Preservation of antegrade ejaculation after surgical relief of benign prostatic obstruction is a valid endpoint

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dc.authorid0000-0002-9976-9666
dc.authorid0000-0003-0906-4417
dc.authorid0000-0002-4245-7506
dc.authorid0000-0002-6308-1763
dc.contributor.authorÇalık, Gökhan
dc.contributor.authordel Pilar Laguna Pes, Maria
dc.contributor.authorGravas, Stavros
dc.contributor.authorAlbayrak, Selami
dc.contributor.authorde la Rosette, Jean J. M. C. H.
dc.date.accessioned2021-10-19T10:10:28Z
dc.date.available2021-10-19T10:10:28Z
dc.date.issued2021
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Üroloji Ana Bilim Dalı
dc.departmentİstanbul Medipol Üniversitesi, Uluslararası Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Üroloji Ana Bilim Dalı
dc.description.abstractPurpose To review the current data on retrograde ejaculation (RE) and ejaculatory dysfunction (EjD) after endoscopic and minimally invasive surgical treatment of benign prostatic obstruction (BPO) and, their perceived impact in the quality of life (QoL) and sexual life of patients and their partners. Methods Narrative review of systematic reviews (SR) assessing comparative rates of RE, EjD or erectile dysfunction (EF) was carried out. Relevant articles on the prevalence of RE, EjD or EF and on their impact in the QoL or sexual life of patients and partners were manually selected based on relevance. Results Twelve SRs reporting on comparisons of different endoscopic/minimally invasive treatments of BPO were found. Data on outcomes varied widely. Overall, after conventional TURP or laser techniques 42-75% of patients present RE. Prostatic incision and ablative procedures present lowest rates of de novo RE or EjD whereas laser adenomectomy and ejaculation preservation procedures preserve antegrade ejaculation in 46-68% of patients. EjDs is associated to LUTS and present in 10% of sexualy active men before intervention. It modulates the QoL and sexual life of the couple. In spite of the scarce literature assessing patient's and partner's perception of postoperative EjD, it strongly suggests that both parties value the maintenance of the ejaculatory function. Conclusion Ejaculation-preserving techniques and minimally invasive techniques successfully prevent BPO treatment-induced RE or EjD in 70-100% of the cases. While this is appealing to patients and spouses, technique selection and treatment durability are issues to be discussed with the couple.
dc.identifier.citationÇalık, G., del Pilar Laguna Pes, M., Gravas, S., Albayrak, S. ve de la Rosette, J. J. M. C. H. (2021). Preservation of antegrade ejaculation after surgical relief of benign prostatic obstruction is a valid endpoint. World Journal of Urology, 39(7), 2277-2289. https://dx.doi.org/10.1007/s00345-021-03682-w
dc.identifier.doi10.1007/s00345-021-03682-w
dc.identifier.endpage2289
dc.identifier.issn0724-4983
dc.identifier.issn1433-8726
dc.identifier.issue7
dc.identifier.scopusqualityQ1
dc.identifier.startpage2277
dc.identifier.urihttps://dx.doi.org/10.1007/s00345-021-03682-w
dc.identifier.urihttps://hdl.handle.net/20.500.12511/8468
dc.identifier.volume39
dc.identifier.wosqualityQ1
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherSpringer
dc.relation.ispartofWorld Journal of Urologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/embargoedAccess
dc.subjectBenign Prostatic Obstruction
dc.subjectEjaculation Preservation
dc.subjectEjaculatory Dysfunction
dc.subjectErectile Dysfunction
dc.subjectRetrograde Ejaculation
dc.subjectSexual Health
dc.titlePreservation of antegrade ejaculation after surgical relief of benign prostatic obstruction is a valid endpoint
dc.typeArticle

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