title: TURP in the young man: is it possible to preserve the anterograde ejaculation?
abstract: BACKGROUND
  LUTS are fairly common in young men. BPO and intra-prostatic cyst localized near the bladder neck can determine a BOO in men younger than 50 years too. TURP remains the gold standard treatment, but the retrograde ejaculation or the decreased ejaculate volume after TURP was associated with considerable bother. In our study we have evaluated the possibility of obtaining a prostatic disobstruction without affecting the patient's sexual function and, specifically, the retrograde ejaculation, evaluating the sexual function after a 1-year follow-up.
  
  
  METHODS
  18 patients were enrolled in the study. Mean age of the patients at time of surgery was 41 years. Erectile and sexual functions have been evaluated according to the self-administered IIEF and MSHQ. Endoscopic procedure was performed with a resection of the bladder neck at 6 o'clock position followed by a resection at the 12 o'clock position. The same questionnaires were administered at 6 months and 1 year after endoscopic surgery.
  
  
  RESULTS
  The mean baseline prostate volume was 36 mL, with a mean operative time of 22 minutes. No statistical differences were reported in IIEF and MSHQ domains at baseline and after 1 year. Qmax increased from 7.4 mL/s preoperatively to 23.6 mL/s at 1-year follow-up.
  
  
  CONCLUSIONS
  In young and selected patients with prostatic obstruction, it is possible to perform a mini-invasive surgery: "Minimally Invasive Nonexpensive TURP", an effective and safe procedure, not affecting sexual function, and particularly, retrograde ejaculation.
authors: Department of Health Science, University of L'Aquila, Mazzini Hospital, Teramo, Italy. delrossoa@tiscali.it
authors: Alessandro
authors: A
authors: Del Rosso
authors: Stefano
authors: S
authors: Masciovecchio
authors: Pietro
authors: P
authors: Saldutto
authors: Giuseppe
authors: G
authors: Paradiso Galatioto
authors: Carlo
authors: C
authors: Vicentini
mesh_terms: D000328:Adult; D003560:Cysts / Q000150:complications / Q000601:surgery; D004542:Ejaculation / Q000502:physiology; D004724:Endoscopy / Q000009:adverse effects* / Q000379:methods; D007172:Erectile Dysfunction / Q000209:etiology / Q000517:prevention & control; D006801:Humans; D007989:Libido; D059411:Lower Urinary Tract Symptoms / Q000209:etiology / Q000601:surgery; D008297:Male; D008875:Middle Aged; D061646:Operative Time; D011183:Postoperative Complications / Q000209:etiology / Q000517:prevention & control*; D011469:Prostatic Diseases / Q000150:complications / Q000601:surgery; D011470:Prostatic Hyperplasia / Q000150:complications / Q000601:surgery*; D020728:Transurethral Resection of Prostate / Q000009:adverse effects* / Q000379:methods; D001748:Urinary Bladder Neck Obstruction / Q000209:etiology / Q000601:surgery*; D055815:Young Adult