Summary
A total of 114 patients suffering from prostatic symptoms due to benign hyperplasia (BPH) and scheduled for surgery elected to participate in a clinical trial of local hyperthermia therapy to the prostate. One group was given cyproterone acetate (CPA) as well. Transrectal ultrasound (TRUS) was performed before and following such treatment. Interesting changes in the volume and the configuration of the gland were observed. Prostatic volume measured 1 month following chemotherapy showed a 20% reduction in patients receiving CPA, whereas no significant change was evident in those not given the medication. Significant changes were particularly noted in patients above the age of 68 years whose prostates measured >85 cm3. Marked relief of obstructive symptoms was noted in the majority of cases, although this did not correlate with the observed changes in prostatic volume.
Similar content being viewed by others
References
Bartsch G, Doxenbichler G, Rohr HP (1983) Steroid pathophysiology of BPA. Correlative morphological and biochemical investigations on the stromal tissue of the human prostate. J Steroid Biochem 19:147–154
Geller J, Bara R, Roberts T et al. (1965) Treatment of benign prostatic hypertrophy with hydroxyprogesterone caproate; effect on clinical symptoms, morphology and endocrine function. JAMA 193:121–128
Leib Z, Rothem A, Lev A, Servadio C (1986) Histophathological observations in the canine prostate treated by local microwave hyperthermia. Prostate 8:93–102
Scott WW, Wade JC (1969) Medical treatment of benign nodular prostatic hyperplasia with cyproterone acetate. J Urol 101:81–85
Servadio C, Leib Z, Lev A (1986) Further observations on the use of local hyperthermia for the treatment of diseases of the prostate in man. Eur Urol 12:38–40
Servadio C, Leib Z, Lev A (1987) Diseases of the prostate treated by local microwave hyperthermia. Urology 30:97–99
Watanabe H, Date S, Ohe H et al. (1980) A survey of 3000 examinations by transrectal ultrasonotomography. Prostate 1:271–278
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Leib, Z., Lev, A., Goren, E. et al. Observations on the influence of cyproterone acetate on the sonographic image of the benign prostate in patients treated with local hyperthermia. World J Urol 9, 19–21 (1991). https://doi.org/10.1007/BF00184707
Issue Date:
DOI: https://doi.org/10.1007/BF00184707