Related Experiment Video
Updated: Jul 21, 2025

Author Spotlight: Advanced Treatment of Seminal Duct Blockage Employing Endoscopy-Mediated Semen Channel Refluviation
Published on: December 8, 2023
Ejaculation physiology and dysfunction after BPH surgery: the role of the new MISTs
Mattia Sibona1, Paolo Destefanis2, Eugenia Vercelli2
1Urology Clinic, Department of Surgical Sciences, AOU Città della Salute e della Scienza - Molinette Hospital, University of Turin, Turin, Italy. mattia.sibona@gmail.com.
New surgical techniques and technologies are improving ejaculation-sparing surgery for Benign Prostatic Hyperplasia (BPH), offering better quality of life for patients experiencing ejaculatory dysfunction.
Area of Science:
- Urology
- Reproductive Medicine
- Surgical Innovation
Background:
- Human ejaculation is a complex function, and its loss after Benign Prostatic Hyperplasia (BPH) surgery significantly impacts patient quality of life.
- Ejaculatory dysfunction following BPH treatment has been a long-standing concern for patients.
- Advancements in surgical techniques and technology aim to mitigate this issue.
Purpose of the Study:
- To provide a state-of-the-art analysis of the anatomical and physiological basis of human ejaculation.
- To explore the clinical applications of ejaculation-sparing principles in BPH surgery.
- To propose a novel physiological model for antegrade ejaculation.
Main Methods:
- Anatomical analysis of the
Main Results:
- Analysis of the ejaculatory apparatus from an anatomical perspective.
- Investigation of physio-pathological models of ejaculation, challenging the traditional
- Conclusions: [
- Modified surgical techniques and new technologies have revolutionized perspectives on human ejaculation.
- Recent clinical evidence challenges and overcomes previously established functional paradigms.
- Minimally Invasive Surgical Techniques (MISTs) are pivotal in this advancement, ushering in a new era for BPH surgery.
Conclusions:
- Modified surgical techniques and new technologies have revolutionized perspectives on human ejaculation.
- Recent clinical evidence challenges and overcomes previously established functional paradigms.
- Minimally Invasive Surgical Techniques (MISTs) are pivotal in this advancement, ushering in a new era for BPH surgery.
Related Concept Videos
Male Sexual Response: Erection & Ejaculation
The blood filling the erectile tissues compresses the veins, which helps to prevent blood from leaving...
Disorders of the Male Reproductive System
Prostate disorders are another major concern. These conditions can impair urinary flow due to the prostate's location around the urethra....
The Micturition Reflex
The process begins with bladder filling, where the bladder wall stretches as urine accumulates. This stretching activates the urine storage reflex, mediated by the sacral spinal segments and the pontine storage center. Efferent sympathetic impulses stimulate the detrusor muscle to relax and the internal urethral sphincter to contract, facilitating...
Anatomy of the Genitourinary System II: Bladder and Urethra
Penis
Anatomy of the Penis
The glans penis, or the head, is the terminal part of the penis and houses the external urethral orifice, the exit point for urine and semen. Covered by the prepuce, or foreskin, the glans is noted for its sensitivity and plays a key role in sexual pleasure. The body of the...
Accessory Glands of the Male Reproductive System
The epididymis is a small, comma-shaped organ located at the back of each testicle. The epididymis can be divided into three main parts: the head, body, and tail. The head of the epididymis...

