NEWS 05/06/1996
P96-9 Food and Drug Administration
FOR IMMEDIATE RELEASE Sharon Snider (301) 443-3285
May 6, 1996
FDA APPROVES NEW DEVICE TO TREAT ENLARGED PROSTATE
FDA today approved a new medical device to treat the
symptoms of enlarged prostate, a condition affecting millions of
men. The device provides an alternative to treatment with drugs
or surgery.
The device, the Prostatron, uses microwaves to heat and
destroy excess prostate tissue. The procedure takes one hour and
can be done on an outpatient basis with local anesthetic.
Enlarged prostate, medically known as benign prostatic
hyperplasia (BPH), affects more than 50 percent of men age 60 and
older and causes a gradual increase in frequent, difficult
urination, sometimes leading to urinary tract damage. Treatment
with drugs provides only modest relief. Surgery, which is still
the most effective treatment, requires anesthesia and may result
in blood loss, impotence and other complications.
The new device uses a computer-controlled system to target
the prostate gland with microwave heat therapy. The procedure
has been shown to be safe and effective for treating BPH
symptoms, with no significant effect on sexual function.
However, it does not correct the problems of incomplete emptying
of the bladder and weak urinary stream.
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"This device provides another alternative for men who are
unable, or do not wish, to have surgery for enlarged prostate,"
said FDA Commissioner David A. Kessler, M.D. "While not a cure,
it effectively treats the symptoms of BPH."
FDA's approval of the device was based on clinical studies
of safety and effectiveness submitted by the manufacturer, the
EDAP Technomed Group, of Cambridge, Mass., and on the
recommendation of the Gastroenterology and Urology Devices Panel
of FDA's Medical Devices Advisory Committee, which met in October
1995 to review the product.
The firm tested the device on 375 men over 45 at seven
medical centers in the United States and Europe. Urinary
symptoms--urgency, frequency, straining, intermittent flow--
improved in 75 percent of patients. Follow up four years later
found that the improvement continued in about half; the other
half needed re-treatment with the device, or drugs or surgery at
some time during the four years.
The device did not, however, correct the problems of
incomplete emptying of the bladder and weak urinary stream.
Patients experienced little or no change in the amount of urine
left in the bladder after voiding, and urine flow rate improved
only modestly.
As a condition of approval, the manufacturer is being
required to extend its study another year to assess the long term
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Page 3, P96-9, Prostatron
effects of the device and the need for re-treatment. Study
results will also be used to compare the Prostatron to other
treatments for BPH.
Because of the device's design, it will be limited to use in
patients with a medium-sized prostate.
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