165 The Impact of Surgical Treatments for Lower Urinary Tract Symptoms/Benign Prostatic Hyperplasia on Male Erectile Function: A Systematic Review and Network Meta-Analysis

Li, Z.; Chen, P.; Guo, Yuming; Xiang, Hui; Mao, Qinan; Zeng, Guang; Xiao, He; Xu, Dongmei; Zhang, X.

doi:10.1016/j.jsxm.2016.11.112

Cited by 11 publications

(18 citation statements)

References 57 publications

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“…Also, it is associated with ejaculatory dysfunction in >50% of patients . Li etal in a systematic review and meta‐analysis, concluded that TURP, in patients with normal baseline erectile function, improved IIEF‐5 score in patients followed for over 12 months …”

Section: Discussionmentioning

confidence: 99%

“…15 Li etal in a systematic review and meta-analysis, concluded that TURP, in patients with normal baseline erectile function, improved IIEF-5 score in patients followed for over 12 months. 16 Bipolar TURP, with its advantages including elimination of the risk of TUR syndrome, lower risk of capsular trauma, decreased coagulation depth, and self-cleaning loop, is added to the armamentarium of prostate surgery. 17 Xie et al in their study of 54 bipolar TURP patients with prostate >80 mL reported no significant alteration in IIEF-5 score at 3-year follow up (20.1 ± 2.6 to 19.8 ± 1.9, 1.4% decline).…”

Section: Discussionmentioning

confidence: 99%

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Impact of monopolar TURP, bipolar TURP and photoselective vaporization of prostate for enlarged prostate on erectile function

Vasudeva

Kumar

et al. 2017

LUTS

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Impact of monopolar TURP, bipolar TURP and photoselective vaporization of prostate for enlarged prostate on erectile function

Vasudeva

Kumar

et al. 2017

LUTS

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“…[11][12][13] One such systematic review and network meta-analysis compared the International Index of Erectile Function 5 (IIEF-5) scores after different surgical treatments for LUTS/BPH, but it did not evaluate EJF, which is also an important component of overall sexual function. 14 In another earlier meta-analysis, including comparison of the impact on EF or EJF between TURP and holmium laser treatment, the recently developed methods of EEP such as thulium laser enucleation or PKEP were not included. 15 Therefore, it is necessary to carry out a meta-analysis to evaluate the impact of endoscopic enucleation and resection of the prostate on male sexual functions.…”

Section: Introductionmentioning

confidence: 99%

Impact on Sexual Function of Endoscopic Enucleation vs Transurethral Resection of the Prostate for Lower Urinary Tract Symptoms Due to Benign Prostatic Hyperplasia: A Systematic Review and Meta-Analysis

Liu

Cheng

Zhuo

et al. 2020

Journal of Endourology

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Introduction: Although the transurethral resection of the prostate (TURP) has been regarded as the gold standard surgical option for lower urinary tract symptoms due to benign prostatic hyperplasia, the endoscopic enucleation of the prostate (EEP) with novel techniques is also recommended. However, whether there are differences on male sexual functions after these two procedures is still controversial. We performed this metaanalysis to investigate the impact on erectile function (EF) and ejaculation of EEP and TURP, and to explore the potential superiority between these two approaches. Materials and Methods: Literature search was conducted on Medline, Embase, and the Cochrane library, to obtain all relevant randomized controlled trials published before December 13, 2018. Outcome data were pooled and analyzed with Review Manager 5.3 to compare the International Index of Erectile Function 5 (IIEF-5) scores and retrograde ejaculation (RE) rates from short-to long-term follow-ups. Results: Ten articles with 1435 patients were included. EEP group showed higher IIEF-5 scores than TURP group with mean difference (MD) = 1.00, confidence interval (95% CI): 0.95-1.05 at 48 months and MD = 1.08, 95% CI: 1.03-1.13 at ‡60 months, respectively. In subgroup analysis, the holmium laser enucleation of the prostate showed significantly better IIEF scores than TURP group at 48 months (MD = 1.00, 95% CI: 0.95-1.05) and ‡72 months (MD = 1.08, 95% CI: 1.03-1.13). Additionally, no significant difference in RE rate was found between EEP and TURP (risk ratio = 1.02, 95% CI: 0.85-1.23). Conclusions: Compared with TURP, EEP may produce a more durable benefit for postoperative preservation of EF at long-term stage.

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“…The definitive feature of these surgical procedures is the removal of adenoma causing obstruction of urine flow, but the methods vary between resection, vaporization, ablation and enucleation. Enucleation by HoLEP also requires morcellation to remove the enucleated prostate tissue …”

Section: Introductionmentioning

confidence: 99%

“…Enucleation by HoLEP also requires morcellation to remove the enucleated prostate tissue. 2 The present review will focus on HoLEP. The use of HoLEP for removing prostate adenoma or BPH tissue using enucleation and morcellation to restore blocked urine flow has been reported to be superior to TURP and PVP for tissue resection.…”

Section: Introductionmentioning

confidence: 99%

Current status of holmium laser enucleation of the prostate

Shigemura

Fujisawa

2017

Int J of Urology

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There are several options for the surgical management of benign prostatic hyperplasia representatively from transurethral resection of the prostate. Holmium laser enucleation of the prostate is one of those options, and many institutions and urologists have initiated this technique, and most of them have accomplished better outcomes compared with transurethral resection of the prostate. In contrast to transurethral resection of the prostate, which requires a similar procedure to transurethral resection of bladder tumors, holmium laser enucleation of the prostate requires a special surgical technique: enucleation and morcellation with around 10 years' history of experience, even in Japan. The present review introduces the current status of holmium laser enucleation of the prostate, so that it surely contributes to the knowledge of International Journal of Urology readers who could be experienced surgeons or beginners as well.

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165 The Impact of Surgical Treatments for Lower Urinary Tract Symptoms/Benign Prostatic Hyperplasia on Male Erectile Function: A Systematic Review and Network Meta-Analysis

Cited by 11 publications

References 57 publications

Impact of monopolar TURP, bipolar TURP and photoselective vaporization of prostate for enlarged prostate on erectile function

Impact of monopolar TURP, bipolar TURP and photoselective vaporization of prostate for enlarged prostate on erectile function

Impact on Sexual Function of Endoscopic Enucleation vs Transurethral Resection of the Prostate for Lower Urinary Tract Symptoms Due to Benign Prostatic Hyperplasia: A Systematic Review and Meta-Analysis

Current status of holmium laser enucleation of the prostate

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