Retrograde ejaculation is the most prevalent sexual side effect of endoscopic enucleation of the prostate (EEP). Comparative data on ejaculatory and erectile function following HoLEP and ThuLEP using validated instruments remain scarce. Aim: To compare the longitudinal trajectory of male sexual function after both laser platforms<\/p>\n
223 patients (HoLEP n=120, ThuLEP n=103). Instruments: Male Sexual Health Questionnaire (MSHQ) + International Index of Erectile Function (IIEF-5). Timepoints: baseline, 1m, 6m. Statistical tests: Mann-Whitney U, Wilcoxon, chi-square<\/p>\n
73.1% of patients retained MSHQ below preoperative baseline at 6 months. Erectile function category stable in majority at 1m and 6m<\/p>\n
HoLEP and ThuLEP result in equivalent and substantial impairment of ejaculatory function. Partial recovery occurs by 6 months \u2014 but persistent reduction remains in most patients. Erectile function category distribution was comparable between groups at both timepoints. Preoperative counselling regarding persistent ejaculatory dysfunction should be standardized independent of laser type<\/p>","protected":false},"excerpt":{"rendered":"
Retrograde ejaculation is the most prevalent sexual side effect of endoscopic enucleation of the prostate (EEP). Comparative data on ejaculatory and erectile function following HoLEP and ThuLEP using validated instruments remain scarce. Aim: To compare the longitudinal trajectory of male … read more<\/a><\/p>","protected":false},"author":3,"featured_media":315,"menu_order":0,"template":"","meta":{"_acf_changed":false},"portfolio-type":[19],"portfolio-tag":[],"class_list":["post-314","portfolio","type-portfolio","status-publish","has-post-thumbnail","hentry","portfolio-type-unmoderated-posters"],"acf":[],"_links":{"self":[{"href":"https:\/\/ice26.eposter.civired.com\/en\/wp-json\/wp\/v2\/portfolio\/314","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/ice26.eposter.civired.com\/en\/wp-json\/wp\/v2\/portfolio"}],"about":[{"href":"https:\/\/ice26.eposter.civired.com\/en\/wp-json\/wp\/v2\/types\/portfolio"}],"author":[{"embeddable":true,"href":"https:\/\/ice26.eposter.civired.com\/en\/wp-json\/wp\/v2\/users\/3"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/ice26.eposter.civired.com\/en\/wp-json\/wp\/v2\/media\/315"}],"wp:attachment":[{"href":"https:\/\/ice26.eposter.civired.com\/en\/wp-json\/wp\/v2\/media?parent=314"}],"wp:term":[{"taxonomy":"portfolio-type","embeddable":true,"href":"https:\/\/ice26.eposter.civired.com\/en\/wp-json\/wp\/v2\/portfolio-type?post=314"},{"taxonomy":"portfolio-tag","embeddable":true,"href":"https:\/\/ice26.eposter.civired.com\/en\/wp-json\/wp\/v2\/portfolio-tag?post=314"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}