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abstract

abstract

103

A novel technique treating BPH while preserving sexual functions: Urolift

Park, TY1; Jeong, HG1Ahn, ST1; Kim, JW1; Kim, JJ1; Moon, DG1

1: Korea University, College of Medicine, Korea, South

Objective: This study is to report outcomes of prostatic urethral lift (PUL) to assess its efficacy on lower urinary tracts symptoms (LUTS) and sexual functions in Korean men.

 Material and Methods: Twenty seven patients, who were high risk for anesthesia or wanting to preserve their sexual function, underwent PUL in 2017. International Prostate Symptom Score (IPSS), maximum urinary flow rate (Qmax), post-void residual urine (PVR), International Index of Erectile Function-5 (IIEF-5), and Male Sexual Health Questionnaire for Ejaculatory Dysfunction (MSHQ-EjD) were obtained preoperatively and throughout follow-up.

Results: IPSS quality of life (QoL) and total score significantly improved postoperatively (4.5 ± 1.0 vs 3.3 ± 1.7, p = 0.002 / 19.6 ± 6.3 vs 14.6 ± 8.6, p = 0.018). Voiding symptoms improved (11.9 ± 4.7 VS 7.6 ± 5.3, p = 0.004), while store symptoms remained unchanged. Qmax and PVR did not change by PUL (10.4 ± 4.7 VS 11.0 ± 6.1, p = 0.300 / 45.2 ± 64.0 VS 39.1 ± 35.0, p = 0.550). Sexual function was stable or improved, particularly, in regards of confidence, rigidity for penetration and ejaculatory function (2.08 ± 1.2 VS 2.4 ± 1.2, p = 0.050 / 1.7 ± 1.6 VS 2.0 ± 1.6, p = 0.035 / MSHQ-EjD: 10.6 ± 4.6 VS 9.3 ± 4.9, p = 0.040). Most of adverse events (dysuria: 4 (14.8%), hematuria: 2 (14.8%), urinary retention: 2 (7.4%)) resolved within one or two days. Prostatic abscess occurred to a patient after a month of the procedure, however, patient fully recovered through transurethral abscess drainage without implants removal.

Conclusions: Our results suggest that PUL is safe and effective in improving LUTS and QoL. It also preserved or even improved sexual functions. PUL offers viable option for men with LUTS who desire to maintain sexual function with little adverse events.

Table 1. Baseline characteristics and changes of parameters after operation

 

Pre-operation

(mean ± SD)

Post-operation

(mean ± SD)

p-value

IPSS

Voiding

11.9 ± 4.7

7.6 ± 5.3

0.004

Store

7.8 ± 3.4

7.0 ± 4.3

0.315

QoL

4.5 ± 1.0

3.3 ± 1.7

0.002

Total

19.6 ± 6.3

14.6 ± 8.6

0.018

IIEF-5

Total

9.3 ± 7.5

9.6 ± 8.0

0.176

MSHQ-EjD

Total

10.6 ± 4.6

9.3 ± 4.9

0.040

Qmax (ml/sec)

10.4 ± 4.7

11.0 ± 6.1

0.300

PVR (ml)

 

45.2 ± 64.0

39.1 ± 35.0

0.550

Disclosure:

Work supported by industry: no.

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