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Ejaculatory Hood-Sparing Vaporization of the Prostate and Its Impact on Erectile, Ejaculatory, and Sexual Function
To assess the impact of ejaculatory hood (EH)-sparing transurethral vaporization of the prostate (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 La...
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| Published in: | Urology (Ridgewood, N.J.) N.J.), 2020-10, Vol.144, p.177-181 |
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| container_title | Urology (Ridgewood, N.J.) |
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| creator | Brant, Aaron Cho, Ahra Posada Calderon, Lina Te, Alexis Kashanian, James Chughtai, Bilal |
| description | To assess the impact of ejaculatory hood (EH)-sparing transurethral vaporization of the prostate (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 or Bipolar Button Plasma Vaporization of the Prostate from August 2016 to 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 postoperatively. We compared preprocedure sexual function with postprocedure sexual function at 1- and 3-month intervals. A logistic regression model was used to identify predictors of improvement in sexual function.
Twenty-five patients underwent EH-sparing TUVP from August 2016 to March 2018. At 3-months postoperatively, patients had significant improvement in erection score (12 vs 9, P = .04) and erection bother score (5 vs 3.5, P |
| doi_str_mv | 10.1016/j.urology.2020.06.072 |
| format | article |
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We studied 25 patients who underwent EH-sparing Photo Selective Vaporization of the Prostate using the Greenlight Laser or Bipolar Button Plasma Vaporization of the Prostate from August 2016 to 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 postoperatively. We compared preprocedure sexual function with postprocedure sexual function at 1- and 3-month intervals. A logistic regression model was used to identify predictors of improvement in sexual function.
Twenty-five patients underwent EH-sparing TUVP from August 2016 to March 2018. At 3-months postoperatively, patients had significant improvement in erection score (12 vs 9, P = .04) and erection bother score (5 vs 3.5, P <.01) compared to baseline. They also had improvement in ejaculation score (26 vs 23, P = .03), ejaculation bother score (5 vs 4, P = .01), and total MSHQ score (87.5 vs 73, P = .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 = .03).
At 3 months postoperatively, 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.</description><identifier>ISSN: 0090-4295</identifier><identifier>EISSN: 1527-9995</identifier><identifier>DOI: 10.1016/j.urology.2020.06.072</identifier><identifier>PMID: 32711008</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Aged ; Ejaculation - physiology ; Humans ; Laser Therapy - adverse effects ; Laser Therapy - methods ; Male ; Middle Aged ; Organ Sparing Treatments - adverse effects ; Organ Sparing Treatments - methods ; Penile Erection - physiology ; Plasma Gases - therapeutic use ; Prospective Studies ; Prostate - physiopathology ; Prostate - surgery ; Prostatectomy - adverse effects ; Prostatectomy - methods ; Prostatic Hyperplasia - complications ; Prostatic Hyperplasia - physiopathology ; Prostatic Hyperplasia - surgery ; Treatment Outcome</subject><ispartof>Urology (Ridgewood, N.J.), 2020-10, Vol.144, p.177-181</ispartof><rights>2020</rights><rights>Copyright © 2020. Published by Elsevier Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c365t-5a45c83effbbe4271b9d8e4c403b34c4e1a630661e5aea469f7602ba6a54f7593</citedby><cites>FETCH-LOGICAL-c365t-5a45c83effbbe4271b9d8e4c403b34c4e1a630661e5aea469f7602ba6a54f7593</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27903,27904</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32711008$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Brant, Aaron</creatorcontrib><creatorcontrib>Cho, Ahra</creatorcontrib><creatorcontrib>Posada Calderon, Lina</creatorcontrib><creatorcontrib>Te, Alexis</creatorcontrib><creatorcontrib>Kashanian, James</creatorcontrib><creatorcontrib>Chughtai, Bilal</creatorcontrib><title>Ejaculatory Hood-Sparing Vaporization of the Prostate and Its Impact on Erectile, Ejaculatory, and Sexual Function</title><title>Urology (Ridgewood, N.J.)</title><addtitle>Urology</addtitle><description>To assess the impact of ejaculatory hood (EH)-sparing transurethral vaporization of the prostate (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 or Bipolar Button Plasma Vaporization of the Prostate from August 2016 to 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 postoperatively. We compared preprocedure sexual function with postprocedure sexual function at 1- and 3-month intervals. A logistic regression model was used to identify predictors of improvement in sexual function.
Twenty-five patients underwent EH-sparing TUVP from August 2016 to March 2018. At 3-months postoperatively, patients had significant improvement in erection score (12 vs 9, P = .04) and erection bother score (5 vs 3.5, P <.01) compared to baseline. They also had improvement in ejaculation score (26 vs 23, P = .03), ejaculation bother score (5 vs 4, P = .01), and total MSHQ score (87.5 vs 73, P = .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 = .03).
