[1] Ejaculation-preserving transurethral bipolar prostatectomy: Enucleation vs resection

Objective: To assess the feasibility and safety of a novel ejaculation-preserving transurethral bipolar resection of prostate (ep-TUBRP) and compare the resection technique to the enucleation technique. Methods: After obtaining local ethics approval, 100 consecutive patients with benign prostatic ob...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Ahmed Abou-Taleb, Abdallah Fathy, Shabeib Ahmed, Wael Kandeel, Ahmed Sebaey, Walid El Shaer, Kareem Noah, Mohamed Abd Elzaher, Yasser Noureldin
Formato:	article
Lenguaje:	EN
Publicado:	Taylor & Francis Group 2018
Materias:	Diseases of the genitourinary system. Urology RC870-923
Acceso en línea:	https://doaj.org/article/b875972188ae480897f44ebef833a074
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:b875972188ae480897f44ebef833a074
record_format	dspace
spelling	oai:doaj.org-article:b875972188ae480897f44ebef833a0742021-12-02T10:11:40Z[1] Ejaculation-preserving transurethral bipolar prostatectomy: Enucleation vs resection2090-598X10.1016/j.aju.2018.10.048https://doaj.org/article/b875972188ae480897f44ebef833a0742018-11-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2090598X18301426https://doaj.org/toc/2090-598XObjective: To assess the feasibility and safety of a novel ejaculation-preserving transurethral bipolar resection of prostate (ep-TUBRP) and compare the resection technique to the enucleation technique. Methods: After obtaining local ethics approval, 100 consecutive patients with benign prostatic obstruction (BPO) and normal sexual activity were enrolled from June 2015 to June 2016. These patients were selectively randomised into two groups; 50 patients in each group. Group 1 underwent ejaculation-preserving transurethral bipolar enucleation of prostate (ep-TUBEP) and Group 2 underwent ep-TUBRP. All patients were evaluated pre- and postoperatively using the maximum urinary flow rate (Qmax); post-void residual urine volume (PVR); International Prostate Symptom Score (IPSS); and the five-item version of the International Index of Erectile Function (IIEF-5), including two additional questions evaluating ejaculation and orgasm. All patients were followed-up at 1, 3, and 6 months. Results: Overall, 100, 98 and 97 patients were evaluated at 1, 3 and 6 months, respectively. All preoperative parameters such as age, prostate-specific antigen (PSA), prostate volume, Qmax, PVR, IPSS, and IIEF-5 were comparable between the two groups (all P>0.05). At the 1-month follow-up, antegrade ejaculation was preserved in 88 of 100 (88%) (45 patients in Group 1 and 43 in Group 2). In addition, there were significant improvements in Qmax [from a mean (SD) of 6.54 (1.72) mL/s to 15.38 (3.02) mL/s], PVR [from a mean (SD) of 94.4 (41.85) mL to 25.04 (32.72) mL], and IPSS [from a mean (SD) of 21.7 (6.6) to 11.72 (2.39)] compared with the preoperative measurements. Moreover, these improvements were maintained at the 3- and 6-month follow-up visits (all P<0.001). No serious adverse events were reported. Conclusion: Ejaculation-preserving transurethral bipolar prostatectomy seems safe and effective for preservation of antegrade ejaculation with either the resection or the enucleation technique.Ahmed Abou-TalebAbdallah FathyShabeib AhmedWael KandeelAhmed SebaeyWalid El ShaerKareem NoahMohamed Abd ElzaherYasser NoureldinTaylor & Francis GrouparticleDiseases of the genitourinary system. UrologyRC870-923ENArab Journal of Urology, Vol 16, Iss , Pp S2- (2018)
institution	DOAJ
collection	DOAJ
language	EN
topic	Diseases of the genitourinary system. Urology RC870-923
spellingShingle	Diseases of the genitourinary system. Urology RC870-923 Ahmed Abou-Taleb Abdallah Fathy Shabeib Ahmed Wael Kandeel Ahmed Sebaey Walid El Shaer Kareem Noah Mohamed Abd Elzaher Yasser Noureldin [1] Ejaculation-preserving transurethral bipolar prostatectomy: Enucleation vs resection
