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Ejaculatory-sparing transurethral prostatectomy: a meta-analysis of randomized controlled trials
Mohamed Ramez1, Ahmed E Abolazm1, Ahmed R El-Nahas1
1Urology Department, Urology and Nephrology Center, Mansoura University, Mansoura, Egypt.
Sexual Medicine Reviews
|August 14, 2024
Summary
Ejaculatory-sparing prostatectomy effectively preserves ejaculation in men with benign prostatic hyperplasia (BPH). This approach maintains similar voiding symptom relief compared to traditional methods, offering a better quality of life.
Area of Science:
- Urology
- Surgical Innovation
- Men's Health
Background:
- Benign prostatic hyperplasia (BPH) is a common condition causing lower urinary tract symptoms (LUTS).
- Transurethral prostatectomy is a standard surgical treatment for BPH-related LUTS.
- There's a growing need for BPH surgical techniques that minimize impact on sexual and ejaculatory functions.
Purpose of the Study:
- To evaluate patient-reported outcomes of ejaculatory-sparing transurethral prostatectomy for BPH management.
- To compare the efficacy and functional outcomes of ejaculatory-sparing techniques against standard procedures.
Main Methods:
- Systematic search of Cochrane Library, Scopus, PubMed, and Web of Science databases.
- Inclusion of randomized controlled trials on ejaculatory-sparing transurethral prostatectomy.
- Quality assessment using the Cochrane risk-of-bias tool and meta-analysis of numerical and categorical data.
Main Results:
- Five randomized controlled trials involving 274 patients were analyzed.
- No significant differences were observed in International Prostate Symptom Score, Qmax, or International Index of Erectile Function between techniques.
- Ejaculatory-sparing techniques demonstrated significantly better preservation of ejaculation (RR, 0.19; P < .00001).
Conclusions:
- Ejaculatory-sparing transurethral prostatectomy is a viable option for BPH treatment.
- These techniques successfully preserve ejaculatory function.
- The approach offers comparable improvements in voiding outcomes without compromising sexual function.
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