To assess the impact of Ejaculatory Hood (EH)-sparing TUVP on sexual function, with a specific focus on erectile and ejaculatory function.
We studied 25 patients who underwent EH-sparing Photo Selective Vaporization of the Prostate using the Greenlight Laser (PVP) or Bipolar Button Plasma Vaporization of the Prostate (BPVP) from August 2016 - March 2018.
All patients were sexually active with anterograde ejaculation prior to treatment. Patients completed the Male Sexual Health Questionnaire (MSHQ) and AUA Symptom Score pre- and post-operatively. We compared pre-procedure sexual function with post-procedure sexual function at 1- and 3-month intervals. A logistic regression model was used to identify predictors of improvement in sexual function.
25 patients underwent EH-sparing TUVP from August 2016 - March 2018. At 3-months postoperatively, patients had significant improvement in erection score (12 vs. 9, p=0.04) and erection bother score (5 vs. 3.5, p<0.01) compared to baseline. They also had improvement in ejaculation score (26 vs. 23, p=0.03), ejaculation bother score (5 vs. 4, p=0.01), and total MSHQ score (87.5 vs. 73, p=0.01). Anterograde ejaculation was preserved in 80.0% of patients. Logistic regression identified higher AUA score severity as an independent predictor of MSHQ score improvement (1.32, CI: 1.03 - 1.69, p=0.03).
At 3 months post-operatively, the majority of men who underwent EH-sparing TUVP had preserved anterograde ejaculation and improved overall sexual function based on MSHQ survey. This validates EH-sparing TUVP in men with BPH who wish to maintain sexual function.
Urology. 2020 Jul 22 [Epub ahead of print]
Aaron Brant, Ahra Cho, Lina Posada, Alexis Te, James Kashanian, Bilal Chughtai
Department of Urology, Weill Cornell Medical College/New York Presbyterian, New York, NY, USA., Department of Urology, Weill Cornell Medical College/New York Presbyterian, New York, NY, USA. Electronic address: .
PubMed http://www.ncbi.nlm.nih.gov/pubmed/32711008