HoLEP Sexual Survivorship

Patient Perspectives on the Trade-off Between Voiding Improvement and Sexual Dysfunction Following HoLEP

The objective of this study is to evaluate how sexual function, ejaculatory function, and overall sexual satisfaction change following Holmium Laser Enucleation of the Prostate (HoLEP).

In doing so, the study team will examine the trade-off between relief of lower urinary tract symptoms and changes in sexual function.

The objective of this study is to evaluate how sexual function, ejaculatory function, and overall sexual satisfaction change following Holmium Laser Enucleation of the Prostate (HoLEP).

Retrograde ejaculation is a common and expected consequence of the procedure and meaningfully influences surgical decision-making. Through the study team's findings, the study team aims to characterize the longitudinal impact of HoLEP and if it induces patient regret.

In doing so, the study team will examine the trade-off between relief of lower urinary tract symptoms and changes in sexual function. This study seeks to generate patient-centered data to inform shared decision-making for men considering HoLEP.

Inclusion Criteria:

• Males 18-100 years old
• Electing to undergo HoLEP for the treatment of bothersome lower urinary tract symptoms
• Currently have present antegrade ejaculation (the standard, male ejaculatory process where semen is propelled forward and out through the urethra during orgasm).

Exclusion Criteria:

• Patients with any of the following:

  • Indwelling urinary catheter prior to surgery
  • Neurological disease
  • History of prior prostatic/urethral surgery that may impact ejaculation

• Patients who lack decisional capacity

• Patients unable to read, understand, and speak English