IPG15

Transurethral radiofrequency needle ablation of the prostate (IPG15)

  • Interventional procedures IPG15
  • Withdrawn
    • Transurethral radiofrequency needle ablation of the prostate

      The National Institute for Health and Clinical Excellence (NICE) issued full guidance to the NHS in England, Wales, Scotland and Northern Ireland on transurethral radiofrequency needle ablation of the prostate in October 2003.

      This guidance has been withdrawn as the use of this procedure is now covered in the clinical guideline on the management of lower urinary tract symptoms in men published in May 2010, www.nice.org.uk/cg97. NICE has no plans to carry out further assessment of this procedure under the Interventional Procedures Programme.

      • Description

        This procedure is used to treat benign prostatic obstruction (BPO).  BPO is a non-malignant enlargement of the prostate and is a common cause of lower urinary tract symptoms in men older than 40 years of age,

        BPO can be managed medically or surgically. The standard surgical treatment is transurethral resection of the prostate. However, relatively high morbidity for this procedure has led to the development of a range of minimally invasive techniques, some of which utilise thermal energy.

        Transurethral radiofrequency needle ablation of the prostate is one such procedure.  It uses radiofrequency energy delivered to the prostate via needle electrodes. Transurethral radiofrequency needle ablation of the prostate is indicated in patients with moderate to severe bladder outlet obstruction and smaller prostates (up to 75 ml).

        Low levels of radiofrequency energy are delivered to the prostate via two needle electrodes which are positioned using a catheter transurethrally under direct vision. Energy passes between the two electrodes causing prostate tissue heating and leading to ablation of prostatic tissue through coagulative necrosis. Thermal shields protect the urethra from thermal damage and ensures that the thermal lesion created remains localised.

      • Other information

        • None found

      Details

      Arrangement:
      Other (see guidance)
      Topic area:
      Surgical procedures
      Urogenital
      Specialty:
      Urological surgery
      Urology
      Specialist advice sought from:
      British Assocation of Urological Surgeons
      Date notified to NICE:
      01 April 2002
      Guidance issue date:
      22 October 2003

      Contact details:

      Contact NICE about this project
      Contact Address:

      Interventional Procedures Programme
      National Institute for Health and Care Excellence
      10 Spring Gardens
      London
      SW1A 2BU

      This page was last updated: 05 April 2011

Patient

The summary of the key recommendations in the guidance written for patients, carers and those with little medical knowledge and may be used in local patient information leaflets.

Quick Reference Guide

The quick reference guide presents recommendations for health professionals

NICE Guidance

The published NICE clinical guidance, contains the recommendations for health professionals and NHS bodies.

Full Guidance

The published full clinical guidance for specialists with background, evidence, recommendations and methods used.

Accessibility | Cymraeg | Freedom of information | Vision Impaired | Contact Us | Glossary | Data protection | Copyright | Disclaimer | Terms and conditions

Copyright 2014 National Institute for Health and Care Excellence. All rights reserved.

Selected, reliable information for health and social care in one place

Accessibility | Cymraeg | Freedom of information | Vision Impaired | Contact Us | Glossary | Data protection | Copyright | Disclaimer | Terms and conditions

Copyright 2014 National Institute for Health and Care Excellence. All rights reserved.