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

RESUMO

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