Sexual outcomes of endoscopic enucleation of prostate

被引:9
|
作者
Cheng, Bryan Kwun-Chung [1 ]
Li, Trevor Churk-Fai [2 ]
Yu, Chloe Hui-Tung [1 ]
机构
[1] United Christian Hosp, Dept Surg, Hong Kong, Peoples R China
[2] Queen Elizabeth Hosp, Dept Surg, Hong Kong, Peoples R China
关键词
benign prostate enlargement; endoscopic enucleation; prostate; sexual outcomes; HOLMIUM LASER ENUCLEATION; URINARY-TRACT SYMPTOMS; TRANSVESICAL OPEN PROSTATECTOMY; TRANSURETHRAL RESECTION; RANDOMIZED-TRIAL; DIODE-LASER; FOLLOW-UP; PLASMAKINETIC ENUCLEATION; INTERNATIONAL INDEX; ERECTILE FUNCTION;
D O I
10.1111/and.13724
中图分类号
R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
摘要
The emergence of various endoscopic enucleation techniques in the past decade has provided surgeons with more options and opportunities in performing enucleation. With the same surgical principle as holmium laser enucleation of prostate, the early results of different techniques were comparable. However, sexual outcomes of endoscopic enucleation of the prostate (EEP) were less commonly reported than the voiding and urodynamic outcomes. In this review, the sexual outcomes including erectile function, ejaculatory and orgasmic function of various endoscopic enucleation technique would be studied. The overall sexual outcomes were heterogeneous and inconclusive. Outcomes measurement, sample size calculation, hypothesis generation and selection criteria were not specifically designed for sexual outcomes or even available. There were also limitations in the individual sexual assessment tools. Nonetheless, most studies showed no significant deterioration of erectile function after EEP, and ejaculation dysfunction was common. Looking forward in the field of benign prostatic enlargement surgery, the 'one size fits all' notion should be abandoned. Treatment should be tailor-made according to the prostate size, co-morbidities and sexual needs. The sexual outcomes of enucleation have to be better studied and defined. More prospective controlled studies focusing primarily on sexual functions are needed. For enucleation surgeons, exploring different ejaculatory-sparing technique could be the golden opportunities in further consolidating the role and expanding the indication of enucleation surgery.
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页数:12
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