The Effect of Transurethral Resection of the Prostate while Preserving Urethral Mucosa at the Prostatic Apex on Retrograde Ejaculation and Postoperative Urine Continence in Patients with BPH

Abstract Objective To evaluate the effect of transurethral resection of the prostate while preserving Urethral Mucosa at the Prostatic Apex on retrograde ejaculation and postoperative urine continence in patients with BPH after surgery. Patients and Methods A total of 106 participants were enrolled...

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Veröffentlicht in:QJM : An International Journal of Medicine 2024-10, Vol.117 (Supplement_2)
Hauptverfasser: Ismaiel, Abdelrhman Mohamed, Mohamed, Ahmed, Abdallah, Tawfeek, Maher, Ahmed, Ahmed, Gamil, Esmat, Mohamed, Ghareeb, Abo
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container_issue Supplement_2
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container_title QJM : An International Journal of Medicine
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creator Ismaiel, Abdelrhman Mohamed
Mohamed, Ahmed
Abdallah, Tawfeek
Maher, Ahmed
Ahmed, Gamil
Esmat, Mohamed
Ghareeb, Abo
description Abstract Objective To evaluate the effect of transurethral resection of the prostate while preserving Urethral Mucosa at the Prostatic Apex on retrograde ejaculation and postoperative urine continence in patients with BPH after surgery. Patients and Methods A total of 106 participants were enrolled in the study, after obtaining informed consent, patients were randomized into 2 groups with a 1:1 ratio using sealed envelopes that was prepared by the department’s ethical committee, each group with 53 cases. group 1 represent traditional TURP, while group 2 represents TURP with preserved urethral mucosa at the prostatic apex. Results there was no statistically significant difference between control and observation group regarding age and pre-operative IPSS, Q-max, PVRU, prostate size and ejaculation also There was no statistically significant difference between control and observation group regarding post- operative IPSS, Q-max, PVRU, but shows that there is a statistically significant difference between control and observation group regarding the post operative ejaculation with 83% of EP-TURP patients maintained normal ejaculation post-operatively versus only 19% with traditional TURP (p 
doi_str_mv 10.1093/qjmed/hcae175.999
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Patients and Methods A total of 106 participants were enrolled in the study, after obtaining informed consent, patients were randomized into 2 groups with a 1:1 ratio using sealed envelopes that was prepared by the department’s ethical committee, each group with 53 cases. group 1 represent traditional TURP, while group 2 represents TURP with preserved urethral mucosa at the prostatic apex. Results there was no statistically significant difference between control and observation group regarding age and pre-operative IPSS, Q-max, PVRU, prostate size and ejaculation also There was no statistically significant difference between control and observation group regarding post- operative IPSS, Q-max, PVRU, but shows that there is a statistically significant difference between control and observation group regarding the post operative ejaculation with 83% of EP-TURP patients maintained normal ejaculation post-operatively versus only 19% with traditional TURP (p &lt; 0.001). There was a statistically significant difference between control and observation group regarding early post-operative continence, EP-TURP also resulted in significantly better urinary continence outcomes (94.3% vs 79.2%, p = 0.022) Conclusion Our randomized study demonstrated that ejaculation-preserving transurethral resection of the prostate (EP-TURP) preserving antegrade ejaculation and reducing urinary incontinence in early post operative, also reducing bladder outlet symptoms like dysuria, urgency and frequency with no difference in post operative IPSS, Q max and PVRU</description><identifier>ISSN: 1460-2725</identifier><identifier>EISSN: 1460-2393</identifier><identifier>DOI: 10.1093/qjmed/hcae175.999</identifier><language>eng</language><publisher>Oxford University Press</publisher><ispartof>QJM : An International Journal of Medicine, 2024-10, Vol.117 (Supplement_2)</ispartof><rights>The Author(s) 2024. Published by Oxford University Press on behalf of the Association of Physicians. All rights reserved. For permissions, please Email: journals.permissions@oup.com 2024</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,777,781,27905,27906</link.rule.ids></links><search><creatorcontrib>Ismaiel, Abdelrhman Mohamed</creatorcontrib><creatorcontrib>Mohamed, Ahmed</creatorcontrib><creatorcontrib>Abdallah, Tawfeek</creatorcontrib><creatorcontrib>Maher, Ahmed</creatorcontrib><creatorcontrib>Ahmed, Gamil</creatorcontrib><creatorcontrib>Esmat, Mohamed</creatorcontrib><creatorcontrib>Ghareeb, Abo</creatorcontrib><title>The Effect of Transurethral Resection of the Prostate while Preserving Urethral Mucosa at the Prostatic Apex on Retrograde Ejaculation and Postoperative Urine Continence in Patients with BPH</title><title>QJM : An International Journal of Medicine</title><description>Abstract Objective To evaluate the effect of transurethral resection of the prostate while preserving Urethral Mucosa at the Prostatic Apex on retrograde ejaculation and postoperative urine continence in patients with BPH after surgery. Patients and Methods A total of 106 participants were enrolled in the study, after obtaining informed consent, patients were randomized into 2 groups with a 1:1 ratio using sealed envelopes that was prepared by the department’s ethical committee, each group with 53 cases. group 1 represent traditional TURP, while group 2 represents TURP with preserved urethral mucosa at the prostatic apex. Results there was no statistically significant difference between control