Abstract：
OBJECTIVE: Ejaculatory dysfunction is the most common side effect of benign prostatic hyperplasia surgery. Modified techniques have emerged with the aim of preserving antegrade ejaculation without compromising obstruction relief. None are standardized or validated. The PARTURP study is a randomized study investigating partial versus complete prostate resection. We conducted an investigator consensus meeting to define the ideal surgical technique to achieve both correct obstruction relief with ejaculation preservation.
METHODS: An expert consensus meeting involving all investigators of the PARTURP study took place to define a common technique using the nominal group methodology. The objectives were to define the areas to be resected and the areas to be preserved; to define the criteria for proper obstruction relief; to define the criteria for proper ejaculation preservation.
RESULTS: All investigators (n = 15) attended the consensus meeting, and agreement between all the participants was obtained. The anatomical landmarks to be preserved are located around the verumontanum and along the posterior part of the prostatic urethra. These structures must be preserved up to 2 cm from the verumontanum. The participants agreed on the need to preserve the urethral mucosa in all the areas to be preserved and to reach the enucleation plane in the areas of resection.
CONCLUSIONS: Anatomical landmarks for ejaculation-sparing surgery have been defined by the investigators of the PARTURP randomized study. These landmarks will be used during the study, and the clinical outcomes of this ejaculation-sparing technique will be compared with complete resection with up to 3 years follow-up.
METHODS: An expert consensus meeting involving all investigators of the PARTURP study took place to define a common technique using the nominal group methodology. The objectives were to define the areas to be resected and the areas to be preserved; to define the criteria for proper obstruction relief; to define the criteria for proper ejaculation preservation.
RESULTS: All investigators (n = 15) attended the consensus meeting, and agreement between all the participants was obtained. The anatomical landmarks to be preserved are located around the verumontanum and along the posterior part of the prostatic urethra. These structures must be preserved up to 2 cm from the verumontanum. The participants agreed on the need to preserve the urethral mucosa in all the areas to be preserved and to reach the enucleation plane in the areas of resection.
CONCLUSIONS: Anatomical landmarks for ejaculation-sparing surgery have been defined by the investigators of the PARTURP randomized study. These landmarks will be used during the study, and the clinical outcomes of this ejaculation-sparing technique will be compared with complete resection with up to 3 years follow-up.
摘要：
目的：射精功能障碍是前列腺增生手术中最常见的副作用。改进的技术已经出现，目的是在不损害阻塞缓解的情况下保持顺行射精。没有标准化或验证。PARTURP研究是一项研究部分与完全前列腺切除术的随机研究。我们进行了一次研究者共识会议，以定义理想的手术技术，以实现保留射精的同时正确缓解梗阻。
方法：召开了PARTURP研究的所有研究者的专家共识会议，以使用名义分组方法定义通用技术。目标是定义要切除的区域和要保留的区域；定义适当解除障碍的标准；定义适当保存射精的标准。
结果：所有研究人员（n=15）参加了共识会议，并获得了所有参与者之间的协议。要保留的解剖标志位于Verumontanum周围和前列腺尿道的后部。这些结构必须保存到距离Verumontanum2厘米处。参与者同意需要保留所有要保留的区域的尿道粘膜，并在切除区域到达摘除平面。
结论：PARTURP随机研究的研究者已经确定了射精手术的解剖标志。这些地标将在研究期间使用，这种保留射精技术的临床结果将与完全切除和长达3年的随访进行比较。
方法：召开了PARTURP研究的所有研究者的专家共识会议，以使用名义分组方法定义通用技术。目标是定义要切除的区域和要保留的区域；定义适当解除障碍的标准；定义适当保存射精的标准。
结果：所有研究人员（n=15）参加了共识会议，并获得了所有参与者之间的协议。要保留的解剖标志位于Verumontanum周围和前列腺尿道的后部。这些结构必须保存到距离Verumontanum2厘米处。参与者同意需要保留所有要保留的区域的尿道粘膜，并在切除区域到达摘除平面。
结论：PARTURP随机研究的研究者已经确定了射精手术的解剖标志。这些地标将在研究期间使用，这种保留射精技术的临床结果将与完全切除和长达3年的随访进行比较。
