Retrograde Ejaculation—a Commonly Unspoken Aspect of Prostatectomy for Benign Prostatic Hypertrophy

Koren, Gideon; Koren, Danny

doi:10.1177/1557988320910870

Cited by 7 publications

(4 citation statements)

References 5 publications

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“…During a pandemic, patients are advised to reduce visits to doctors and hospitals; the abolition of planned operations is required, so urological surgeries have to be prioritised according to their urgency and adapt to local resources [20]. Many different surgical interventions remove a part of the prostate gland; and after all of them, men may experience the loss of antegrade ejaculation, orgasmic dysfunction, or even erectile dysfunction with possible thermal effects on the neurovascular bundles [21], and this should not be simplified as it is a serious adverse effect [22].…”

Section: Discussionmentioning

confidence: 99%

The at-home delivery of treatment for benign prostate enlargement and chronic prostatitis enabled by Dr Allen’s Device is a valuable healthcare innovation during a pandemic

Adjani

Allen

2021

Medico Research Chronicles

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Introduction:The Coronavirus (COVID-19) outbreak has demonstrated the need for a novel delivery of treatment for benign prostate enlargement (BPE) and chronic prostatitis / chronic pelvic pain syndrome (CP/CPPS). Their standard treatments with medications and surgeries require extensive contact between patients and healthcare professionals that worsens a pandemic. This study aims to determine whether therapeutic Dr Allen's Device (DATD) and Thermobalancing therapy (TT) can be used as an effective self-management tool and athome treatment for chronic prostate diseases. Methods: This is a retrospective cohort study of 45 men with CP/CPPS and 124 men with BPE who were observed before and after applying TT with DATD at home for 6 months in 2 clinical controlled trials. The dynamics of clinical characteristics and parameters, such as pain, urinary symptoms, quality of life (QoL), and prostate volume (PV) were compared to the control groups without DATD. Results: DATD reduced pain scores from 10.3 to 3.5 (P<0.001) in men with CP/CPPS. In men with BPE, DATD reduced PV from 45mL to 31mL (P<0.001) and urinary symptoms from 14.3 to 4.9 (P<0.001). DADT significantly improved QoL in both treatment groups. In the control groups, no positive changes were observed. Conclusions: The use of DATD with TT relieves chronic pelvic pain and reduces an abnormal prostate size in patients with CP/CPPS and BPE, improving their QoL and wellbeing. Thus, DATD is an effective at-home self-management tool and provides a novel delivery of treatment for non-cancerous prostatic diseases, especially important during a pandemic.

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Section: Discussionmentioning

confidence: 99%

The at-home delivery of treatment for benign prostate enlargement and chronic prostatitis enabled by Dr Allen’s Device is a valuable healthcare innovation during a pandemic

Adjani

Allen

2021

Medico Research Chronicles

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“…With it, the need to adequately identify, assess and treat male sexual dysfunction becomes an important aspect to quality of life [13]. Despite the discussed scarcity in literature on the topic, it is agreed upon that men who consider antegrade ejaculation an important part of sexual pleasure and well being are likely to experience BPH surgery side effects very differently from those who are not sexually active or believe changes in ejaculation will not significantly change their pleasure [14]. Retrograde ejaculation is the most common event after conventional HOLEP surgery, and while it was not associated with decreased overall satisfaction with sex life in a retrospective cohort of over 2000 men, those who felt bothered by retrograde ejaculation reported impaired satisfaction with their sex life [15].…”

Section: Introductionmentioning

confidence: 99%

Antegrade ejaculation preservation in surgical treatment for benign prostatic hyperplasia: quest for balance between voiding and sexual function

Lopategui,

Shah,

Herrmann

2024

Current Opinion in Urology

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Purpose of review Surgical treatment of benign prostatic hyperplasia (BPH) carries a significant risk of ejaculation dysfunction. Preservation of antegrade ejaculation while providing effective, well tolerated, and durable treatment of BPH is a paramount component of physical and sexual well being for significant number of men. We reviewed available literature with an aim of providing status on antegrade ejaculation preserving BPH surgical therapies. Recent findings Minimally invasive surgical therapies for BPH have been developed over the last decade, with significant marketing emphasis on their potential for preservation of antegrade ejaculation. However, the question about durability of relief of bladder outlet obstruction remains. Parallel to this technological development, the understanding of anatomical structures involved in ejaculation have resulted in technical modifications of well established surgical treatments modalities like transurethral resection of prostate, endoscopic enucleation of prostate and simple prostatectomy, thereby providing safe and durable relief of bladder outlet obstruction secondary to BPH with a satisfactory preservation of antegrade ejaculation. Summary Preservation of antegrade ejaculation is an important goal for significant number of men needing BPH surgery. Novel minimally invasive surgical technologies have been developed for this purpose; but understanding of the anatomical structures essential for antegrade ejaculation have allowed technical modification of existing surgical techniques with excellent preservation of antegrade ejaculation.

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“…With time, depression can fill the recovery period. 3 Thus, many men find it difficult to adjust, even when the operation has been a success.…”

Section: Introductionmentioning

confidence: 99%

<p>Personal Perspectives: Having a Prostatectomy and the Role of the Cancer Specialist Nurse</p>

Taylor-Robinson¹,

Dykes²,

Hawkes³

2020

IJGM

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Background: Doctors are often ill-prepared to become patients, despite knowing the technicalities of surgical procedures and the day-today workings of hospital life intimately. Surrendering the decision-making process to other healthcare professionals can be an unnerving process for many of those who are medically qualified. Aim: Although the sequelae of prostatectomy have often been written about, little is in the literature from medically qualified patients about their personal experiences of the procedure. We aimed to highlight areas where communication between medically qualified patients and their carers may be strengthened. Methods and Results: We present a personal perspective of the emotional issues surrounding a potential cancer diagnosis, the experience of having a prostatectomy and what the hospital encounters were like in reality with a viewpoint of informing the medical profession in providing better patient information when they ask "what will it be like?". From this perspective, the critical role of the cancer specialist nurse is highlighted as the lynch pin in providing a continuing source of information to medically qualified patients and in not treating them as omniscient, simply because of a medical degree. Conclusion: Prostatectomy is a common procedure, but often questions about recovery after the procedure including impotence and incontinence are left unanswered in dealing with medically qualified colleagues when they are patients. Human behaviour is predictable, and medically qualified patients are just as apt to forget what is said to them as anyone else. However, the central role of the cancer specialist nurse as the bridge between the medical team and the patient should not be underestimated.

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Retrograde Ejaculation—a Commonly Unspoken Aspect of Prostatectomy for Benign Prostatic Hypertrophy

Cited by 7 publications

References 5 publications

The at-home delivery of treatment for benign prostate enlargement and chronic prostatitis enabled by Dr Allen’s Device is a valuable healthcare innovation during a pandemic

The at-home delivery of treatment for benign prostate enlargement and chronic prostatitis enabled by Dr Allen’s Device is a valuable healthcare innovation during a pandemic

Antegrade ejaculation preservation in surgical treatment for benign prostatic hyperplasia: quest for balance between voiding and sexual function

<p>Personal Perspectives: Having a Prostatectomy and the Role of the Cancer Specialist Nurse</p>

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