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<p>Retrograde ejaculation remains one of the most distressing complications following conventional transurethral resection of the prostate (TURP). Modified techniques that preserve critical anatomical structures such as supramontanal tissue, have been proposed to maintain antegrade ejaculation without compromising urinary outcomes. To compare urinary and sexual outcomes between conventional TURP and ejaculation-preserving TURP in patients with benign prostatic hyperplasia (BPH). This prospective, randomized observational study was conducted in the Department of Urology, SMS Medical College and Hospital, Jaipur, from February 2024 to May 2025. Sixty-four patients with BPH were randomized into two groups: conventional TURP (Group A, <i>n</i> = 32) and ejaculation-preserving TURP (Group B, <i>n</i> = 32). Functional outcomes were assessed using the International Prostate Symptom Score (IPSS), maximum urinary flow rate (Qmax), post-void residual urine (PVR), and Question of the International Index of Erectile Function (IIEF-9). Patients were followed for six months postoperatively. Both groups showed significant postoperative improvement in IPSS and Qmax. At six months, mean Qmax was 22.1 ± 5.9 mL/s in Group A versus 24.5 ± 4.7 mL/s in Group B (<i>p</i> = 0.04). Antegrade ejaculation was preserved in 28 of 32 patients (87.5%) in Group B compared with 6 of 32 (18.8%) in Group A (<i>p</i> &lt; 0.001). Bladder neck contracture occurred in 9.4% of Group A and none in Group B. Conclusion: Ejaculation-preserving TURP provides equivalent urinary relief with superior preservation of antegrade ejaculation and reduced postoperative complications, representing a functionally superior modification of standard TURP for sexually active men.</p>

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A Comparative Study of Post TURP Sexual Dysfunction in Ejaculation Preserving versus Conventional Transurethral Resection of Prostate

  • 期刊论文

  • 发表日期：

    2026年4月30日

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  • Naveen Kumar,
  • Somendra Bansal,
  • Shivam Priyadarshi,
  • Govind Sharma

摘要

Retrograde ejaculation remains one of the most distressing complications following conventional transurethral resection of the prostate (TURP). Modified techniques that preserve critical anatomical structures such as supramontanal tissue, have been proposed to maintain antegrade ejaculation without compromising urinary outcomes. To compare urinary and sexual outcomes between conventional TURP and ejaculation-preserving TURP in patients with benign prostatic hyperplasia (BPH). This prospective, randomized observational study was conducted in the Department of Urology, SMS Medical College and Hospital, Jaipur, from February 2024 to May 2025. Sixty-four patients with BPH were randomized into two groups: conventional TURP (Group A, n = 32) and ejaculation-preserving TURP (Group B, n = 32). Functional outcomes were assessed using the International Prostate Symptom Score (IPSS), maximum urinary flow rate (Qmax), post-void residual urine (PVR), and Question of the International Index of Erectile Function (IIEF-9). Patients were followed for six months postoperatively. Both groups showed significant postoperative improvement in IPSS and Qmax. At six months, mean Qmax was 22.1 ± 5.9 mL/s in Group A versus 24.5 ± 4.7 mL/s in Group B (p = 0.04). Antegrade ejaculation was preserved in 28 of 32 patients (87.5%) in Group B compared with 6 of 32 (18.8%) in Group A (p < 0.001). Bladder neck contracture occurred in 9.4% of Group A and none in Group B. Conclusion: Ejaculation-preserving TURP provides equivalent urinary relief with superior preservation of antegrade ejaculation and reduced postoperative complications, representing a functionally superior modification of standard TURP for sexually active men.