Laser Vaporization of the Prostate: Comparing Between Ejaculatory Preserving and Non-ejaculatory Preserving Technique
Prostatic Hyperplasia
About this trial
This is an interventional treatment trial for Prostatic Hyperplasia focused on measuring ejaculatory preserving, laser vaporization of the prostate
Eligibility Criteria
Inclusion criteria: Age >45 years old, clinical diagnosis of BOO by medical history and physical examination (including digital rectal examination) International prostate symptoms score (IPSS) >14 points Normal PSA (PSA<4 ng / ml or free/ total PSA >0.25) Prostate size < 80 gm Men with recurrent urinary retention (drug-refractory), urinary infection, or haematuria who had failed standard medical therapy (alpha-blockers, 5-alpha reductive inhibitors) Patients were also required to have an active and healthy sexual life, the ability to ejaculate and a desire to preserve ejaculation Exclusion criteria Major psychiatric and somatic diseases and the use of drugs that affect sexual function Patients with ejaculatory dysfunction or no ejaculation Patients with documented or suspected prostate cancer Patients with neurogenic bladder, voiding dysfunction, urethral strictures, and malignancies of the upper or lower urinary tract, Prostates sized more than 80 CC, severe comorbidities or high surgical risk patients.
Sites / Locations
- Ain Shams University HospitalRecruiting
Arms of the Study
Arm 1
Arm 2
Active Comparator
Active Comparator
new technique of ejaculatory preserving laser vaporization prostatectomy
conventional technique laser vaporization prostatectomy
laser will be employed to preform vaporization. The ejaculatory preserving procedure will be done in the following steps: Setting a mark cut 1 cm proximal of the verumontanum as orientation. Complete resection of the middle lobe to the abovementioned mark. Vaporization of lateral lobes to the capsule and the ventral side to the level of the verumontanum with avoidance of paracollicular digging. Circular resection of the internal bladder neck. Apical resection utilizing the colliculus seminalis as a distal resection border and maintaining a 1cm safety area for preservation of ejaculation. Total removal of prostate cuts and final check to confirm that there are no obstructive components.
non ejaculatory preserving laser vaporization of the prostate