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Ejaculation-preserving transurethral resection (epTUR) of prostate and bladder neck - short- and long-term results of a new innovative resection technique.
MedLine Citation:
PMID:  23952037     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Introduction: Loss of antegrade ejaculation is a risk with conventional resection of the prostate (TURP). The aim of this study was to determine the short- and long-term preservation of antegrade ejaculation as well as functional results with the novel ejaculation-preserving (ep) TURP. Patients and Methods: Prospective evaluation of 89 consecutive patients with bladder outlet obstructions aged 27 to 78 years, enrolled from June 2001 till January 2005. Endpoints were change in objective (uroflowmetry, post void residual [PVR]) and subjective (International Prostate Symptoms Score [IPSS], Life Quality Index [LQI]; International Index of Erectile Function-5 with two additional questions [IIEF5+]) measures of function. All patients received follow-up examinations at 3 and ≥60 months. Results: Overall, 87 and 63 patients were evaluated after 3 and 60 months, respectively. Antegrade ejaculation was preserved in 79 of 87 (90.8%) patients at 3 months. Significant improvements in maximum flow rate (+14.3 ml/s), micturition volume (+71.6 ml), and PVR (-59 ml; p≤0.002 for all) were observed at 3 months. Micturition symptoms, as measured by IPSS and LQI, were also significantly reduced (mean change of 18.3 and 2.9, respectively; p<0.001). Improvements were maintained at 60 months. No serious adverse events were reported. Eight (12.7%) patients received a second epTURP due to the development of bladder neck scar tissue during long term follow-up. Conclusion: Antegrade ejaculation was preserved with the use of epTURP with excellent outcome. Observed symptomatic and functional outcomes were comparable with conventional TURP. The results from this study underline the necessity of reviewing the old concept of ejaculation physiology.
Authors:
Saladin Helmut Alloussi; Christoph Lang; Robert Eichel; Schahnaz Alloussi
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2013-8-19
Journal Detail:
Title:  Journal of endourology / Endourological Society     Volume:  -     ISSN:  1557-900X     ISO Abbreviation:  J. Endourol.     Publication Date:  2013 Aug 
Date Detail:
Created Date:  2013-8-19     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8807503     Medline TA:  J Endourol     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
Städtisches Klinikum Neunkirchen, Urology, Brunnenstrasse 20, Neunkirchen, Germany, 66538 ; saladin.alloussi@yahoo.de.
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