MEDICAL ELECTROTHERAPY PROBE: STYLET ADVANCES TRANSVERSELY FROM CATHETER TO PENETRATE URETHRAL WALL AND ABLATE PROSTATIC TISSUE; URETHRAL WALL PROTECTED BY STYLET INSULATION

摘要

A medical probe device comprises a catheter (14) having a stylet guide (16) housing with one or more stylet ports (40) in a side wall thereof and a stylet guide for directing a flexible stylet (17) outward through the stylet port and through intervening tissue at a preselected, adjustable angle to a target tissue. The total catheter assembly includes a stylet guide lumen (61) communicating with the stylet port and a stylet positioned in said stylet guide lumen for longitudinal movement from the port through intervening tissue to a target tissue. The stylet can be an electrical conductor enclosed within a non-conductive layer, the electrical conductor being a radiofrequency electrode (38). Preferably, the non-conductive layer is a sleeve (60) which is axially moveable on the electrical conductor to expose a selected portion of the electrical conductor surface in the target tissue. The stylet can also be a microwave antenna (66). The stylet can also be a hollow tube for delivering treatment fluid to the target tissue. It can also include a fiber optic cable for laser treatment. The catheter can include one or more inflatable balloons (30,32) located adjacent to the stylet port for anchoring the catheter or dilation. Ultrasound transponders and temperature sensors can be attached to the probe end and/or stylet. The stylet guide can define a stylet path from an axial orientation in the catheter through a curved portion to a lateral orientation at the stylet port. IMAGE IMAGE