{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,4]],"date-time":"2026-03-04T07:20:50Z","timestamp":1772608850594,"version":"3.50.1"},"reference-count":56,"publisher":"Oxford University Press (OUP)","issue":"4","license":[{"start":{"date-parts":[[2023,3,9]],"date-time":"2023-03-09T00:00:00Z","timestamp":1678320000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,9,27]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Clinicians primarily focus on the presence or absence of anterograde ejaculation following surgery for benign prostatic hyperplasia (BPH). Failing to assess dysfunctional ejaculation and associated bother in a granular fashion can underestimate the prevalence and significance of ejaculatory dysfunction in this population.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objectives<\/jats:title><jats:p>This scoping review provides critical appraisal of existing tools assessing ejaculatory function and associated bother, emphasizing the importance of adequate history-taking, preoperative counseling, and supplemental questions that should be used prior to and after treatment.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A literature review was conducted using pertinent keywords from 1946 to June 2022. Eligibility criteria included men developing ejaculatory dysfunction following BPH surgery. Measured outcomes included the assessment of patient bother related to ejaculatory function, pre- and postoperative scores from the Male Sexual Health Questionnaire (MSHQ). and Danish Prostate Symptom sexual function domain (DAN-PSSsex).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Results of this study included only 10 documented patients\u2019 bother due to ejaculatory dysfunction following treatment. Pre- and postoperative MSHQ were used as the diagnostic tool in 43\/49 studies, one study documented \u201cpreservation of anterograde ejaculation\u201d, and one used DAN-PSSsex. Q1\u20134 of the MSHQ were used in 33\/43 studies, 3\/43 used Q1, 3, 5\u20137, 1\/43 used solely Q4, 1\/43 used Q1\u20133\u2009+\u2009Q6 and Q7, and 5\/43 used the entire MSHQ. No studies used post-ejaculation urinalysis to diagnose retrograde ejaculation. Only four studies explicitly documented bother and found 25\u201335% of patients were bothered with a \u201clack of ejaculate\u201d or \u201cother ejaculation difficulties\u201d during sexual activity after BPH surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>There are currently no studies stratifying patient bother by various components of ejaculation (force, volume, consistency, sensation of seminal expulsion, painful ejaculation, etc.) after BPH surgery. Opportunities for improvement exist in reporting ejaculatory dysfunction related to BPH treatment. A comprehensive sexual health history is needed. Further investigation into effects of BPH surgical treatments on specific characteristics of the patient\u2019s experience of ejaculation is required.<\/jats:p><\/jats:sec>","DOI":"10.1093\/sxmrev\/qead002","type":"journal-article","created":{"date-parts":[[2023,3,9]],"date-time":"2023-03-09T15:39:39Z","timestamp":1678376379000},"page":"375-383","source":"Crossref","is-referenced-by-count":4,"title":["A scoping review of ejaculatory dysfunction due to surgical treatments for benign prostatic hyperplasia: limitations of available tools for assessment and reporting"],"prefix":"10.1093","volume":"11","author":[{"given":"Prajit","family":"Khooblall","sequence":"first","affiliation":[{"name":"Center for Men\u2019s Health, Glickmassn Urological and Kidney Institute, Cleveland Clinic , Cleveland, OH 44195 , United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Raevti","family":"Bole","sequence":"additional","affiliation":[{"name":"Center for Men\u2019s Health, Glickmassn Urological and Kidney Institute, Cleveland Clinic , Cleveland, OH 44195 , United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Navid","family":"Leelani","sequence":"additional","affiliation":[{"name":"Center for Men\u2019s Health, Glickmassn Urological and Kidney Institute, Cleveland Clinic , Cleveland, OH 44195 , United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Scott","family":"Lundy","sequence":"additional","affiliation":[{"name":"Center for Men\u2019s Health, Glickmassn Urological and Kidney Institute, Cleveland Clinic , Cleveland, OH 44195 , United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Petar","family":"Bajic","sequence":"additional","affiliation":[{"name":"Center for Men\u2019s Health, Glickmassn Urological and Kidney Institute, Cleveland Clinic , Cleveland, OH 44195 , United States"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2023,3,9]]},"reference":[{"key":"2023100305500221700_ref1","doi-asserted-by":"crossref","first-page":"13546","DOI":"10.1038\/srep13546","article-title":"The psrevalence of benign prostatic hyperplasia in mainland China: evidence from epidemiological surveys","volume":"5","author":"Wang","year":"2015","journal-title":"Sci Rep"},{"key":"2023100305500221700_ref2","doi-asserted-by":"crossref","first-page":"1051","DOI":"10.1016\/j.fertnstert.2015.08.033","article-title":"Normal male sexual function: emphasis on orgasm and ejaculation","volume":"104","author":"Alwaal","year":"2015","journal-title":"Fertil Steril"},{"key":"2023100305500221700_ref3","first-page":"5788","article-title":"Ejaculations and benign prostatic hyperplasia: an impossible compromise?","volume":"10","author":"Couteau","year":"2021","journal-title":"A comprehensive review. 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