seek treatment
If you are experiencing symptoms of BPH that are affecting
your quality of life, such as losing sleep because
you need to wake during the night to urinate, you are unable
you are unable to delay urination, have hesitancy,
a weak urine stream, check with your urologist to discuss
is time to seek treatment.
Q: What treatments are available?
Typically, three treatment options are available. The
most common forms of treatment have been drug therapy
However, medication is not always effective, may
cause unwanted side effects, and can cost thousands of
Surgery effectively removes the enlarged prostate
tissue but requires anesthesia and hospitalization. Cooled
ThermoTherapy™ is a minimally invasive, non-surgical,
that usually improves symptoms and urine flow without
side effects or costs associated with other forms
Q: What is Cooled ThermoTherapy?
Cooled ThermoTherapy, also known as transurethral
microwave thermotherapy, has been available in the US since
1996. It is
an office-based, non-surgical procedure that delivers
energy to destroy
enlarged prostate tissue while unique cooling mechanisms
protect healthy, surrounding tissue. This combination
creates an effective, yet minimally invasive treatment,
distinguishes Cooled ThermoTherapy microwave technology
from other microwave treatments currently on the
Q: Why is cooling important?
Cooling is important for two reasons. First, cooling
the urethra reduces the need for anesthesia and
more rapid recovery after the treatment. Second,
cooling the urethra
allows for more energy and heat to be applied
to the diseased tissue, providing a long lasting reduction
in the symptoms
associated with BPH.
Q: Why should I choose Cooled
- Clinical studies show that Cooled
ThermoTherapy produces significant relief without
the risks associated with more invasive surgery.
- Cooled ThermoTherapy does not require
hospitalization, anesthesia or the long recovery
time some surgical patients must face.
- Cooled ThermoTherapy has been shown
to be more cost effective than other treatments,
costing a fraction of the thousands of dollars some
spend on a lifetime of drug therapy.
- The unique
cooling, only offered with the Prostatron® and Targis® Systems,
relieve the symptoms of enlarged prostate safely
- Cooled ThermoTherapy, designed to
maximize patient comfort, requires a single office
visit for a full treatment.
Q. Is Cooled ThermoTherapy expensive?
the perspective of payor, physician and patient, Cooled ThermoTherapy
is the most
cost-effective treatment available.
Most medication therapies must be taken daily,
generally only relieve symptoms of BPH, and
may cost a patient
thousands of dollars annually. Surgery, while
effective in treating BPH,
is more expensive than Cooled ThermoTherapy.
How long does the treatment take?
The treatment typically takes between 30-60
Q: Is the treatment painful? Does
the treatment require anesthesia?
To maximize patient comfort, your urologist
may use local anesthesia and/or oral
medications to minimize discomfort during
Most patients feel heat during the treatment
and some patients experience discomfort.
Individual responses vary.
Q: What are
the side effects of Cooled ThermoTherapy?
Cooled ThermoTherapy is proven to be
safe and effective; however, some side
Your urologist can explain the potential
side effects, including how
they compare to other treatments in
Q: Can I go home right after the procedure?
Yes. You should arrange for someone
to drive you home because you may
help you relax
during the procedure. Your urologist
will give you post-treatment instructions
period to you.
Q: Will I need a catheter
after the treatment?
Many patients need a catheter to
aid in urination for a few days
Q: Does Cooled ThermoTherapy treatment
provide lasting results?
than five years
of clinical data shows that Cooled
is an effective
Q: Is Cooled
ThermoTherapy covered by insurance?
Medicare provides coverage for
Cooled ThermoTherapy and many
commercial insurance plans
also pay for the procedure.
need to contact your insurance
to find out if they provide
coverage for the
needs more information before
will make a decision on coverage,
doctor's office for assistance.