Ejaculation Preserving Trans Urethral Resection Of Prostate (epTURP): An Initial Study
Journal Title: International Journal of Orthopaedics Traumatology & Surgical Sciences - Year 2018, Vol 4, Issue 1
Abstract
A short term prospective study was conducted on 10 patients (age range 55-65 years and sexually active) undergoing the ejaculation preserving Trans Urethral Resection of Prostate (epTURP). They were evaluated for preservation of antegrade ejaculation along with the functional outcome of this technique after 3 months. In this study, 7/10 (70%) patients reported preservation of ejaculation at 3 months, although their score (Question no 9 of the International Index of Erectile Function) was slightly low as compared to preoperative status. There were significant improvements observed in LUTS i.e. Uroflowmetry parameters at 3 months. Voiding symptoms (IPSS and Life Quality Index) were also significantly reduced (mean difference of 13.5 and 2.3, respectively). No serious adverse events were reported. Therefore, in this short term study, it appears that epTURP preserves antegrade ejaculation whilst other symptomatic and functional outcomes remain similar. Indwelling catheter in the preoperative course adversely affects ejaculatory function. However the main limitations of this study is that it has a small number and also has a short follow up of only 3 months where the patient has still not resumed his sexual activity in “full swing” not only in terms of number of sexual encounters but also psychologically. Presumably many of these patients would improve over a period of time and the results would be then comparable to the other published series.
Authors and Affiliations
Arvind Joshi, Sabeeh Nasar, Devendra Dhakad
Keywords
Related Articles
- EP ID EP541667
- DOI -
- Views 108
- Downloads 0
Management Of Comminuted Fracture Of Shaft Of Humerus By Ante-Grade Closed Interlock Nailing
Background:- Open reduction and internal fixation (ORIF) with plates and intramedullary nailing are both advocated for treating comminuted humerusfractures.AO Group recommended anatomical reduction and stable internal...
Computerized Tomographic Morphometric Study Of Last Thoracic And All Lumbar Pedicles In The Indian Population Related To Pedicle Screw Fixation
Transpedicular fixation of the spine with pedicular screws is becoming increasingly popular being more stable and versatile as it provides three dimensional fixations. Several systems of internal fixation that uses the p...
Extraarticular Antegrade Fixation Of Proximal Phalynx Fractures With Bent K Wire
Introduction: Any fixation technique used in fixation of phalynx fractures should provide good stability to allow early mobilization. K wires are the most commonly used fixation devices in the proximal phalynx fractures....
Comprehensive study of giant cell tumor of bone in major hospitals in and around mangalore, karnataka
Even after so many years of research studies using modern imaging techniques and histopathological diagnosing methods, when we describe a giant cell tumor of bone everything revolves around a word ‘most common’. Present...
To Study the Duration of Union In Fracture Shaft Femur In Children Age More Than 3 Year And Less Than 13 Year
Introduction: Femoral shaft fractures account for 1.6% of all pediatric bony injuries. There is little controversy over the treatment of adult femoral shaft fractures with intramedullary nail fixation. Similarly, there i...