Plenary: Prime Time, Sunday, Morning Session
Presentation Authors: Ahmed Elhussein Abolazm*, Ahmed M. Elshal, Ahmed S. Elhefnawy, Ahmed B. Shehab-El-Din, Mahmoud Laymon, mansoura, Egypt
Introduction: Ejaculatory dysfunction has been reported as a price for successful relief of benign prostatic obstruction. Attempts to preserve ejaculation have been described however; concerns about potential re-obstruction are never solved.
In this trial, we assessed the efficacy of EH-sparing Greenlight Laser photoselective vaporization of the prostate (GL.PVP) in preserving antegrade ejaculation and urodynamic relief of obstruction in comparison to standard GL.PVP.
Methods: Between November 2015 and September 2017, 46 out of 50 sexually active BPH patients were randomized for the study. Standard GL.PVP was performed as classically described with TURP like cavity as end point of vaporization. EH-sparing GL.PVP was performed with preservation of the paracollicular and supracollicular tissue present proximal to verumontanum.
Patients were assessed at baseline and postoperatively at 1, 6 and 12 months using Ej-MSHQ and IIEF-15. Urinary symptoms were assessed using IPSS-QoL, uroflow and PVR at baseline and different follow up points.
Standard urodynamic study (UDS) was performed at 6 months.
Results: At time of analysis, 24 EH-sparing GL.PVP and 22 standard GL.PVP procedures were evaluable.
Conclusions: In well-informed sexually interested patients, EH-sparing GL.PVP procedure is feasible and effective for treatment of small to moderate sized BPH with superior sexual function related outcome.
Short-term relief of obstruction is objectively comparable to standard GL.PVP.
Source of Funding: None