What is the effect of laser anatomical endoscopic enucleation of the prostate on the ejaculatory functions? A systematic review

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dc.contributor.authorGuldibi, Furkan
dc.contributor.authorAltunhan, Abdullah
dc.contributor.authorAydin, Abdullatif
dc.contributor.authorSonmez, Mehmet Giray
dc.contributor.authorCakir, Omer Onur
dc.contributor.authorBalasar, Mehmet
dc.contributor.authorGuven, Selcuk
dc.date.accessioned2024-02-23T13:43:45Z
dc.date.available2024-02-23T13:43:45Z
dc.date.issued2023
dc.departmentNEÜen_US
dc.description.abstractIntroduction Laser anatomical endoscopic enucleation of the prostate (LAEEP) has emerged as a promising new approach in endoscopic surgery for BPH. LAEEP could still result in ejaculatory dysfunction.Aim This systematic review aimed to examine the impact of LAEEP on male ejaculatory functions.Methods The review was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement, and 15 records were included. Outcomes of interest included ejaculatory dysfunction (retrograde ejaculation, painful ejaculation, etc.) and validated questionnaire scores. The quality of studies included in the systematic review was determined using QUADAS scoring.Results We retrieved data for 1877 men in 15 clinical studies investigating LAEEP surgery and reporting EjD rates. While only three of the obtained studies were on thulium fiber (ThuLEP), the rest were on holmium (HoLEP). The definition of Ejaculatory Dysfunction was not standardized, but in most works, it is referred to as retrograde ejaculation (RE). There were no data on the relationship between other LAEEP techniques and ejaculation functions. The authors compared the outcomes of used standard laser enucleation techniques with the modified techniques. The RE rate in LAEEP was 62.1 +/- 25.1%, 71.3 +/- 16.1% in standard techniques, and 27.2 +/- 18.1% in ejaculation-preserving modified techniques (p < 0.001).Conclusion This review demonstrated that ejaculation-preserving techniques, i.e., modified techniques are superior to standard techniques. Studies have also shown that ejaculatory dysfunction rates gradually decrease with long-term follow-ups. Future well-designed studies could further investigate the ejaculation-preserving modification of LAEEP techniques and how they impact EjD rates and other sexual function outcomes.en_US
dc.description.sponsorshipNone.en_US
dc.description.sponsorshipNone.en_US
dc.identifier.doi10.1007/s00345-023-04660-0
dc.identifier.endpage3501en_US
dc.identifier.issn0724-4983
dc.identifier.issn1433-8726
dc.identifier.issue12en_US
dc.identifier.pmid37921935en_US
dc.identifier.scopus2-s2.0-85175626516en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage3493en_US
dc.identifier.urihttps://doi.org/10.1007/s00345-023-04660-0
dc.identifier.urihttps://hdl.handle.net/20.500.12452/10908
dc.identifier.volume41en_US
dc.identifier.wosWOS:001098608200004en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherSpringeren_US
dc.relation.ispartofWorld Journal Of Urologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectBphen_US
dc.subjectAeepen_US
dc.subjectProstatectomyen_US
dc.subjectLaseren_US
dc.subjectHolepen_US
dc.subjectThulep. Eepen_US
dc.subjectEjaculationen_US
dc.subjectRetrograde Ejaculationen_US
dc.titleWhat is the effect of laser anatomical endoscopic enucleation of the prostate on the ejaculatory functions? A systematic reviewen_US
dc.typeReview Articleen_US

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