Benign Prostatic Hyperplasia, Ejaculation
Conditions
Brief summary
evaluate the factors predicting the success of ejaculation-sparing TURP in patients with BPH after surgery, in terms of voiding improvement and preserved ejaculation post-operatively.
Interventions
In our study, we performed an EP-TURP technique, which is adopted in our institute and involves the preservation of 1 cm of urethral mucosa all around the verumontanum, including the prostatic apical urethral mucosa, with adequate resection of the prostatic adenoma, including the apical prostatic tissue, which was resected lateral to the spared urethral mucosa to ensure adequate management of the outflow obstruction. (8). Bi-polar TURP was performed using a 26 Fr. Resectoscope (Karl Storz, Tuttlingen, Germany) and Karl Storz- AUTOCON® IV. Intraoperative cystoscopic evaluation and documentation of the prostatic anatomy were done. SML was measured cystoscopically using a 22 Fr sheath with centimeter markings. Operative time, perioperative complications, catheterization duration, and hospital stay were recorded. Urethral catheter removal was planned after 24-48 hours unless prolonged catheterization was clinically indicated.
Sponsors
Study design
Eligibility
Inclusion criteria
* sexually active male patient with normal ejaculatory function * upper urinary tract affection and renal insufficiency. * Chronic Urinary Retention * Patients with failed medical therapy. * Patients not compliant to medical treatment * Patients with recurrent hematuria or recurrent lower urinary tract infections
Exclusion criteria
* Patients with an anterior urethral stricture * Patients with history of urethral operations * Patients with previous prostatic surgery * Patients with neurological disorders * Non sexually active patients
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Preservation of antegrade ejaculation at 3 months | 3 months | The primary outcome was to assess the post operative ejaculation at 3 months using Male Sexual Health Questionnaire for ejaculatory dysfunction short form (MSHQ-Ej.D-SF). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| post-operative post-voiding residual volume | 3 months | Measurement of post-operative post-voiding residual volume by Pelvi-abdominal Ultrasound |
Countries
Egypt