Emerging minimally invasive transurethral treatments for benign prostatic hyperplasia: a systematic review with meta-analysis of functional outcomes and description of complications

Impact of Surgery for Benign Prostatic Hyperplasia on Sexual Function: A Systematic Review and Meta-analysis of Erectile Function and Ejaculatory Function

“…In the recent years, there was an increased interest in the development of MISTs for BPH, such as PUL, Rezum, Aquablation, PAE, and temporarily implanted nitinol device, to achieve symptomatic improvement similar to traditional surgery, while maintaining sexual function [182,183]. In this regard, it is important to underline that PUL is the only surgical procedure for which there is a clear recommendation regarding sexual function in the EAU guidelines on BPH [7]; more specifically, it should be offered in men interested in preserving ejaculatory function.…”

Transperineal laser ablation of the prostate with EchoLaser™ system: perioperative and short-term functional and sexual outcomes

“…In recent years, the range of options for BPO surgery has undergone a rapid evolution, and a variety of ultra-minimally invasive techniques have been proposed by different groups (2,4,5). A recent systematic review including parallel-group randomized controlled trials assessing the effects of several minimally-invasive techniques, including convective radiofrequency water vapor therapy, prostatic arteries embolization (PAE), prostatic urethral lift, temporary implantable nitinol device (TIND) and transurethral microwave thermotherapy, compared to TURP, found low to very-low quality evidence of similar or worse effects concerning urinary symptoms and quality of life at short-term follow-up (4).…”

“…Of note, integration of TPLA into the therapeutic armamentarium for BPO will require careful patient selection and judicious decision-making to tailor the techniques to the most suitable candidates (and not vice versa), aiming to achieve the best postoperative outcomes according to patients' characteristics and expectations. This strategy will hopefully provide insights for profiling the ideal candidates for each therapeutic option among the wide panorama of microinvasive treatments (2,5). Before delivering the energy, Echolaser Smart Interface (ESI) software enables an optimal pre procedural planning.…”

“…Of note, in the last 5 years, several ultra-minimally invasive surgical techniques (uMISTs) have been added to the armamentarium of the urologist to personalize treatment of patients with LUTS due to BPO (2)(3)(4)(5).…”

The relationship between obstructive sleep apnoea and erectile dysfunction: An underdiagnosed link? A prospective cross‐sectional study

“…Erectile dysfunction, i.e the inability to achieve or maintain a rigid penile erection suitable for sexual intercourse, affects 52% of men between 40 and 70 years and similarly represents an increasing health concern due to its effects on quality of life and its increasing prevalence, which is estimated to exceed 320 million men worldwide by 2025 (Kessler et al, 2019;Yafi et al, 2016). Among the different causes of ED, such as surgery of the lower urinary tract, prostatic surgery, neurological diseases and metabolic/hormonal disorders, several studies and meta-analyses confirmed the increased prevalence of ED in patients with OSA (Chen et al, 2015;Crocetto et al, 2021;Kellesarian et al, 2018;Liu et al, 2015;Manfredi et al, 2021;Romero-Otero et al, 2021;Sperlongano et al, 2014). In addition, the treatment with continuous positive airway pressure (CPAP) can improve erectile function (Li et al, 2010;Pascual et al, 2018).…”