title: Antegrade ejaculation following transurethral laser ablation of the prostate.
abstract: A major drawback for many sexually active men who undergo a prostatectomy for benign prostatic hyperplasia, either via a transurethral resection or an open procedure, is the high incidence of retrograde ejaculation. Transurethral laser ablation of the prostate (TULAP) is a minimally invasive alternative to these procedures for prostatic outlet obstruction. We retrospectively reviewed 37 patients who underwent the TULAP procedure. Our data revealed that in addition to a significant improvement in voiding symptoms, 92% of sexually active patients retained both potency and antegrade ejaculation postoperatively. We conclude that this procedure is a viable alternative to transurethral prostatectomy, especially for the men who wish to remain sexually potent with antegrade ejaculation. A rationale for the mechanism of preservation of ejaculatory function is discussed.
authors.affiliation: Department of Urology, Brooklyn Hospital Center, New York 11201.
authors.forename: A I
authors.initials: AI
authors.lastname: Hashmat
authors.forename: L S
authors.initials: LS
authors.lastname: Hakim
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D004542:Ejaculation; D006801:Humans; D053685:Laser Therapy; D008297:Male; D008875:Middle Aged; D011468:Prostatectomy / Q000379:methods*; D011470:Prostatic Hyperplasia / Q000503:physiopathology / Q000601:surgery; D014521:Urethra / Q000601:surgery; D001743:Urinary Bladder / Q000503:physiopathology