Do patients have to choose between ejaculation and miction? A systematic review about ejaculation preservation technics for benign prostatic obstruction ... View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2018-07-02

AUTHORS

Souhil Lebdai, Armand Chevrot, Steeve Doizi, Benjamin Pradere, Nicolas Barry Delongchamps, Amine Benchikh, Jean Nicolas Cornu, Emmanuel Della Negra, Marc Fourmarier, Vincent Misraï, Pierre Etienne Theveniaud, Aurélien Descazeaud, Grégoire Robert, For the CTMH-AFU group

ABSTRACT

PurposeEjaculatory dysfunction is the most common side effect related to surgical treatment of benign prostatic obstruction (BPO). Nowadays, modified surgical techniques and non-ablative techniques have emerged with the aim of preserving antegrade ejaculation. Our objective was to conduce a systematic review of the literature regarding efficacy on ejaculatory preservation of modified endoscopic surgical techniques, and mini-invasive non-ablatives techniques for BPO management.MethodsA systematic review of the literature was carried out on the PubMed database using the following MESH terms: “Prostatic Hyperplasia/surgery” and “Ejaculation”, in combination with the following keywords: “ejaculation preservation”, “photoselective vaporization of the prostate”, “photoselective vapo-enucleation of the prostate”, “holmium laser enucleation of the prostate”, “thulium laser”, “prostatic artery embolization”, “urolift”, “rezum”, and “aquablation”.ResultsThe ejaculation preservation rate of modified-TURP ranged from 66 to 91%. The ejaculation preservation rate of modified-prostate photo-vaporization ranged from 87 to 96%. The only high level of evidence studies available compared prostatic urethral lift (PUL) and aquablation versus regular TURP in prospective randomized-controlled trials. The ejaculation preservation rate of either PUL or aquablation compared to regular TURP was 100 and 90 versus 34%, respectively.ConclusionsNon-ablative therapies and modified endoscopic surgical techniques seemed to be reasonable options for patients eager to preserve their ejaculatory functions. More... »

PAGES

299-308

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00345-018-2368-6

DOI

http://dx.doi.org/10.1007/s00345-018-2368-6

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1105259133

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/29967947


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30 schema:description PurposeEjaculatory dysfunction is the most common side effect related to surgical treatment of benign prostatic obstruction (BPO). Nowadays, modified surgical techniques and non-ablative techniques have emerged with the aim of preserving antegrade ejaculation. Our objective was to conduce a systematic review of the literature regarding efficacy on ejaculatory preservation of modified endoscopic surgical techniques, and mini-invasive non-ablatives techniques for BPO management.MethodsA systematic review of the literature was carried out on the PubMed database using the following MESH terms: “Prostatic Hyperplasia/surgery” and “Ejaculation”, in combination with the following keywords: “ejaculation preservation”, “photoselective vaporization of the prostate”, “photoselective vapo-enucleation of the prostate”, “holmium laser enucleation of the prostate”, “thulium laser”, “prostatic artery embolization”, “urolift”, “rezum”, and “aquablation”.ResultsThe ejaculation preservation rate of modified-TURP ranged from 66 to 91%. The ejaculation preservation rate of modified-prostate photo-vaporization ranged from 87 to 96%. The only high level of evidence studies available compared prostatic urethral lift (PUL) and aquablation versus regular TURP in prospective randomized-controlled trials. The ejaculation preservation rate of either PUL or aquablation compared to regular TURP was 100 and 90 versus 34%, respectively.ConclusionsNon-ablative therapies and modified endoscopic surgical techniques seemed to be reasonable options for patients eager to preserve their ejaculatory functions.
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37 schema:keywords Aquablation
38 BPO management
39 ConclusionsNon-ablative therapies
40 Hyperplasia/surgery
41 MeSH terms
42 MethodsA systematic review
43 Prostatic Hyperplasia/surgery
44 PubMed database
45 PurposeEjaculatory dysfunction
46 Rezum
47 TURP
48 aim
49 antegrade ejaculation
50 artery embolization
51 benign prostatic obstruction
52 benign prostatic obstruction surgical treatment
53 combination
54 common side effects
55 database
56 dysfunction
57 effect
58 efficacy
59 ejaculation
60 ejaculation preservation
61 ejaculation preservation rate
62 ejaculation preservation technics
63 ejaculatory function
64 ejaculatory preservation
65 embolization
66 endoscopic surgical techniques
67 enucleation
68 evidence studies
69 following keywords
70 function
71 high levels
72 holmium laser enucleation
73 keywords
74 laser
75 laser enucleation
76 levels
77 lift
78 literature
79 management
80 miction
81 mini-invasive non-ablatives techniques
82 non-ablative techniques
83 objective
84 obstruction
85 obstruction surgical treatment
86 only high levels
87 options
88 patients
89 photoselective vaporization
90 preservation
91 preservation rate
92 preservation technics
93 prospective randomized-controlled trials
94 prostate
95 prostatic artery embolization
96 prostatic obstruction
97 prostatic obstruction surgical treatment
98 prostatic urethral lift
99 randomized-controlled trials
100 rate
101 reasonable option
102 regular TURP
103 review
104 side effects
105 study
106 surgery
107 surgical technique
108 surgical treatment
109 systematic review
110 technic
111 technique
112 terms
113 therapy
114 thulium laser
115 treatment
116 trials
117 urethral lift
118 vaporization
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