Transurethral microwave ablation of the prostate is also similar to laser ablation of the prostate. TUMT is done as an outpatient procedure with local anesthesia and mild sedation. With TUMT, a catheter is placed into the urethra and advanced into the bladder. A rectal temperature probe is then placed. Microwave energy is then delivered through the catheter and directed at the prostate. The prostate is heated up to very high temperatures. This causes destruction of prostate tissue. The heated prostate tissue is destroyed and initially swells but then shrinks. Most men require a catheter for a period of time after the TUMT procedure until the swelling resides. As with the laser procedure, no prostate tissue is removed so we cannot be certain that cancer does not exist. The FDA has approved the use of the TUMT procedure in the United States.

Preparation for Transurethral Microwave Thermotherapy of the Prostate (TUMT)

  • No aspirin products, ibuprofen, Aleve (naproxen), etc. for 7-10 days before the procedure.
  • Make sure someone is with you and drives you to and from the procedure.
  • No dietary restrictions on the day of the procedure although we would suggest nothing to eat 3-4 hours before the procedure.

Please take the following medications as directed

  1. [ ] Levaquin 500 mg. Take 1 pill 2 hours prior to the procedure.
  2. [ ] Cipro 500 mg. Take 1 pill 2 hours prior to the procedure.
  3. [ ] Cipro XR 1000 mg or 500 mg. Take 1 pill 2 hours prior to the procedure.
  4. [ ] Dilaudid 2 mg. Take 1 pill 1 hour prior to the procedure.
  5. [ ] Demerol 50 mg. Take 1-2 pills 1 hour prior to the procedure.
  6. [ ] Ativan 1 mg. Take 1 pill 1 hour prior to the procedure.
  7. [ ] Levsin 0.125 mg. Take 1 pill 1 hour prior to procedure.