scholarly journals State of copulative function in patients after the holmium laser enuсleation of benign prostatic hyperplasia

2019 ◽  
Vol 9 (2) ◽  
pp. 17-22
Author(s):  
Sergey V. Popov ◽  
Igor N. Orlov ◽  
Yevgeniy A. Grin ◽  
Dmitry A. Demidov ◽  
Alexander M. Gulko ◽  
...  
Keyword(s):  
Free Testosterone ◽  
Prostatic Hyperplasia ◽  
Sex Hormone Binding Globulin ◽  
Retrograde Ejaculation ◽  
Holmium Laser ◽  
Hormonal Status ◽  
Hormone Binding ◽  
Dual Effect ◽  
Laser Enucleation ◽  
Holmium Laser Enucleation

The effect of holmium laser enucleation of BPH (HoLEP) on the copulative function of 79 patients was evaluated. The copulative function was assessed by means of the IIEF, AMS scores, ICF scale questionnaires. The bulbocavernous reflex, total and free testosterone and sex hormone-binding globulin were also examined. Patients were examined before surgery, 3 and 6 months later. A decrease in the frequency of erectile dysfunction after 3 and 6 months after surgery was revealed. The frequency of retrograde ejaculation was higher compared with the preoperative value after 3 and 6 months after surgery. An improvement in the reflex and hormonal status of the operated patients was noted. Thus, HoLEP has a dual effect on the state of copulative function in patients with BPH, which results in improved erectile function and increased frequency of retrograde ejaculation.

scholarly journals Is Holmium Laser Enucleation of the Prostate a Good Surgical Alternative in Benign Prostatic Hyperplasia Management? A Review Article

2020 ◽  
Vol 11 (2) ◽  
pp. 197-203 ◽  
Author(s):  
Amirreza Abedi ◽  
Mohammad Reza Razzaghi ◽  
Amirhossein Rahavian ◽  
Ebrahim Hazrati ◽  
Fereshte Aliakbari ◽  
...  
Keyword(s):  
Benign Prostatic Hyperplasia ◽  
Specific Antigen ◽  
Young Patients ◽  
Outlet Obstruction ◽  
Prostatic Hyperplasia ◽  
Holmium Laser ◽  
Safe Procedure ◽  
Open Prostatectomy ◽  
Laser Enucleation ◽  
Holmium Laser Enucleation

Several therapeutic approaches such as holmium laser enucleation of the prostate (HoLEP) have been introduced to relieve bladder outlet obstruction caused by benign prostatic hyperplasia (BPH). Compared with other techniques including the transurethral resection of the prostate (TURP) and simple open prostatectomy, HoLEP results in a shorter hospital stay and catheterization time and fewer blood loss and transfusions. HoLEP is a size-independent treatment option for BPH with average gland size from 36 g to 170 g. HoLEP is a safe procedure in patients receiving an anticoagulant and has no significant influence on the hemoglobin level. Also, HoLEP is an easy and safe technique in patients with a prior history of prostate surgery and a need for retreatment because of adenoma regrowth. The postoperative erectile dysfunction rate of patients treated with HoLEP is similar to TURP or open prostatectomy and about 77% of these patients experience loss of ejaculation. Patients with transitional zone volume less than 30 mL may suffer from persistent stress urinary incontinence following HoLEP so other surgical techniques like bipolar TURP are a good choice for these patients. In young patients, considering HoLEP with high prostate-specific antigen density and a negative standard template prostate biopsy, multiparametric MRI needs to be considered to exclude prostate cancer.

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