To the Editor, In recent years, alternative solutions have been proposed to obtain effective results comparable to TURP, which is currently considered the gold standard, and laser vapo-enucleation techniques (1, 2), but with the possibility of maintaining sexual functions.
In recent years there has been a growing trend towards ejaculation preservation. Although the results of TURP (3), and most laser enucleation techniques are undoubted in the Benign Prostatic Hyperplasia (BPH) and Lower Urinary Tract Symptoms (LUTS) management, they often lack in the preservation of ejaculation. All the alternative recently proposed interventions (Rezum, AquaBeam, Urolift, TPLA, i-TIND, LEST) are procedures considered by some authors to be promising in both managing BPO and preserving sexual functions. However, all these methods are limited by a lack of long-term follow-up that would evaluate the efficacy over time, possible complications related to the method and the correct patient selection for a specific method. The aim of this letter is to summarize the available evidence and provide clinicians with practical recommendations on the use of the brand new minimally invasive techniques for the management of BPO. [...].
Archivio italiano di urologia, andrologia : organo ufficiale [di] Societa italiana di ecografia urologica e nefrologica. 2023 Dec 20 [Epub ahead of print]
Rosario Leonardi, Francesca Ambrosini, Rafaela Malinaric, Angelo Cafarelli, Alessandro Calarco, Renzo Colombo, Ottavio De Cobelli, Ferdinando De Marco, Giovanni Ferrari, Giuseppe Ludovico, Stefano Pecoraro, Domenico Tuzzolo, Carlo Terrone, Guglielmo Mantica
Urologi Ospedalità Gestione Privata (UrOP); Casa di Cura Musumeci GECAS, Gravina di Catania. ., IRCCS Ospedale Policlinico San Martino, Genova. ., IRCCS Ospedale Policlinico San Martino, Genova. ., Urologi Ospedalità Gestione Privata (UrOP); Urology Unit, Villa Igea, Ancona. ., Urologi Ospedalità Gestione Privata (UrOP); Villa Pia Hospital, Via Folco Portinari 5, Rome. ., Urologi Ospedalità Gestione Privata (UrOP); Department of Urology, Vita e Salute San Raffaele University, Milan. ., Urologi Ospedalità Gestione Privata (UrOP); Department of Urology, IEO European Institute of Oncology, IRCCS, Milan. ., Urologi Ospedalità Gestione Privata (UrOP); I.N.I. Grottaferrata, Roma. ., Urologi Ospedalità Gestione Privata (UrOP); Hesperia Hospital, Modena. ., Urologi Ospedalità Gestione Privata (UrOP); Ospedale Miulli, Acquaviva delle Fonti, Bari. ., Urologi Ospedalità Gestione Privata (UrOP); NEUROMED, Avellino. ., Urologi Ospedalità Gestione Privata (UrOP). ., IRCCS Ospedale Policlinico San Martino, Genova; Department of Surgical and Diagnostic Integrated Sciences (DISC), University of Genova, Genova. ., Urologi Ospedalità Gestione Privata (UrOP); IRCCS Ospedale Policlinico San Martino, Genova; Department of Surgical and Diagnostic Integrated Sciences (DISC), University of Genova, Genova. .
PubMed http://www.ncbi.nlm.nih.gov/pubmed/38117214