At 3 months postoperatively, 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.</description><subject>Aged</subject><subject>Ejaculation - physiology</subject><subject>Humans</subject><subject>Laser Therapy - adverse effects</subject><subject>Laser Therapy - methods</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Organ Sparing Treatments - adverse effects</subject><subject>Organ Sparing Treatments - methods</subject><subject>Penile Erection - physiology</subject><subject>Plasma Gases - therapeutic use</subject><subject>Prospective Studies</subject><subject>Prostate - physiopathology</subject><subject>Prostate - surgery</subject><subject>Prostatectomy - adverse effects</subject><subject>Prostatectomy - methods</subject><subject>Prostatic Hyperplasia - complications</subject><subject>Prostatic Hyperplasia - physiopathology</subject><subject>Prostatic Hyperplasia - surgery</subject><subject>Treatment Outcome</subject><issn>0090-4295</issn><issn>1527-9995</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><recordid>eNqFkMGO0zAQhi0EYsvCI4B85LAJYyd2mhNCqy5baSWQFrhaE2eyuErjYDuI8vS4tCBunObyzT_zf4y9FFAKEPrNrlyCH_3DoZQgoQRdQiMfsZVQsinatlWP2QqghaKWrbpgz2LcAYDWunnKLirZCAGwXrGw2aFdRkw-HPit931xP2Nw0wP_grMP7icm5yfuB56-Ev8YfEyYiOPU822KfLuf0SaeiU0gm9xIV_yfxKvf4D39WHDkN8tkj2HP2ZMBx0gvzvOSfb7ZfLq-Le4-vN9ev7srbKVVKhTWyq4rGoauozo_3LX9mmpbQ9VVeZBAXeVCghQS1rodGg2yQ42qHhrVVpfs9Sl3Dv7bQjGZvYuWxhEn8ks0MofKtmoakVF1Qm0uGAMNZg5uj-FgBJijbrMzZ93mqNuANll33nt1PrF0e-r_bv3xm4G3J4By0e-OgonW0WSpd0dfpvfuPyd-AbxBlQw</recordid><startdate>202010</startdate><enddate>202010</enddate><creator>Brant, Aaron</creator><creator>Cho, Ahra</creator><creator>Posada Calderon, Lina</creator><creator>Te, Alexis</creator><creator>Kashanian, James</creator><creator>Chughtai, Bilal</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>202010</creationdate><title>Ejaculatory Hood-Sparing Vaporization of the Prostate and Its Impact on Erectile, Ejaculatory, and Sexual Function</title><author>Brant, Aaron ; Cho, Ahra ; Posada Calderon, Lina ; Te, Alexis ; Kashanian, James ; Chughtai, Bilal</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c365t-5a45c83effbbe4271b9d8e4c403b34c4e1a630661e5aea469f7602ba6a54f7593</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Aged</topic><topic>Ejaculation - physiology</topic><topic>Humans</topic><topic>Laser Therapy - adverse effects</topic><topic>Laser Therapy - methods</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Organ Sparing Treatments - adverse effects</topic><topic>Organ Sparing Treatments - methods</topic><topic>Penile Erection - physiology</topic><topic>Plasma Gases - therapeutic use</topic><topic>Prospective Studies</topic><topic>Prostate - physiopathology</topic><topic>Prostate - surgery</topic><topic>Prostatectomy - adverse effects</topic><topic>Prostatectomy - methods</topic><topic>Prostatic Hyperplasia - complications</topic><topic>Prostatic Hyperplasia - physiopathology</topic><topic>Prostatic Hyperplasia - surgery</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Brant, Aaron</creatorcontrib><creatorcontrib>Cho, Ahra</creatorcontrib><creatorcontrib>Posada Calderon, Lina</creatorcontrib><creatorcontrib>Te, Alexis</creatorcontrib><creatorcontrib>Kashanian, James</creatorcontrib><creatorcontrib>Chughtai, Bilal</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Urology (Ridgewood, N.J.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Brant, Aaron</au><au>Cho, Ahra</au><au>Posada Calderon, Lina</au><au>Te, Alexis</au><au>Kashanian, James</au><au>Chughtai, Bilal</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Ejaculatory Hood-Sparing Vaporization of the Prostate and Its Impact on Erectile, Ejaculatory, and Sexual Function</atitle><jtitle>Urology (Ridgewood, N.J.)</jtitle><addtitle>Urology</addtitle><date>2020-10</date><risdate>2020</risdate><volume>144</volume><spage>177</spage><epage>181</epage><pages>177-181</pages><issn>0090-4295</issn><eissn>1527-9995</eissn><abstract>To assess the impact of ejaculatory hood (EH)-sparing transurethral vaporization of the prostate (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 or Bipolar Button Plasma Vaporization of the Prostate from August 2016 to 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 postoperatively. We compared preprocedure sexual function with postprocedure sexual function at 1- and 3-month intervals. A logistic regression model was used to identify predictors of improvement in sexual function.
Twenty-five patients underwent EH-sparing TUVP from August 2016 to March 2018. At 3-months postoperatively, patients had significant improvement in erection score (12 vs 9, P = .04) and erection bother score (5 vs 3.5, P <.01) compared to baseline. They also had improvement in ejaculation score (26 vs 23, P = .03), ejaculation bother score (5 vs 4, P = .01), and total MSHQ score (87.5 vs 73, P = .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 = .03).
At 3 months postoperatively, 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.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>32711008</pmid><doi>10.1016/j.urology.2020.06.072</doi><tpages>5</tpages></addata></record> |
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| subjects | Aged Ejaculation - physiology Humans Laser Therapy - adverse effects Laser Therapy - methods Male Middle Aged Organ Sparing Treatments - adverse effects Organ Sparing Treatments - methods Penile Erection - physiology Plasma Gases - therapeutic use Prospective Studies Prostate - physiopathology Prostate - surgery Prostatectomy - adverse effects Prostatectomy - methods Prostatic Hyperplasia - complications Prostatic Hyperplasia - physiopathology Prostatic Hyperplasia - surgery Treatment Outcome |
| title | Ejaculatory Hood-Sparing Vaporization of the Prostate and Its Impact on Erectile, Ejaculatory, and Sexual Function |
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