AI Article Synopsis

  • - Recent alternatives to TURP and laser techniques for Benign Prostatic Hyperplasia (BPH) are being explored, focusing on preserving sexual function and ejaculation.
  • - While TURP and traditional laser techniques are effective for BPH and Lower Urinary Tract Symptoms (LUTS), they often compromise ejaculation.
  • - New methods like Rezum, AquaBeam, and Urolift show promise, but they lack long-term data on effectiveness, complications, and patient selection.

Article Abstract

To the Editor, In recent years, alternative solutions have been proposed to obtain effective results comparable to TURP, which is currently considered the gold standard, and laser vapo-enucleation techniques (1, 2), but with the possibility of maintaining sexual functions. In recent years there has been a growing trend towards ejaculation preservation. Although the results of TURP (3), and most laser enucleation techniques are undoubted in the Benign Prostatic Hyperplasia (BPH) and Lower Urinary Tract Symptoms (LUTS) management, they often lack in the preservation of ejaculation. All the alternative recently proposed interventions (Rezum, AquaBeam, Urolift, TPLA, i-TIND, LEST) are procedures considered by some authors to be promising in both managing BPO and preserving sexual functions. However, all these methods are limited by a lack of long-term follow-up that would evaluate the efficacy over time, possible complications related to the method and the correct patient selection for a specific method. The aim of this letter is to summarize the available evidence and provide clinicians with practical recommendations on the use of the brand new minimally invasive techniques for the management of BPO. [...].

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Source
http://dx.doi.org/10.4081/aiua.2023.12003DOI Listing

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