MP20-09 Evaluating outcomes of combined bladder neck and supramontanal sparing ejaculatory preserving TURP: Results from a prospective, randomised study

You have accessJournal of UrologyBenign Prostatic Hyperplasia: Surgical Therapy & New Technology I (MP20)1 May 2024MP20-09 Evaluating outcomes of combined bladder neck and supramontanal sparing ejaculatory preserving TURP: Results from a prospective, randomised study Yashas Prasad Mylarappa, Manasa Thimmegowda, and Prasad Mylarappa Yashas Prasad MylarappaYashas Prasad Mylarappa , Manasa ThimmegowdaManasa Thimmegowda , and Prasad MylarappaPrasad Mylarappa View All Author Informationhttps://doi.org/10.1097/01.JU.0001008732.80104.31.09AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Although conventional TURP is highly successful in improving urinary symptoms and flow rates, a higher incidence of loss of antegrade ejaculation has been reported. In our study, we aimed at prospectively comparing the efficacy and outcomes of a novel dual bladder neck and supramontanal sparing TURP to conventional TURP to improve voiding and ejaculation. METHODS: Between January 2020 and November 2022, all patients with BPH satisfying the eligibility criteria underwent either supramontanal with bladder neck sparing TURP (Group A) or classical TURP (Group B) after randomisation. The groups were compared for functional outcomes including IPSS, peak flow rates, postvoid residual urine, perioperative variables and postoperative complications. Ejaculation after surgery was assessed with 15 question International index of erectile function (IIEF) score and Ejaculation Projection score (EPS). RESULTS: A total of 90 patients were randomised equally to Group A and B respectively. In both groups, significant improvements noted in Qmax 6.29±2.64 mL/s to 21.94±3.83mL/s (group A) and 7.03±2.71 to 21.58±5.22 mL/s (group B) and reduction in IPSS score 26.6±3.45 to 4.36± 1.74 (group A) and 26.12±2.88 to 4.69±0.87 (group B) postoperatively, were comparable. Group A had a significant improvement in both IIEF 15 score (60.53±4.92) and EPS (3.49) when compared to Group B (p<0.001) with 88.88 % reporting antegrade ejaculation (vs 22.22% in Group B). A statistically higher incidence of bladder neck contracture was observed in Group B at 3 months follow up. CONCLUSIONS: Combined Bladder neck and supramontanal sparing TURP is superior to classic TURP in preservation of forward ejaculation and prevention of post operative bladder neck contractures with comparable outcomes in terms of voiding parameters. Source of Funding: Nil © 2024 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 211Issue 5SMay 2024Page: e323 Advertisement Copyright & Permissions© 2024 by American Urological Association Education and Research, Inc.Metrics Author Information Yashas Prasad Mylarappa More articles by this author Manasa Thimmegowda More articles by this author Prasad Mylarappa More articles by this author Expand All Advertisement PDF downloadLoading ...