OBJECTIVE: We aimed to assess the impact of Tm:YAG prostate surgery on sexual outcomes (erectile and ejaculatory function) and compare them with those patients undergoing TURP.
METHODS: We searched digital databases like PUBMED, SCOPUS, CENTRAL and EMBASE using relevant keywords to identify comparative studies on TURP and non-comparative studies on Tm:YAG prostate surgery that assessed sexual outcomes. We performed qualitative and quantitative analyses with the extracted data. We carried out a meta-analysis to compare postoperative International Index of Erectile Function (IIEF-5) scores and incidences of retrograde ejaculation (RE) in patients undergoing either Tm:YAG or TURP. The pre-operative and post-operative IIEF-5 scores were pooled to estimate overall scores.
RESULTS: We included 5 comparative and 8 non-comparative studies in this review. We found the postoperative IIEF-5 score improvements to be significantly higher in the Tm:YAG prostate surgery group than in the TURP group with a significant mean difference (MD) of 0.45 (95% CI, 0.18 to 0.72; P = .001). We found no significant associations between the procedures. The pooled OR for the association of RE was estimated at 0.90 (95% CI, 0.50 to 1.60; P = .71; I2 = 0%).
CONCLUSIONS: Tm:YAG prostate surgery improves erectile function more than TURP, according to our findings. Tm:YAG prostate aided surgery also outperforms TURP in terms of preserving sexual function following surgery.However, We found similar or no difference in incidence of RE between Tm:YAG prostate surgery and TURP. Bibo L, Hao L, Pang K, et al. Assessment of Sexual Outcomes in Patients Undergoing Thulium Laser Prostate Surgery for Management of Benign Prostate Hyperplasia: A Systematic Review and Meta-analysis. Sex Med 2022;10:100483.
目的:我们旨在评估Tm:YAG前列腺手术对性结局(勃起和射精功能)的影响,并与接受TURP的患者进行比较。
方法:我们搜索了像PUBMED这样的数字数据库,Scopus,CENTRAL和EMBASE使用相关关键词来确定TURP的比较研究和Tm:YAG前列腺手术的非比较研究,以评估性结果。我们对提取的数据进行了定性和定量分析。我们进行了一项荟萃分析,以比较接受Tm:YAG或TURP的患者术后国际勃起功能指数(IIEF-5)评分和逆行射精(RE)的发生率。合并术前和术后IIEF-5评分以估计总分。
结果:我们纳入了5项比较研究和8项非比较研究。我们发现,Tm:YAG前列腺手术组术后IIEF-5评分改善明显高于TURP组,平均差异(MD)为0.45(95%CI,0.18至0.72;P=.001)。我们发现这些程序之间没有显著的关联。RE关联的合并OR估计为0.90(95%CI,0.50至1.60;P=.71;I2=0%)。
结论:Tm:YAG前列腺手术比TURP更能改善勃起功能,根据我们的发现。Tm:YAG前列腺辅助手术在手术后保留性功能方面也优于TURP。然而,我们发现Tm:YAG前列腺手术和TURP之间的RE发生率相似或没有差异。BiboL,郝L,庞K,etal.对接受thulium激光前列腺手术治疗良性前列腺增生患者的性结局进行评估:系统评价和荟萃分析。SexMed2022;10:100483。