description	Objective: To assess the feasibility and safety of a novel ejaculation-preserving transurethral bipolar resection of prostate (ep-TUBRP) and compare the resection technique to the enucleation technique. Methods: After obtaining local ethics approval, 100 consecutive patients with benign prostatic obstruction (BPO) and normal sexual activity were enrolled from June 2015 to June 2016. These patients were selectively randomised into two groups; 50 patients in each group. Group 1 underwent ejaculation-preserving transurethral bipolar enucleation of prostate (ep-TUBEP) and Group 2 underwent ep-TUBRP. All patients were evaluated pre- and postoperatively using the maximum urinary flow rate (Qmax); post-void residual urine volume (PVR); International Prostate Symptom Score (IPSS); and the five-item version of the International Index of Erectile Function (IIEF-5), including two additional questions evaluating ejaculation and orgasm. All patients were followed-up at 1, 3, and 6 months. Results: Overall, 100, 98 and 97 patients were evaluated at 1, 3 and 6 months, respectively. All preoperative parameters such as age, prostate-specific antigen (PSA), prostate volume, Qmax, PVR, IPSS, and IIEF-5 were comparable between the two groups (all P>0.05). At the 1-month follow-up, antegrade ejaculation was preserved in 88 of 100 (88%) (45 patients in Group 1 and 43 in Group 2). In addition, there were significant improvements in Qmax [from a mean (SD) of 6.54 (1.72) mL/s to 15.38 (3.02) mL/s], PVR [from a mean (SD) of 94.4 (41.85) mL to 25.04 (32.72) mL], and IPSS [from a mean (SD) of 21.7 (6.6) to 11.72 (2.39)] compared with the preoperative measurements. Moreover, these improvements were maintained at the 3- and 6-month follow-up visits (all P<0.001). No serious adverse events were reported. Conclusion: Ejaculation-preserving transurethral bipolar prostatectomy seems safe and effective for preservation of antegrade ejaculation with either the resection or the enucleation technique.
format	article
author	Ahmed Abou-Taleb Abdallah Fathy Shabeib Ahmed Wael Kandeel Ahmed Sebaey Walid El Shaer Kareem Noah Mohamed Abd Elzaher Yasser Noureldin
author_facet	Ahmed Abou-Taleb Abdallah Fathy Shabeib Ahmed Wael Kandeel Ahmed Sebaey Walid El Shaer Kareem Noah Mohamed Abd Elzaher Yasser Noureldin
author_sort	Ahmed Abou-Taleb
title	[1] Ejaculation-preserving transurethral bipolar prostatectomy: Enucleation vs resection
title_short	[1] Ejaculation-preserving transurethral bipolar prostatectomy: Enucleation vs resection
title_full	[1] Ejaculation-preserving transurethral bipolar prostatectomy: Enucleation vs resection
title_fullStr	[1] Ejaculation-preserving transurethral bipolar prostatectomy: Enucleation vs resection
title_full_unstemmed	[1] Ejaculation-preserving transurethral bipolar prostatectomy: Enucleation vs resection
title_sort	[1] ejaculation-preserving transurethral bipolar prostatectomy: enucleation vs resection
publisher	Taylor & Francis Group
publishDate	2018
url	https://doaj.org/article/b875972188ae480897f44ebef833a074
work_keys_str_mv	AT ahmedaboutaleb 1ejaculationpreservingtransurethralbipolarprostatectomyenucleationvsresection AT abdallahfathy 1ejaculationpreservingtransurethralbipolarprostatectomyenucleationvsresection AT shabeibahmed 1ejaculationpreservingtransurethralbipolarprostatectomyenucleationvsresection AT waelkandeel 1ejaculationpreservingtransurethralbipolarprostatectomyenucleationvsresection AT ahmedsebaey 1ejaculationpreservingtransurethralbipolarprostatectomyenucleationvsresection AT walidelshaer 1ejaculationpreservingtransurethralbipolarprostatectomyenucleationvsresection AT kareemnoah 1ejaculationpreservingtransurethralbipolarprostatectomyenucleationvsresection AT mohamedabdelzaher 1ejaculationpreservingtransurethralbipolarprostatectomyenucleationvsresection AT yassernoureldin 1ejaculationpreservingtransurethralbipolarprostatectomyenucleationvsresection
_version_	1718397530789642240

[1] Ejaculation-preserving transurethral bipolar prostatectomy: Enucleation vs resection

Ejemplares similares