Does Greenlight HPS^™ Laser Photoselective Vaporization Prostatectomy Affect Sexual Function?

Abstract

GreenLight HPS™ laser PVP appears to not have a detrimental effect on erectile function.

Prospective, Randomized, Multinational Study of Prostatic Urethral Lift Versus Transurethral Resection of the Prostate: 12-month Results from the BPH6 Study

“…The threshold of 70% by 1 mo is chosen to reflect high-quality, rapid recovery Erectile function Reduction of <6 points for SHIM compared to baseline during 12-mo follow-up SHIM is widely used to measure the severity of erectile dysfunction in clinical practice [21]. and >5 points has been used as the minimum clinically meaningful change [22] Ejaculatory function Response to MSHQ-EjD question 3 indicating emission of semen during 12-mo follow-up…”

Effects of Holmium Laser Enucleation of the Prostate on Sexual Function

“…The IIEF-5 total score ranges between 5 and 25. ED is classified as follows: no ED (22)(23)(24)(25), mild (17)(18)(19)(20)(21), mild to moderate (12)(13)(14)(15)(16), moderate (8)(9)(10)(11), and severe (5-7). b The ICIQ-MLUTSsex is a self-administered questionnaire used to assess the sexual questions associated with male LUTS.…”

“…This cutoff point, which represents 20% of the total questionnaire score, has been used in other studies to ensure that only clinically relevant changes are taken into account. 18 As most variables did not follow a normal distribution, the continuous variables are presented as median value [interquartile range], the categorical variables are expressed as absolute numbers and percentages, and nonparametric tests were used. The Wilcoxon signed-rank test for related samples was used to assess variations in the studied parameters over time.…”

The Relationship Between Photoselective Vaporization of the Prostate and Sexual Function

“…Recently, Spaliviero et al [12] evaluated the impact of GreenLight High-Performance System (HPS) laserperformed PVP on sexual function. Deterioration of EF was experienced in 11.3% of patients (SHIM reduction >5), and 3.2% of patients experienced improved EF (SHIM increase >5).…”