MP62-03 EJACULATION-PRESERVING GREENLIGHT PHOTOVAPORIZATION: SHORT- AND LONG TERM RESULTS

Abstract

You have accessJournal of UrologyBenign Prostatic Hyperplasia: Surgical Therapy & New Technology I1 Apr 2018MP62-03 EJACULATION-PRESERVING GREENLIGHT PHOTOVAPORIZATION: SHORT- AND LONG TERM RESULTS Steeve DOIZI and Bertrand LUKACS Steeve DOIZISteeve DOIZI More articles by this author and Bertrand LUKACSBertrand LUKACS More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2018.02.2004AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Loss of antegrade ejaculation is a risk with benign prostatic obstruction relief surgery whatever the technique used. The aim of this study was to determine the short- and long-term preservation of antegrade ejaculation and functional results with ejaculation-preserving Greenlight photovaporization. METHODS All consecutive patients with LUTS and sexually active scheduled for BPO relief surgery in a tertiary reference center were included in this prospective evaluation between January 2010 and December 2013. All patients were offered a surgical treatment with preservation of the ejaculatory function and were informed of the risk of failure and early recurrence of LUTS with the need of medication or surgery. Endpoints were change in objective (uroflowmetry, postvoid residual [PVR]), and subjective (International Prostate Symptoms Score [IPSS], Life Quality Index [LQI]; Danish prostate symptom score sex questionnaire (DAN-PSSsex). Evaluation was performed at 1-3, 3-6, 6-12, 12-24, 24-36, >36 months. RESULTS Overall, 65 patients with mean age of 62.15 years were included. Antegrade ejaculation was preserved in 59 of 65 (90.7%) patients at 1-3 months (Table 1). This rate remained constant until 24-36 months. Significant improvements in maximum flow rate, micturition volume, and PVR were observed at 3 months. Micturition symptoms, as measured by IPSS and LQI, were also significantly reduced. Improvements were maintained up to 36 months (Table 2). No serious adverse events were reported. Seven (10.8%) patients received a second ejaculation-preserving Greenlight photovaporization due to recurrence in symptoms. CONCLUSIONS Antegrade ejaculation was preserved with the use of ejaculation-preserving Greenlight photovaporization with excellent outcome. Observed symptomatic and functional outcomes were comparable with conventional TURP. The results from this study underline the necessity of reviewing the old concept of ejaculation physiology. © 2018FiguresReferencesRelatedDetails Volume 199Issue 4SApril 2018Page: e832-e833 Advertisement Copyright & Permissions© 2018MetricsAuthor Information Steeve DOIZI More articles by this author Bertrand LUKACS More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...