Ejaculatory Hood-Sparing Vaporization of the Prostate and its Impact on Erectile, Ejaculatory, and Sexual Function.

Abstract Objective: To assess the impact of Ejaculatory Hood (EH)-sparing TUVP on sexual function, with a specific focus on erectile and ejaculatory function. Methods: We studied 25 patients who underwent EH-sparing Photo Selective Vaporization of the Prostate using the Greenlight Laser (PVP) or Bipolar Button Plasma Vaporization of the Prostate (BPVP) from August 2016 – March 2018. All patients were sexually active with anterograde ejaculation prior to treatment. Patients completed the Male Sexual Health Questionnaire (MSHQ) and AUA Symptom Score pre- and post-operatively. We compared pre-procedure sexual function with post-procedure sexual function at 1- and 3-month intervals. A logistic regression model was used to identify predictors of improvement in sexual function. Results: 25 patients underwent EH-sparing TUVP from August 2016 – March 2018. At 3-months postoperatively, patients had significant improvement in erection score (12 vs. 9, p=0.04) and erection bother score (5 vs. 3.5, p ( 1.32, CI: 1.03 – 1.69, p=0.03). Conclusion: At 3 months post-operatively, the majority of men who underwent EH-sparing TUVP had preserved anterograde ejaculation and improved overall sexual function based on MSHQ survey. This validates EH-sparing TUVP in men with BPH who wish to maintain sexual function.