Category: BPH/LUTS: Outcomes & Complications

MP11-15 - A Novel Technique For Ejaculation Preserving Trans-Urethral Bipolar Prostatectomy: Enucleation Versus Resection

Fri, Sep 21
2:00 PM - 4:00 PM

Introduction & Objective :

To assess the feasibility and safety of a novel Ejaculation Preserving Trans-Urethral Bipolar Prostatectomy (ep-TUBP) and compare the resection technique versus the enucleation technique.


Methods :

After obtaining local ethics approval, a total of 100 consecutive patients with Benign Prostatic Obstruction (BPO) and normal sexual activity were enrolled from June 2015 to June 2016. These patients were selectively randomized into two groups; 50 patients in each group. Group (1) underwent ejaculation preserving transurethral bipolar enucleation of prostate (ep-TUBEP) and group (2) underwent ejaculation preserving transurethral bipolar resection of prostate (ep-TUBRP). All patients were evaluated pre- and post-operatively using the maximum flow rate (Q-max), post-void residual urine (PVR), international prostate symptom score (IPSS) and the International Index of Erectile Function (IIEF-5) including two additional questions evaluating ejaculation and orgasm. All patients were followed-up at 1, 3, and 6 months.


Results :

Overall, 100, 98 and 97 patients were evaluated at 1, 3 and 6 months, respectively. All pre-operative parameters were comparable between the two groups (Table 1). At 1-month follow-up, antegrade ejaculation was preserved in 88 of 100 (88%) “45 patients in group (1) and 43 patients in group (2)”. In addition, there was significant improvements in the Q-max (from 6.54±1.72ml/sec to 15.38±3.02 ml/sec), and PVR (from 94.4±41.85 ml to 25.04±32.72 ml), and IPSS (from 21.7±6.6 to 11.72±2.39) compared with the preoperative measurements. Moreover, these improvements were maintained at 3 and 6 months follow-up visits (all p-values were<0.001) (Figure 1). No serious adverse events were reported.


Conclusions :

The ep-TUBP seems safe and effective for preservation of antegrade ejaculation with either the resection or the enucleation technique.

Yasser A. Noureldin

Assistant Professor of Urology
Faculty of Medicine, Benha University, Benha, Egypt
Benha, Al Qalyubiyah, Egypt

Ahmed Abou-Taleb

Benha Faculty of Medicine, Benha University, Benha, Egypt
Benha, Al Qalyubiyah, Egypt

Abdallah Fathy

Benha Faculty of Medicine, Benha University, Benha, Egypt
Benha, Al Qalyubiyah, Egypt

Shabeib Ahmed

Benha Faculty of Medicine, Benha University, Benha, Egypt
Benha, Al Qalyubiyah, Egypt

Wael Kandeel

Benha Faculty of Medicine, Benha University, Benha, Egypt
Benha, Al Qalyubiyah, Egypt

Ahmed Sebaey

Benha Faculty of Medicine, Benha University, Benha, Egypt
Benha, Al Qalyubiyah, Egypt

Walid El Shaer

Benha Faculty of Medicine, Benha University, Benha, Egypt
Benha, Al Qalyubiyah, Egypt

Kareem Noah

Benha Faculty of Medicine, Benha University, Benha, Egypt
Benha, Al Qalyubiyah, Egypt

Mohamed Abd Elzaher

Benha Faculty of Medicine, Benha University, Benha, Egypt
Benha, Al Qalyubiyah, Egypt