New Technology

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New Technology To treat Prostatitis
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The Prostate
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Heat can be used for medical purposes
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Effect of temperature on living tissues
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Effects of temperature
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Cell kill by heat
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Termotherapy Efects of Temperature on tissues
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Harnessing RF Waves for Treatment
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RF Waves

• The Nervous system system operates at low
  Frequency
• Low Frequency signal cause muscle contractions
  ? Pain
• Large Dose ? Cardiac Arrest

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Heating Methods
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Heat can be applied to PROSTATE by 2 technologies
Microwaves T.U.M.T. Trans Urethral Microwave
Thermotherapy
Radiofrequency T.U.R.F. Trans Urethral Radio
Frequency
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Non uniform distribution of energy using
microwaves TUMT
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Uniform distribution of Radio Frequency heating
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TemproBi-Polar RF Thermotherapy
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The device that applies the Radio Frequency
energy in Tempro

• The Applicator is a unique transurethral
  multi-polar electrode with conductive heating
  rings and temperature sensing elements
  (thermocouples)
• The applicator diameter is 16Fr. (about 5.5mm)

Heating Rings
Bladder Drainage Opening
3 Thermocouples
Balloon for Applicators Positioning
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Functions of the Applicator
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Testimonios
Amstelland Hospital Holanda
Amstelland Hospital Dept. of Urology Mens Health
Clinic Y. Reisman MD, PhD Laan vd Helende
Meesters 8, 1186AM, Amstelveen,
Noord-Holland, The Netherlands Telephone number
31-(0)20- 3474747
I have started to use the Tempro system for BPH ,
but later on decided to use Tempro Thermal
Therapy also for Chronical Prostatitis , which as
we all know is very difficult to treat .
The initial results with several of my patients
are very positive and it appears to be a very
helpful procedure . Dr. Y. Reisman
Age 35 Chronic Abacterial Prostatitis from date
04-01-2008 Previous treatments NSAID, Ciproxin,
Tamsulosine Symptoms Perineal pain, sexual
dysfunction, LUTS Tempro treatment date October,
2008. Follow up 12 month free of complains
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Testimonios
The Institute for Thermotherapy- Alemania
The Institute for Thermotherapy Dr. C.
Beck Kleppingstrase 8, 44135 Dortmund Telephone
49 231 14 12 88 Germany
One of my patients could hardly stand up straight
even though he was taking prescription drugs.
After a Thermal Therapy treatment with Tempro
Device he began to notice relief and he felt no
pain at all."Dr. Christian Beck
Age 32 Chronic Abacterial Prostatitis from
date 15-10-2003 Previous treatments NSAID,
Ciproxin, Tamsulosine Symptoms Perinea pain,
sexual dysfunction, LUTS Tempro treatment date
January, 2009. Follow up 9 month free of
complains
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Testimonios
Private Medical Clinic and Laboratory-Polonia
Private Medical Clinic and Laboratory Dr Zenon
Rudzki Kilinskiego St 78 Tel [phone]
1404 Czestochowa Poland
I have always thought Thermal Treatment may
benefit my Prostatitis patients. Now that I have
started to use the Tempro for Chronical
Abacterial Prostatitis. I am surprised by the
excellent results with some of the initial
patients I have treated . Dr. Z. Rudzki
Age 65 Chronic Abacterial Prostatitis from date
03-10-1999 Previous treatments NSAID, Ciproxin,
Tamsulosine Symptoms Pain in Testicles, Pubic
area, Bladder, tip of Penis. Tempro treatment
date December, 2008. Follow up 10 month free of
pain or discomfort, Free urination
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TEMPRO Bipolar Radio Frequency Thermal
Treatment FOR ABACTERIAL CHRONIC PROSTATITIS
Initial results Byun, Jae Sang MD, , Byoung Kyu
Han MD, Kihyuck Moon MD Gangman Zaii urology
Hospital. Nonhyeon-dong   164-2 Seoul Republic
of Korea
Table 1. Patients demographics
Characteristics Value
Numbers of the patients 41
Mean age (range) 42.6 11.4 (28 72)
Mean prostate size (cc) 25.3 6.1
NIH classification () NIH classification ()
Category II 13 (31.8)
Category IIIA 14 (34.1)
Category IIIB 14 (34.1)
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Table 2. Comparison of Chronic Prostatitis
Symptom index scores between pretreatment
(baseline) and TEMPRO after 3 months (post
TEMPRO) CPSI score
Baseline CPSI score Post-TEMPRO CPSI score p value
Mean Total score 23.4 7.3 16.5 4.9 0.072
Mean pain domain score 11.2 5.4 6.5 3.8 0.034
Mean Urination domain score 5.7 3.3 5.2 2.3 0.872
Mean Quality of life domain score 6.6 2.4 4.6 1.6 0.138
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Table 3. Subgroup analysis according to the
decline of CPSI score more than 50 percent at 3
month after TEMPRO. Group A CPSI scores
decreased more than 50 after TEMPRO (
successful group) Group B CPSI scores does not
decreased more than 50 after TEMPRO (
unsuccessful group)
Group A Group B p value

Total Success 19 ( 46 ) 22 ( 54 )
Age group
50 or Younger than 50 years old 12 17 0.638
Older than 50 years old 7 5 0.638
NIH classification () NIH classification () NIH classification () NIH classification ()
Category II 8 5 0.052
Category IIIA 9 5 0.052
Category IIIB 2 12 0.052
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4.Conclusions These initial results look very
positive with an overall success rate of 46 .
Perineal and/or perianal pain, as well as
orchalgia, are substantially improved in the
majority of the patients. Considering the
complexity of the illness we consider it a simple
and effective treatment. Side effects are
minimal, therefore the Tempro treatment for
prostatitis should be considered as a safe and
effective one. We will continue to explore the
potential of this treatment.
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Congreso Mundial de Endourologia WCE 2009 Munich
Octubre 2009
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Congreso Mundial de Endourologia WCE 2009 Munich
Octubre 2009
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Congreso Mundial de Endourologia WCE 2009 Munich
Octubre 2009
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Congreso Mundial de Endourologia WCE 2009 Munich
Octubre 2009
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Maneken Pis
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Thank you very much for your presence on this
meeting
Direx Group