Extract

Objective

The effects of benign prostatic hyperplasia (BPH) and its treatments on ejaculation have been still poorly investigated. The aim of this study is to analyse this issue from a “real life” point of view, through prospective data from a broader, still ongoing, multicentric trial on the effects of BPH surgery on sexual function.

Methods

244 consecutive patients affected by BPH and candidates for endoscopic surgery at 4 centres in North Western Italy were screened. 74 patients, average age 64.9 years, fulfilled the inclusion criteria (sexually active, normal erectile function) and were enrolled in the study between 9/2016 and 2/2018. 49 underwent bipolar TUR-P and 25 Greenlight laser anatomic vaporization. All patients were studied preoperatively and 4 months after surgery with urological examination, validated questionnaires (IIEF-5, IPSS) and "ad hoc" questions specifically exploring ejaculation function domains (ejaculatory pain, ejaculatory volume and bother related to ejaculation alterations). Statistical analysis: chi – square, T- test.

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