{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,24]],"date-time":"2026-08-24T09:35:47Z","timestamp":1787564147364,"version":"build-2736575974"},"reference-count":40,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2025,12,19]],"date-time":"2025-12-19T00:00:00Z","timestamp":1766102400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Endourology"],"abstract":"<jats:title>abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>This study investigates the efficacy of an innovative anatomical enucleation prostate technique, utilizing a low-energy pulsed thulium:YAG laser emission, to spare the ventral urethral plate (or \u201clissosphincter\u201d) and the ejaculatory hoods in 50 patients with high-volume benign prostatic hyperplasia (BPH). The primary aim was to assess its impact on preserving antegrade ejaculation while obtaining relief from obstruction.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>In this prospective study, 50 patients were evaluated using the following validated instruments: the International Prostate Symptom Index (IPSS), Quality of Life (QoL) score, and Male Sexual Health Questionnaire Ejaculatory Dysfunction Short Form (MSHQ-EjD SF). Assessments were performed preoperatively and at 6 months postoperation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Significant improvements were observed postoperatively in functional outcomes: IPSS decreased from 20.42 to 5.76, and QoL score improved from 4.2 to 1.2 (both\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      &lt; 0.001, if significant). Mean Qmax significantly increased from 8.11 mL\/min preoperatively to 20.6 mL\/min at 6 months (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      &lt; 0.001), accompanied by a significant reduction in postvoid residual (PVR) volume. Crucially, antegrade ejaculation was preserved. While MSHQ-EjD SF analysis indicated a nonsignificant reduction in semen volume (Item 3), other parameters, including ejaculation frequency (Item 1), strength of expulsion (Item 2), and bother\/satisfaction (Item 4), were not significantly modified, but the patients were satisfied.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>The ejaculation-sparing pulsed thulium:YAG laser anatomical enucleation technique shows promising results for preserving antegrade ejaculatory function (70% preservation rate) while achieving effective relief of cervico-prostatic obstruction. However, these preliminary findings from a limited cohort require validation through larger, randomized controlled studies with longer follow-up before establishing this technique as a standard approach for ejaculation preservation in BPH operations.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/08927790251398053","type":"journal-article","created":{"date-parts":[[2025,11,24]],"date-time":"2025-11-24T15:03:03Z","timestamp":1763996583000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Effects on Ejaculation Preservation Using Low-Energy Pulsed Thulium:YAG Laser Anatomical Enucleation in High-Volume Benign Prostatic Hyperplasia"],"prefix":"10.1177","author":[{"given":"Alessandro","family":"Giacobbe","sequence":"first","affiliation":[{"name":"Department of Urology, Mauriziano Hospital, Turin, Italy."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fabrizio","family":"Mele","sequence":"additional","affiliation":[{"name":"Department of Urology, Mauriziano Hospital, Turin, Italy."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maurizio","family":"Barale","sequence":"additional","affiliation":[{"name":"Department of Urology, Mauriziano Hospital, Turin, Italy."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea","family":"Giordano","sequence":"additional","affiliation":[{"name":"Department of Urology, Mauriziano Hospital, Turin, Italy."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marco","family":"Migliari","sequence":"additional","affiliation":[{"name":"Department of Medical Oncology, University Hospital of Cagliari, Cagliari, Italy."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Federica","family":"Pini","sequence":"additional","affiliation":[{"name":"Department of Surgical Science, University of Turin, Turin, Italy."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roberto","family":"Migliari","sequence":"additional","affiliation":[{"name":"Department of Urology, Mauriziano Hospital, Turin, Italy."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,12,19]]},"reference":[{"key":"e_1_3_1_2_2","doi-asserted-by":"publisher","DOI":"10.1159\/000019996"},{"key":"e_1_3_1_3_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1442-2042.2006.01535.x"},{"key":"e_1_3_1_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/s0890-6238(97)00022-1"},{"key":"e_1_3_1_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/0090-4295(81)90474-x"},{"key":"e_1_3_1_6_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1464-410x.1998.00658.x"},{"key":"e_1_3_1_7_2","doi-asserted-by":"publisher","DOI":"10.1089\/end.2013.0093"},{"key":"e_1_3_1_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2013.02.1792"},{"key":"e_1_3_1_9_2","doi-asserted-by":"publisher","DOI":"10.1038\/ijir.2014.22"},{"issue":"3","key":"e_1_3_1_10_2","first-page":"8802","article-title":"Five year results of the prospective randomized controlled prostatic urethral L.I.F.T. study","volume":"24","author":"Roehrborn CG","year":"2017","unstructured":"Roehrborn CG, , Barkin J, , Gange SN, et al. 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