Paper Information

Title: 

THE INCIDENCE RATE OF RETROGRADE EJACULATION OF TWO TECHNIQUE OF TURP, STANDARD AND WITH PRESERVATION OF PREPROSTATIC SHPINCTER

Type: PAPER
Author(s): GHASEMKHANI O.*,IRANI DARYOUSH,KHEZRI A.A.
 
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Name of Seminar: CONGREH ANJOMAN UROLOGY IRAN
Type of Seminar:  CONGRESS
Sponsor:  ANJOMAN OROLOGY
Date:  2005Volume 8
 
 
Abstract: 

BACKGROUND & PURPOSE: RETROGRADE EJACULATION IS A COMMON COMPLICATION OF TRANSURETHRAL RESECTION OF PROSTATE (TURP). THERE IS AN ASSUMPTION, PREPROSTATIC SHPINCTER HAS A MAJOR ROLE IN NORMAL EJACULATION. SO WE DESIGNED A STUDY TO COMPARE THE OCCURRANCE OF RETROGRADE EJACULATION IN TWO TECHNIQUE OF TURP, STANDARD AND WITH PRESERVATION OF PREPROSTATIC SPHINCTER.
MATERIALS & METHODS: IT WAS A RANDOMIZED CLINICAL TRIAL ON 24 SAMPLE SIZE WHO HAD BENIGN PROSTATIC HYPERPLASIA, SEXUAL FUNCTION WITH NORMAL EJACUATION AND DID NOT HAVE ANY OTHER DISEASES THAT INFLUENCE ON EJACUATION. THE CASES WERE DIVIDED INTO TWO GROUPS WITH RANDOMIZED COLLECTION. STANDARD TURP WAS DONE FOR THE FIRST AND TURP WITH PRESERVATION OF PREPROSTTATIC SPINCTER FOR THE SECOND. UROFLOWMETRY, RESIDUAL URINE VOLUME, SEMEN VOLUME AND AUA SCORE TESTED FOR ALL CASES BEFORE THE OPERATION AND 3, 6 AND 12 MONTHS AFTER IT.
RESULTS: URINE OBSTRUCTIVE SYMPTOMS WERE RESOLVED IN BOTH GROUPS WITHOUT SIGNIFICANT DIFFERENCES BETWEEN THEM.8 CASES (66.7%) IN THE FIRST AND 3 CASES IN THE SECOND GROUP HAD RETROGRADE EJACULATION. THE DIFFERENCE WAS SIGNIFICANT WITH CHISQUARE TEST WITH 95% CONFIDENCE INTERVAL (P-VALUE=0.041).
CONCLUSION: WE RECOMMEND TURP WITH PRESERVATION OF PREPROSTATIC SPHINCTER AS A GOOD TECHNIQUE, SPECIALLY FOR PATIENTS WHO HOPE TO PRESERVE NORMAL EJACULATION.

 
Keyword(s): PROSTATIC HYPERPLASIA, TRANSURETHRAL RESECTION OF PROSTATE, EJACULATION
 
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