Do patients have to choose between ejaculation and miction? A systematic review about ejaculation preservation technics for benign prostatic obstruction surgical treatment

Autor: Benjamin Pradere, Souhil Lebdai, Grégoire Robert, Marc Fourmarier, Emmanuel Della Negra, Jean Nicolas Cornu, Vincent Misraï, Steeve Doizi, Armand Chevrot, Amine Benchikh, Aurélien Descazeaud, P.E. Theveniaud, Nicolas Barry Delongchamps
Přispěvatelé: Centre Hospitalier Universitaire d'Angers (CHU Angers), PRES Université Nantes Angers Le Mans (UNAM), Centre Hospitalier Universitaire de Nîmes (CHU Nîmes), Hôpital Européen Georges Pompidou [APHP] (HEGP), Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Hôpitaux Universitaires Paris Ouest - Hôpitaux Universitaires Île de France Ouest (HUPO), Service d'urologie [Tours], Centre Hospitalier Régional Universitaire de Tours (CHRU Tours)-Hôpital Bretonneau, Service d'urologie [CHU Cochin], Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Hôpital Cochin [AP-HP], Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP), Clinique les Martinets, Ramsay Santé, Service d'urologie [Rouen], CHU Rouen, Normandie Université (NU)-Normandie Université (NU)-Université de Rouen Normandie (UNIROUEN), Normandie Université (NU), Nutrition, inflammation et dysfonctionnement de l'axe intestin-cerveau (ADEN), Université de Rouen Normandie (UNIROUEN), Normandie Université (NU)-Normandie Université (NU)-Institut National de la Santé et de la Recherche Médicale (INSERM), Institute for Research and Innovation in Biomedicine (IRIB), Normandie Université (NU)-Normandie Université (NU)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Centre National de la Recherche Scientifique (CNRS), UNIROUEN - UFR Santé (UNIROUEN UFR Santé), Normandie Université (NU)-Normandie Université (NU), Centre hospitalier Saint-Brieuc, Centre Hospitalier d'Aix en Provence [Aix-en-Provence] (CHIAP ), Clinique Pasteur [Toulouse], Centre hospitalier Saint-Joseph [Paris], Service de Néphrologie, Dialyse, Transplantations [CHU Limoges], CHU Limoges, Service d'urologie, andrologie et transplantation rénale, Université Bordeaux Segalen - Bordeaux 2-CHU Bordeaux [Bordeaux]-Groupe hospitalier Pellegrin, Normandie Université (NU)-Normandie Université (NU)-Centre National de la Recherche Scientifique (CNRS)-Institut National de la Santé et de la Recherche Médicale (INSERM)
Rok vydání: 2018
Předmět:
Nephrology
Retrograde ejaculation
Ablation Techniques
Male
medicine.medical_specialty
Ejaculatory dysfunction
Side effect
Ejaculation
Urology
Enucleation
030232 urology & nephrology
MESH: Ablation Techniques
Embolization
Therapeutic
Prostate/blood supply
Prosthesis Implantation
Sexual Dysfunction
Physiological/etiology
Prostatic Hyperplasia
Lasers
Solid-State
[SDV.MHEP.UN]Life Sciences [q-bio]/Human health and pathology/Urology and Nephrology
03 medical and health sciences
0302 clinical medicine
Prostate
Lower urinary tract symptoms
Internal medicine
medicine
Humans
Minimally Invasive Surgical Procedures
Benign prostatic hyperplasia
business.industry
Transurethral Resection of Prostate
Endoscopy
medicine.disease
Urination Disorders
Endoscopic surgery
Prostatic artery embolization
3. Good health
Urinary Bladder Neck Obstruction
Sexual Dysfunction
Physiological
Steam
medicine.anatomical_structure
030220 oncology & carcinogenesis
Laser Therapy
Ejaculation preservation
business
Zdroj: World Journal of Urology
World Journal of Urology, Springer Verlag, 2019, 37 (2), pp.299-308. ⟨10.1007/s00345-018-2368-6⟩
ISSN: 1433-8726
0724-4983
DOI: 10.1007/s00345-018-2368-6⟩
Popis: International audience; PURPOSE:Ejaculatory 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.METHODS:A 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".RESULTS:The 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.CONCLUSIONS:Non-ablative therapies and modified endoscopic surgical techniques seemed to be reasonable options for patients eager to preserve their ejaculatory functions.
Databáze: OpenAIRE
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