Presentation Authors: Giordano Salvatore, Ian Coman, Cluj Napoca, Romania, Umberto Besana, Alberto Calori, Carlo Buizza, Busto Arsizio VA, Italy, Giorgio Bozzini*, Gallarate, Italy
Introduction: To assess the effect of ES-ThuLEP on sexual function in a group of patients with LUTS secondary to BPH. To evaluate how surgical technique in ES-ThuLEP can lead to ejaculatory function sparing.
Methods: Prospective study that analyzes changes in sexual function and urinary symptoms in a group of 283 patients that underwent ES-ThuLEP. To assess the changes on erection and ejaculation, urinary symptoms and their interference on quality of life, two validated questionnaires were used: ICIQ-MLUTSsex and MSHQ-EjD. Patients were evaluated before surgery and 3 and 6 months after ES-ThuLEP. Patients with previous prostatic surgery and evidence of ED were excluded. Statistical analysis was performed by the Student t and chi-square Test and logistic regression analysis. For all statistical comparisons significance was considered at p < 0.05.
Results: Mean age was 64.21 years. Erectile function was conserved in 95.05% and 100% of the pts at three and six months respectively. Ejaculatory function was spared in 203 pts (71.73%) at three months and in 219 pts (77.38%) at six. No significant differences were observed about erectile function before and after surgery. The ES-THULEP surgical technique do not lead to any obstructive LUTS in the follow up period.
Conclusions: ES-ThuLEP can spare ejaculatory function in a selected cohort of patients with no effects on disobstruction. Although endoscopic management of BPH (TURP and new technologies) causes retrograde ejaculation, ES-ThuLEP can offer a postoperative conserved ejaculation in the majority of cases.