Surgery without Sacrifice: Understanding Ejaculation-Preserving TURP | Chapter 1 | Newer Frontiers in Urology

Introduction: Traditional Transurethral Resection of the Prostate (TURP) effectively treats bladder outlet obstruction (BOO) but often results in retrograde ejaculation, affecting patient satisfaction among sexually active men. The Ejaculation-Preserving TURP (Ep-TURP) technique offers a solution that focuses on symptom relief without compromising sexual function. In EP-TURP an area of 1cm proximal to the verumontanum is preserved.

Aim: To assess the efficacy of Ep-TURP in preserving ejaculation while relieving urinary symptoms in BPH patients, providing an alternative to standard TURP with fewer sexual side effects.

Results: Both Ep-TURP and traditional TURP effectively alleviate lower urinary tract symptoms. However, Ep-TURP demonstrates significantly higher preservation of antegrade ejaculation, resulting in greater satisfaction among sexually active patients. Surgical precision is required, as Ep-TURP spares tissues near the bladder neck critical to ejaculation while achieving symptomatic relief.

Conclusion: Ep-TURP represents a breakthrough in addressing the dual goals of symptom relief and ejaculatory preservation in BPH patients, particularly benefiting younger, sexually active men. The technique underscores the shift towards individualized, quality-of-life-oriented surgical care in urology.

 

Author (s) Details

 

Arvind Ramachandran
Department of Urology & Renal Transplantation, Sri Ramachandra Institute of Higher Education & Research, Chennai, India.

 

Karthik M Chavannavar
Department of Urology & Renal Transplantation, Sri Ramachandra Institute of Higher Education & Research, Chennai, India.

 

Velmurugan Palaniyandi
Department of Urology & Renal Transplantation, Sri Ramachandra Institute of Higher Education & Research, Chennai, India.

 

Hariharasudhan Sekar
Department of Urology & Renal Transplantation, Sri Ramachandra Institute of Higher Education & Research, Chennai, India.

 

Sriram Krishnamoorthy
Department of Urology & Renal Transplantation, Sri Ramachandra Institute of Higher Education & Research, Chennai, India.

 

Please see the book here:-  https://doi.org/10.9734/bpi/mono/978-93-49238-86-2/CH1