الفهرس 
IntroductionOnly 14 pages are availabe for public view
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Abstract
In older men, bladder outlet obstruction (BOO) are a common problem. A small yet obstructed prostate is the most common cause of BOO. After first-line treatment fails in patients with BOO, surgical intervention (TURP) may provide very satisfying clinical and functional outcomes.
Retrograde ejaculation is one of the most frequent side effects of benign prostatic hyperplasia (BPH) surgery. Surgeons worry about this problem when patients are sexual activity. Retrograde ejaculation is a side effect of (TURP) in up to 70% of cases.
The ejaculatory ducts and surrounding ductus ejaculatorus have been confirmed histopathologically; this is thought to be important for ejection. updated methods for ejaculation preservation have been applied in BPH procedures as a result of these recent findings.
The ejaculatory hood is spared by all methods, especially the suitable supramontanal tissue 1 cm proximal to the verumontanum. These results demonstrated the importance of the smooth muscle musculus ejaculatorius in the ejaculatory process.
In this research, we aimed to evaluate the effectiveness of ejaculation-preserving TURP (epTURP) in terms of functional results.
40 male patients with normal sexual activity who had benign prostatic enlargement and were eligible for surgery were included in the study.
Once the study was registered, the ethics committee reviewed it and gave it the approval , and each patient gave their written, informed consent.
The updated Benign Prostatic Hyperplasia Clinical Guidelines of the American Urological Association served the base for the inclusion criteria. men who had failed standard medical treatment for refractory urinary retention, urinary infection, or hematuria were eligible to participate in the study.
Patients with neurogenic bladder, urethral strictures, prostate cancer, and sexual or ejaculatory disorder were excluded.
The bipolar-TURP procedure was completed by Marking 1cm proximal to the verumontanum posteriorly (ventrally) and anteriorly, complete median lobe and anterior commissure resection, sparing the bladder neck after which about 5 mm of the paracollicular tissue was also spared after the resection of both lateral lobes down to the apical tissue.
Using the International Prostate Symptom Score (IPSS) and a further question assessing ejaculation, all patients were assessed before surgery and postoperatively (after three months); How often did you ejaculate during sexual stimulation or intercourse during the last four weeks?
In our study, 80.0 percent of those with antegrade ejaculation ability before to undergoing epTURP surgery still had it at 3 months after the procedure.
In our research, the studied patients’ IPSS decreased statistically significantly from a Median IQR of 20.00 ± 13.25 (preoperative) to a Median IQR of 8.00 ± 6.00 (postoperative) 3 months after surgery compared to before surgery.