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Urology/Cooled Thermotherapy

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Question
I wonder if I could be eligible for cooled thermotherapy. I have experienced frequent urination problems for several years. I had prostate cancer in 1999; treated with seed implants at Mayo Rochester 7/19/99.  My annual exams have shown acceptable PSA readings and the prostate seems to be of an acceptable size when examined by my family doctor. I took Tamsulosin (.4mg)for several years, discontinuing it one year ago to see if I really needed it - my frequent urination stayed the same. I am 75 years young and in good physical condition, still enjoying fishing, golf and bowling.  Thanks in advance for a reply, Gary Fredrickson.

Answer
Gary:

Cooled thermotherapy is not likely to help much.  After radiation therapy, the tissue heals with scar and fibrous tissue which is relatively resistant to this treatment.

you need a full urological evaluation to see is your problem is overactive bladder, blockage, radiation effect or something else.  If blockage is your problem, the best treatment might be a limited resection but after radiation therapy there is a significant risk of leakage.  Good luck.

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Stephen W. Leslie, MD

Expertise

Questions concerning erectile dysfunction, kidney stones and prostate disorders including prostate cancer. I have a special interest in kidney stone disease prevention.

Experience

Full time practicing urologist with 30 years experience. Associate Professor of Surgery and Chief of Urology at Creighton University Medical Center. Editor in Chief of eMedicine Urology internet textbook. Author of only NIH approved book written for patients by a urologist on the subject of kidney stones "The Kidney Stones Handbook". Inventor of the "Parachute" and "Escape" kidney stone baskets and the "Calculus" stone prevention analysis computer program.

Organizations
American Urological Association, Ohio State Medical Association, Sexual Medicine Society

Publications
Men's Health, Journal of Urology, Urology, Healthwatch Magazine, Emergency Medicine Monthly, eMedicine, "The Kidney Stones Handbook", and numerous articles in various newspapers. He is also the editor of the Urology Board Review by McGraw-Hill used by urologists to study for their Board Certification Examinations.

Education/Credentials
Graduate of New York Medical College with residencies completed at Metropolitan Hospital New York, Albany Medical Center and University of Wisconsin-Madison.

Awards and Honors
Thirlby Award of the American Urological Association. Rated as one the country's Best Urologists by the Independent Consumer's Research Institute

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