{Reference Type}: Journal Article
{Title}: Do patients have to choose between ejaculation and miction? A systematic review about ejaculation preservation technics for benign prostatic obstruction surgical treatment.
{Author}: Lebdai S;Chevrot A;Doizi S;Pradere B;Delongchamps NB;Benchikh A;Cornu JN;Della Negra E;Fourmarier M;Misraï V;Theveniaud PE;Descazeaud A;Robert G; ;
{Journal}: World J Urol
{Volume}: 37
{Issue}: 2
{Year}: Feb 2019
{Factor}: 3.661
{DOI}: 10.1007/s00345-018-2368-6
{Abstract}: <B>OBJECTIVE: </B>Ejaculatory dysfunction is the most common side effect related to surgical treatment of benign prostatic obstruction (BPO). Nowadays, modified surgical techniques and non-ablative techniques have emerged with the aim of preserving antegrade ejaculation. Our objective was to conduce a systematic review of the literature regarding efficacy on ejaculatory preservation of modified endoscopic surgical techniques, and mini-invasive non-ablatives techniques for BPO management.<BR><B>METHODS: </B>A systematic review of the literature was carried out on the PubMed database using the following MESH terms: "Prostatic Hyperplasia/surgery" and "Ejaculation", in combination with the following keywords: "ejaculation preservation", "photoselective vaporization of the prostate", "photoselective vapo-enucleation of the prostate", "holmium laser enucleation of the prostate", "thulium laser", "prostatic artery embolization", "urolift", "rezum", and "aquablation".<BR><B>RESULTS: </B>The ejaculation preservation rate of modified-TURP ranged from 66 to 91%. The ejaculation preservation rate of modified-prostate photo-vaporization ranged from 87 to 96%. The only high level of evidence studies available compared prostatic urethral lift (PUL) and aquablation versus regular TURP in prospective randomized-controlled trials. The ejaculation preservation rate of either PUL or aquablation compared to regular TURP was 100 and 90 versus 34%, respectively.<BR><B>CONCLUSIONS: </B>Non-ablative therapies and modified endoscopic surgical techniques seemed to be reasonable options for patients eager to preserve their ejaculatory functions.