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01.08.2011

The Relationship Between Photoselective Vaporization of the Prostate and Sexual Function

Erschienen in: Current Urology Reports | Ausgabe 4/2011

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Abstract

Although transurethral resection of the prostate remains the gold standard treatment of lower urinary tract symptoms that are refractory to medical therapy, photovaporization of the prostate (PVP) has become a popular alternative. Early PVP studies have been encouraging, but insufficient data exist regarding the effects of PVP on long-term sexual function. This article analyzes the published data and briefly reviews the literature. The studies on PVP are heterogeneous, and other than one that showed a decreased International Index of Erectile Function score after PVP, all the studies analyzed the population at large and did not focus on preoperatively potent patients. Further well-conducted and prospective studies are needed to confirm the impact of PVP on erectile function.

Wosnitzer M, Rutman M. KTP/LBO laser vaporization of the prostate. Urol Clin North Am. 2009;36.

Nomura H, Seki N, Yamaguchi A, et al. Comparison of photoselective vaporization and standard transurethral resection of the prostate on urodynamics in patients with benign prostatic hyperplasia. Int J Urol. 2009;16:657.PubMedCrossRef

Hai MA. Photoselective vaporization of prostate: five-year outcomes of entire clinic patient population. Urology. 2009;73:807.PubMedCrossRef

Buse S, Pfitzenmaier J, Wagener N, et al. Functional results 1 year after laser vaporization of the prostate: the impact of age. J Endourol. 2009;23:1339.PubMedCrossRef

• Al Ansari A, Younes N, Sanmpige V, et al. Greenlight HPS 120-W laser vaporization oversus transurethral resection of the prostate for treatment of benign prostatitic hyperplasia: a randomized clinical trial with midterm follow-up. Eur Urol. 2010;58:349. In this level 1 study, patients were randomly assigned to between TURP and PVP with the HPS laser. Surprinsingly, patients had 20% rate of transfusion after TURP, indicating a possible problem of learning curve. CrossRef

•• Bouchier-Hayes DM, Van Appledorn S, Bugeja P, et al. A randomized trial of photoselective vaporization of the prostate using the 80-W potassium-titanyl-phosphate laser vs transurethral prostatectomy, with a 1-year follow-up. BJU Int. 2010;105:964. This article presents results of a randomized study comparing TURP and PVP with the 80-W laser after 1 year. No data are available about erectile dysfunction. The study confirms that urianry results are similar, but lengh of stay, blood loss, and cost per case were lower in the PVP group. PubMedCrossRef

Bruyere F. Reply from author re: Oliver Reich. What do we know (or think we know) about erectile dysfunction following laser treatments for lower urinary tract symptoms? Eur Urol 2010;58:212–3 and Rocco Damiano, Riccardo Autorino. Sexual outcome following photoselective vaporization of the prostate: is there enough evidence? Eur Urol 2010;58:214–5. Eur Urol. 2010;58:216–7.PubMedCrossRef

•• Bruyere F, Puichaud A, Pereira H, et al. Influence of photoselective vaporization of the prostate on sexual function: results of a prospective analysis of 149 patients with long-term follow-up. Eur Urol. 2010;58:207. This is the only study to analyze erectile function after PVP in a potent cohort. All other studies compared pre- and postoperative erectile function in their entire population, potent and nonpotent. PubMedCrossRef

Paick JS, Um JM, Kim SW, et al. Influence of high-power potassium-titanyl-phosphate photoselective vaporization of the prostate on erectile function: a short-term follow-up study. J Sex Med. 2007;4:1701.PubMedCrossRef

10.

Paick JS, Um JM, Kwak C, et al. Influence of bladder contractility on short-term outcomes of high-power potassium-titanyl-phosphate photoselective vaporization of the prostate. Urology. 2007;69:859.PubMedCrossRef

11.

•• Kavoussi PK, Hermans MR. Maintenance of erectile function after photoselective vaporization of the prostate for obstructive benign prostatic hyperplasia. J Sex Med. 2008;5:2669. The men in this case series of 105 consecutive patients who underwent PVP were divided into three groups depending on their preoperative bladder management (catheter free, indwelling catheters, and clean intermittent catheterization [CIC]-performing clean intermittent catheterization). Sexual function was maintained by patients who underwent PVP for obstructive BPH and who were catheter-free or required CIC preoperatively, and was improved for men who had indwelling catheters preoperatively (regarding their SHIM score). There was no statistically significant difference between preoperative and postoperative sexual function after PVP for men with either mild or no erectile dysfunction preoperatively. PubMedCrossRef

12.

Spaliviero M, Strom KH, Gu X, et al. Does Greenlight HPS laser photoselective vaporization prostatectomy affect sexual function? J Endourol. 2010;24:2051.PubMedCrossRef

13.

