Introduction: The Aim of this study was to investigate the efficacy of the new bipolar radiofrequency prostate thermotherapy method for those with high potential surgical risk and also for patients with a chronic catheter.

Material and Methods: 103 patients attending our clinic due to BPO and related complaints with high ASA score had outcomes after the procedure recorded prospectively and investigated retrospectively. Qmax, prostate volume, IPSS score, quality of life score, and presence of catheters were recorded before the procedure and analyzed with the outcomes after the procedure.

Results: The ASA scores were calculated as 3.0 ± 1.0 (IQR). Before the procedure, Qmax values (mean (SD)) were 5.11 ± 5.37 ml/s, while in the 6th month after the procedure Qmax values were identified as 10.45 ± 3.8 ml/s (p < 0.001). Of 53 patients (55.2%) with chronic catheters who could not be operated, 30 (61.2%) no longer required urinary catheter.

Conclusion: Bipolar RF thermotherapy appears to be an effective method for patients with BPO who cannot be operated. Due to the surgical risks of patients dependent on the catheter in spite of receiving medical treatment, it is a good alternative to remove catheter dependence. It may be one of the methods that should be remembered, especially in this patient group.

简介：这项研究的目的是研究新的双极射频前列腺热疗方法对具有高潜在手术风险的患者以及慢性导管患者的疗效。

资料与方法： 103名因BPO入院并因ASA评分高而引起的相关抱怨而来我院就诊的患者，均经过前瞻性记录和回顾性研究后取得了结局。在手术前记录Qmax，前列腺体积，IPSS评分，生活质量评分和导管的存在，并分析手术后的结局。

结果： ASA分数计算为3.0±1.0（IQR）。在手术前，Qmax值（平均值（SD））为5.11±5.37 ml / s，而在手术后的第6个月，Qmax值为10.45±3.8 ml / s（p  <0.001）。在53例无法操作的慢性导管患者中（55.2％），不再需要导尿管的有30例（61.2％）。

结论：双极射频热疗似乎是不能手术的BPO患者的有效方法。由于尽管接受药物治疗仍依赖于导管的患者的手术风险，所以它是消除导管依赖性的良好选择。这可能是应该记住的方法之一，尤其是在该患者组中。