Ejaculatory Sparing Transurethral Incision Of The Prostate (ES-TUIP) Versus Conventional TUIP

Ejaculatory Sparing Transurethral Incision Of The Prostate (ES-TUIP) Versus Conventional TUIP

In this study, Investigators planned to compare ejaculatory sparing and non-ejaculatory sparing (conventional) TUIP using both subjective and objective assessment tools for the degree of deobstruction.

Furthermore, the impact of both techniques on ejaculation and its secondary effect on orgasm perception and different domains of sexual function will be thoroughly assessed.

Inclusion Criteria:

• American society of anesthesiologists (ASA) score ≤3.
• TRUS estimated prostate weight ≤ 35 grams.
• Sexually interested and having continuous relationship with the same partner (interested).
• Bladder outlet obstruction index (BOOI ) ≥ 20 as per pressure flow study

Exclusion Criteria:

• Preoperative sexual or ejaculatory disturbances or pelvic pain syndrome
• Neurological disorders that can affect potency and ejaculation e.g. long standing uncontrolled diabetes mellitus (DM) type 2 (> 10 years), DM type 1, cerebral stroke, Parkinsonism
• Urodynamic changes consistent with urethropathy or detrusor hypocontractility
• Previous pelvic surgeries or radiotherapy