Hamann MF, Naumann CM, Seif C, et al. Functional outcome following photoselective vaporisation of the prostate (PVP): urodynamic findings within 12 months follow-up. Eur Urol. 2008;54:902.PubMedCrossRef

14.

Te AE, Malloy TR, Stein BS, et al. Photoselective vaporization of the prostate for the treatment of benign prostatic hyperplasia: 12-month results from the first United States multicenter prospective trial. J Urol. 2004;172:1404.PubMedCrossRef

15.

Bachmann A, Ruszat R, Wyler S, et al. Photoselective vaporization of the prostate: the basel experience after 108 procedures. Eur Urol. 2005;47:798.PubMedCrossRef

16.

Bachmann A, Schurch L, Ruszat R, et al. Photoselective vaporization (PVP) versus transurethral resection of the prostate (TURP): a prospective bi-centre study of perioperative morbidity and early functional outcome. Eur Urol. 2005;48:965.PubMedCrossRef

17.

Malek RS, Kuntzman RS, Barrett DM. Photoselective potassium-titanyl-phosphate laser vaporization of the benign obstructive prostate: observations on long-term outcomes. J Urol. 2005;174:1344.PubMedCrossRef

18.

Jaidane M, Arfa NB, Hmida W, et al. Effect of transurethral resection of the prostate on erectile function: a prospective comparative study. Int J Impot Res. 2010;22(2):146–51.PubMedCrossRef

19.

Muntener M, Aellig S, Kuettel R, et al. Sexual function after transurethral resection of the prostate (TURP): results of an independent prospective multicentre assessment of outcome. Eur Urol. 2007;52:510.PubMedCrossRef

20.

Franco G, De Nunzio C, Federico G, et al. Evaluation of sexual activity after prostatic surgery for benign prostatic hyperplasia assessed by pre-operative and post-operative questionnaire. Minerva Urol Nefrol. 2005;57:331.PubMed

21.

Heinrich E, Wendt-Nordahl G, Honeck P, et al. 120 W lithium triborate laser for photoselective vaporization of the prostate: comparison with 80 W potassium-titanyl-phosphate laser in an ex-vivo model. J Endourol. 2010;24:75.PubMedCrossRef

22.

Naspro R, Bachmann A, Gilling P, et al. A review of the recent evidence (2006–2008) for 532-nm photoselective laser vaporisation and holmium laser enucleation of the prostate. Eur Urol. 2009;55:1345.PubMedCrossRef

23.

Wosnitzer MS, Rutman MP. KTP/LBO laser vaporization of the prostate. Urol Clin North Am. 2009;36:471.PubMedCrossRef

24.

Ruszat R, Seitz M, Wyler SF, et al. Prospective single-centre comparison of 120-W diode-pumped solid-state high-intensity system laser vaporization of the prostate and 200-W high-intensive diode-laser ablation of the prostate for treating benign prostatic hyperplasia. BJU Int. 2009;104:820.PubMedCrossRef

25.

Nomura H, Seki N, Yamaguchi A, et al. Photoselective vaporization of the prostate: outcome according to the prostate size in a series of 102 Japanese patients. Int J Urol. 2009;16:87.PubMedCrossRef

26.

Sandhu JS, Ng C, Vanderbrink BA, et al. High-power potassium-titanyl-phosphate photoselective laser vaporization of prostate for treatment of benign prostatic hyperplasia in men with large prostates. Urology. 2004;64:1155.PubMedCrossRef

27.

Spaliviero M, Araki M, Culkin DJ, et al. Incidence, management, and prevention of perioperative complications of GreenLight HPS laser photoselective vaporization prostatectomy: experience in the first 70 patients. J Endourol. 2009;23:495.PubMedCrossRef

28.

•• De Nunzio C, Miano R, Trucchi A, et al. Photoselective prostatic vaporization for bladder outlet obstruction: 12-month evaluation of storage and voiding symptoms. J Urol. 2010;183:1098. This is an analysis of 179 patients with bladder outlet obstruction. The 80-W laser was used. No data about erectile function was found, but retrograde ejaculation appeared in 67% after PVP. PubMedCrossRef

29.

Horasanli K, Silay MS, Altay B, et al. Photoselective potassium titanyl phosphate (KTP) laser vaporization versus transurethral resection of the prostate for prostates larger than 70 mL: a short-term prospective randomized trial. Urology. 2008;71:247.PubMedCrossRef

Titel: The Relationship Between Photoselective Vaporization of the Prostate and Sexual Function
Publikationsdatum: 01.08.2011
Erschienen in: Current Urology Reports / Ausgabe 4/2011
Print ISSN: 1527-2737
Elektronische ISSN: 1534-6285
DOI: https://doi.org/10.1007/s11934-011-0199-8

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