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Sexual outcomes of endoscopic enucleation of prostate.
Andrologia. 2020 Jun 19 [Online ahead of print]A

Abstract

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.

Authors+Show Affiliations

Department of Surgery, United Christian Hospital, Hong Kong, Hong Kong.Department of Surgery, Queen Elizabeth Hospital, Hong Kong, Hong Kong.Department of Surgery, United Christian Hospital, Hong Kong, Hong Kong.

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

32557813

Citation

Cheng, Bryan Kwun-Chung, et al. "Sexual Outcomes of Endoscopic Enucleation of Prostate." Andrologia, 2020, pp. e13724.
Cheng BK, Li TC, Yu CH. Sexual outcomes of endoscopic enucleation of prostate. Andrologia. 2020.
Cheng, B. K., Li, T. C., & Yu, C. H. (2020). Sexual outcomes of endoscopic enucleation of prostate. Andrologia, e13724. https://doi.org/10.1111/and.13724
Cheng BK, Li TC, Yu CH. Sexual Outcomes of Endoscopic Enucleation of Prostate. Andrologia. 2020 Jun 19;e13724. PubMed PMID: 32557813.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Sexual outcomes of endoscopic enucleation of prostate. AU - Cheng,Bryan Kwun-Chung, AU - Li,Trevor Churk-Fai, AU - Yu,Chloe Hui-Tung, Y1 - 2020/06/19/ PY - 2020/04/29/received PY - 2020/05/24/revised PY - 2020/05/30/accepted PY - 2020/6/20/entrez KW - benign prostate enlargement KW - endoscopic enucleation KW - prostate KW - sexual outcomes SP - e13724 EP - e13724 JF - Andrologia JO - Andrologia N2 - 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. SN - 1439-0272 UR - https://www.unboundmedicine.com/medline/citation/32557813/Sexual_outcomes_of_endoscopic_enucleation_of_prostate L2 - https://doi.org/10.1111/and.13724 DB - PRIME DP - Unbound Medicine ER -
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