Conservation de l'ejaculation au cours de la resection transurethrale de prostate

Objective: To evaluate the role of partial prostatectomy in the management of bladder outlet obstruction due to benign prostatic hyperplasia (BPH) and to illustrate the indications and results with regard to micturition and preservation of antegrade ejaculation. Patients and Methods: Sixty-nine patients with a mean age of 53 years (range: 40 - 85 years) who had undergone partial prostatectomy for BPH were followed up between January 1997 and December 2002. Details on the quality of micturition and ejaculation of each patient were obtained via telephone calls after a period of at least 6 months following surgery. Results: As for micturition; good results were reported by 75;36(52/69) of the patients; while 23;19(16/69) and 1;45(1/69) of the patients reported satisfactory and unsatisfactory results; respectively. Antegrade ejaculation could be achieved in 97;1(67/69) patients. Conclusion: We conclude that partial prostatectomy as suggested by Hermabessiere3 is a technique which allows for the preservation of antegrade ejaculation. It is of special interest in the young patient; but can also be applied in the elder man

Bladder neck resection with preservation an antegrate ejaculation

Objective: To evaluate a new method of bladder neck resection and to determine; whether or not antegrade ejaculation can be preserved. Patients and Methods Twenty patients with bladder neck obstruction were treated by bladder neck resection with preservation of more than 1 cm proximal to the verumontanum. The patients were evaluated before and after resection by semen volume; sperm count symptom improvement and urodynamic evaluation. Results With this technique preserving 1 cm of the supramontanal part; we could preserve antegrade ejaculation in 17 out of 20 patients (85); while in two patients only a small amount of semen was ejaculated and in one patient; complete retrograde ejaculation was reported. Conclusion The complication of retrograde ejaculation in young patients who are in need of fertililty may be avoided by preservation of 1 cm of the supramontanal part during bladder neck resection