A randomized prospective study of the efficacy of ejaculation- preserving bipolar transurethral resection of prostate
Abdulmoaty, M., Elhawy, M., Tawfik, E., Abdelgawad, A. (2023). A randomized prospective study of the efficacy of ejaculation- preserving bipolar transurethral resection of prostate. EKB Journal Management System, (), -. doi: 10.21608/mjmr.2023.221039.1450
Mohamed Hasanain Abdulmoaty; Mamdouh Abdelhameed Elhawy; Ehab Refaat Tawfik; Ahmed Hakeem Abdelgawad. "A randomized prospective study of the efficacy of ejaculation- preserving bipolar transurethral resection of prostate". EKB Journal Management System, , , 2023, -. doi: 10.21608/mjmr.2023.221039.1450
Abdulmoaty, M., Elhawy, M., Tawfik, E., Abdelgawad, A. (2023). 'A randomized prospective study of the efficacy of ejaculation- preserving bipolar transurethral resection of prostate', EKB Journal Management System, (), pp. -. doi: 10.21608/mjmr.2023.221039.1450
Abdulmoaty, M., Elhawy, M., Tawfik, E., Abdelgawad, A. A randomized prospective study of the efficacy of ejaculation- preserving bipolar transurethral resection of prostate. EKB Journal Management System, 2023; (): -. doi: 10.21608/mjmr.2023.221039.1450

A randomized prospective study of the efficacy of ejaculation- preserving bipolar transurethral resection of prostate

Minia Journal of Medical Research
Articles in Press, Accepted Manuscript, Available Online from 06 August 2023  XML
Document Type: Original Article
DOI: 10.21608/mjmr.2023.221039.1450
View on SCiNiTO View on SCiNiTO
Authors
Mohamed Hasanain Abdulmoaty email 1; Mamdouh Abdelhameed Elhawy2; Ehab Refaat Tawfik3; Ahmed Hakeem Abdelgawad4
1Urology department , faculty of medicine, minia university , Minya , Egypt
2Urology , faculty of medicine , minia university, minia, Egypt
3Urology, faculty of medicine, minia university, minia, Egypt
4Urology , faculty of medicine, minia university, minia, Egypt
Abstract
Introduction: Bladder outlet blockage is a typical side effect of BPH in elderly men. When conservative therapy fails, surgical intervention [TURP] can produce satisfactory clinical and functional results. We changed the standard TURP approach to prevent resection of bladder neck and supramontanal tissues in order to maintain forward ejaculation.



Patients and Methods: Minia Urology Hospital's outpatient clinic conducted a prospective randomized trial to assess the preservation of antegrade ejaculation following bipolar TURP. The research included 40 male patients with normal sexual activity who had BPE and were candidates for surgery. The trial comprised men who had failed normal medical therapy for prolonged urine retention, infection, or hematuria. There was no evidence of prostate cancer, neurogenic bladder, urethral strictures, or sexual or ejaculation difficulties. All surgeries were carried out using a standard resectoscope and an ERBE BISTOURI VIO 300D with bipolar resection box.



Results: The present study included 40 males who had normal sexual activity and benign prostatic enlargement. The median age was 63.6 years. When compared to preoperative values, postoperative IPSS, IIEF, and ejaculation preservation are substantial.

Conclusion: The epTURP method was created as a successful minimally invasive surgery for patients experiencing severe urinary obstructive symptoms as a result of BPE and the need to sustain ejaculation. Bipolar TURP that preserves bladder neck and supramontanal ejaculation outperforms standard TURP in terms of forward ejaculation preservation, with equivalent effectiveness in micturition parameters.

Key Words: TURP, retrograde ejaculation, IPSS, IIEF, ejaculation preservation
Keywords
Key Words: TURP( transuretheral resection of prostate); retrograde ejaculation; IPSS(International prostate symptom score); IIEF( International index of erctile function); ejaculation preservation
Statistics
Article View: 306