Evidence map›Paper›PMID 39152347›Full record

ArticleWorld journal of urology2024

UroLift to preserve seminal parameters in young male with LUTS from BPH.

Pasquale Annese, Nicola d'Altilia, Ugo Giovanni Falagario, Edoardo Tocci, Vincenzo Mirone, Giuseppe Simone, Angelo Porreca, Carlo Bettocchi, Francesca Sanguedolce, Gian Maria Busetto and 1 more

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Article in World journal of urology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Pasquale AnneseDepartment of Urology, IRCCS Ospedale Casa Sollievo Della Sofferenza, San Giovanni Rotondo, Italy.
Nicola d'AltiliaDepartment of Urology and Renal Transplantation, University of Foggia, Viale Luigi Pinto 1, 71122, Foggia, Italy. daltilianicola@gmail.com.ORCID http://orcid.org/0000-0002-8773-3535
Ugo Giovanni FalagarioDepartment of Urology and Renal Transplantation, University of Foggia, Viale Luigi Pinto 1, 71122, Foggia, Italy.
Edoardo TocciDepartment of Urology and Renal Transplantation, University of Foggia, Viale Luigi Pinto 1, 71122, Foggia, Italy.
Vincenzo MironeDepartment of Public Health, University of Naples "Federico II", Naples, Italy.
Giuseppe SimoneDepartment of Urology, Regina Elena National Cancer Institute, Roma, Italy.
Angelo PorrecaOncological Urology, Veneto Institute of Oncology (IOV)-IRCCS, Padova, Italy.
Carlo BettocchiDepartment of Urology and Renal Transplantation, University of Foggia, Viale Luigi Pinto 1, 71122, Foggia, Italy.
Francesca SanguedolcePathology Unit, University of Foggia, Foggia, Italy.
Gian Maria BusettoDepartment of Urology and Renal Transplantation, University of Foggia, Viale Luigi Pinto 1, 71122, Foggia, Italy.
Giuseppe CarrieriDepartment of Urology and Renal Transplantation, University of Foggia, Viale Luigi Pinto 1, 71122, Foggia, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeProstatic urethral lift has been an effective ejaculation sparing treatment for benign prostatic hypertrophy. The aim of this study was to evaluate the effect on male semen parameters.

methodsBetween July 2014 and January 2022, 20 young men with urinary symptoms of BPH, unresponsive to drug treatment and motivated to preserve ejaculation for eventual paternity, underwent UroLift. Semen analysis was performed before and 6 month after surgery with evaluation of pH, volume, sperm concentration, total motility, vitality and morphology according to WHO 2011. All underwent digital rectal examination, transrectal prostate ultrasound to measure prostate volume, PSA, uroflowmetry, cystoscopy and urodynamics test if necessary. Objective and subjective urinary function was scheduled at 1, 3, 6, 12 month than yearly with UFM, IPSS, IIEF-5, and MSHQ-EjD-SF.

resultsAt a mean follow-up of 36 month (range 12 to 63), no retroejaculation or changes in seminal parameters occurred. Mean age was 44.5 (range 36.5 to 48) years. Mean operative time was 15 (range 10 to 20) min and 2.5 (range 2 to 4) implants per patients were used. At 6 month there were no difference in terms of total sperm count, volume, pH, motility, vitality, morphology, liquefaction, leucocytes (p = 0.9; p = 0.8; p = 0.7; p = 1; p = 1; p = 1; p = 0,2; p = 0.5). At last, Q-max increased by 64.4% (p = 0.001), post-void residual volume decreased by 66.6% (p = 0.016), and IPSS decreased by 60% (p < 0.001). IIEF and MSHQ-EjD-SF were preserved (p = 0.14, p = 0.4).

conclusionsUroLift appears safe technique to correct LUTS from BPH in young men desirous to preserve seminal analysis.

Indexed as

Lower Urinary Tract SymptomsProstatic HyperplasiaSemen AnalysisAdultEjaculationHumansMaleMiddle AgedOrgan Sparing TreatmentsUrethraUrologic Surgical Procedures, MaleBPHEjaculationLUTSProstateSeminal parametersUroLift

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.