and observation group regarding age and pre-operative IPSS, Q-max, PVRU, prostate size and ejaculation also There was no statistically significant difference between control and observation group regarding post- operative IPSS, Q-max, PVRU, but shows that there is a statistically significant difference between control and observation group regarding the post operative ejaculation with 83% of EP-TURP patients maintained normal ejaculation post-operatively versus only 19% with traditional TURP (p &lt; 0.001). There was a statistically significant difference between control and observation group regarding early post-operative continence, EP-TURP also resulted in significantly better urinary continence outcomes (94.3% vs 79.2%, p = 0.022) Conclusion Our randomized study demonstrated that ejaculation-preserving transurethral resection of the prostate (EP-TURP) preserving antegrade ejaculation and reducing urinary incontinence in early post operative, also reducing bladder outlet symptoms like dysuria, urgency and frequency with no difference in post operative IPSS, Q max and PVRU</description><issn>1460-2725</issn><issn>1460-2393</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><recordid>eNqNkNFOwjAUhhejiYg-gHd9AAftunX0EgmKCcaFzOuldGdsZHSz7UBfzmezA0y89Oq05_zff3J-z7sneEQwp-OP7Q7ycSkFkDgacc4vvAEJGfYDyunl7zsOomvvxpgtxjiMw8nA-05LQPOiAGlRU6BUC2U6DbbUokYrMK5fNaofWSdMdGOssIAOZVX3XyfQ-0pt0Psv89rJxggk7F-gkmjawidyTiuwutlokbu1WyG7WhwXCJWjxGmbFrTr7ME5VgrQrFHWVSUBVQolbgTKGnSobIkek8Wtd1WI2sDduQ699Gmezhb-8u35ZTZd-jLm3J-QoJAsjIRgDGSAGad0EkQsp4RGDIAFxzzyKAjCdcgYwWu8pgTyHiJc0KFHTrbS3WM0FFmrq53QXxnBWZ9_dsw_O-efufwd83Bimq79h_wHfMeNgQ</recordid><startdate>20241001</startdate><enddate>20241001</enddate><creator>Ismaiel, Abdelrhman Mohamed</creator><creator>Mohamed, Ahmed</creator><creator>Abdallah, Tawfeek</creator><creator>Maher, Ahmed</creator><creator>Ahmed, Gamil</creator><creator>Esmat, Mohamed</creator><creator>Ghareeb, Abo</creator><general>Oxford University Press</general><scope>AAYXX</scope><scope>CITATION</scope></search><sort><creationdate>20241001</creationdate><title>The Effect of Transurethral Resection of the Prostate while Preserving Urethral Mucosa at the Prostatic Apex on Retrograde Ejaculation and Postoperative Urine Continence in Patients with BPH</title><author>Ismaiel, Abdelrhman Mohamed ; Mohamed, Ahmed ; Abdallah, Tawfeek ; Maher, Ahmed ; Ahmed, Gamil ; Esmat, Mohamed ; Ghareeb, Abo</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c799-812fc645aa66ec2069338256d31356ee6200047d5224b46610b0b31edc64519a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ismaiel, Abdelrhman Mohamed</creatorcontrib><creatorcontrib>Mohamed, Ahmed</creatorcontrib><creatorcontrib>Abdallah, Tawfeek</creatorcontrib><creatorcontrib>Maher, Ahmed</creatorcontrib><creatorcontrib>Ahmed, Gamil</creatorcontrib><creatorcontrib>Esmat, Mohamed</creatorcontrib><creatorcontrib>Ghareeb, Abo</creatorcontrib><collection>CrossRef</collection><jtitle>QJM : An International Journal of Medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ismaiel, Abdelrhman Mohamed</au><au>Mohamed, Ahmed</au><au>Abdallah, Tawfeek</au><au>Maher, Ahmed</au><au>Ahmed, Gamil</au><au>Esmat, Mohamed</au><au>Ghareeb, Abo</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The Effect of Transurethral Resection of the Prostate while Preserving Urethral Mucosa at the Prostatic Apex on Retrograde Ejaculation and Postoperative Urine Continence in Patients with BPH</atitle><jtitle>QJM : An International Journal of Medicine</jtitle><date>2024-10-01</date><risdate>2024</risdate><volume>117</volume><issue>Supplement_2</issue><issn>1460-2725</issn><eissn>1460-2393</eissn><abstract>Abstract Objective To evaluate the effect of transurethral resection of the prostate while preserving Urethral Mucosa at the Prostatic Apex on retrograde ejaculation and postoperative urine continence in patients with BPH after surgery. Patients and Methods A total of 106 participants were enrolled in the study, after obtaining informed consent, patients were randomized into 2 groups with a 1:1 ratio using sealed envelopes that was prepared by the department’s ethical committee, each group with 53 cases. group 1 represent traditional TURP, while group 2 represents TURP with preserved urethral mucosa at the prostatic apex. Results there was no statistically significant difference between control and observation group regarding age and pre-operative IPSS, Q-max, PVRU, prostate size and ejaculation also There was no statistically significant difference between control and observation group regarding post- operative IPSS, Q-max, PVRU, but shows that there is a statistically significant difference between control and observation group regarding the post operative ejaculation with 83% of EP-TURP patients maintained normal ejaculation post-operatively versus only 19% with traditional TURP (p &lt; 0.001). There was a statistically significant difference between control and observation group regarding early post-operative continence, EP-TURP also resulted in significantly better urinary continence outcomes (94.3% vs 79.2%, p = 0.022) Conclusion Our randomized study demonstrated that ejaculation-preserving transurethral resection of the prostate (EP-TURP) preserving antegrade ejaculation and reducing urinary incontinence in early post operative, also reducing bladder outlet symptoms like dysuria, urgency and frequency with no difference in post operative IPSS, Q max and PVRU</abstract><pub>Oxford University Press</pub><doi>10.1093/qjmed/hcae175.999</doi></addata></record>
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source Oxford University Press Journals All Titles (1996-Current)
title The Effect of Transurethral Resection of the Prostate while Preserving Urethral Mucosa at the Prostatic Apex on Retrograde Ejaculation and Postoperative Urine Continence in Patients with BPH
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