Ejaculation-Sparing Operations in Prostate Enlargement

Prostate enlargement is a health problem frequently seen particularly in men of advanced age. This condition, also known as benign prostatic hyperplasia, can cause difficulties in urination and a decline in quality of life. Among the various treatment methods offered by modern medicine, ejaculation-sparing operations (ejaculation-sparing surgeries) occupy an important place.

Ejaculation-sparing operations in prostate enlargement are effective and safe treatment methods offered by modern medicine. These operations both relieve urinary symptoms and preserve sexual functions. Patients with the complaint of prostate enlargement should speak with a specialist urologist in order to assess the ejaculation-sparing operation options. Give importance to your prostate health for a healthy life and get help from a urology specialist in order to choose the most appropriate treatment method.

What Are Ejaculation-Sparing Operations?

Prostate enlargement is a condition that occurs as a result of the enlargement of the prostate gland with ageing. This enlargement puts pressure on the urinary tract and leads to various symptoms. These symptoms include problems such as frequent urination, difficulty urinating, getting up frequently at night to urinate and the bladder not emptying completely. Prostate enlargement is a benign condition not related to cancer, but it can adversely affect quality of life.

Ejaculation-sparing operations are surgical interventions used in the treatment of prostate enlargement that preserve the function of ejaculation. In traditional prostate operations, the ejaculatory channels may also be damaged during the removal of prostate tissue. This situation can lead to a complication called retrograde ejaculation, which results in the semen going back into the bladder. Ejaculation-sparing operations have been developed with the aim of minimising this risk.

Ejaculation-Sparing Operation Methods

Ejaculation-sparing operations are carried out using minimally invasive techniques and allow patients to recover rapidly. These operations use various modern technologies to shrink or remove the prostate tissue, thereby focusing on preserving the function of ejaculation while improving urine flow.

Here are the main methods used in this field:

The Rezum Procedure

The Rezum procedure is a minimally invasive treatment method carried out using water vapour to shrink the prostate tissue. In this method, water vapour is injected into the prostate tissue by means of a small device. The water vapour destroys the prostate cells and thereby causes the tissue to shrink. The Rezum procedure is generally performed under local anaesthesia and patients can be discharged the same day.

HoLEP (Holmium Laser Enucleation)

HoLEP is a surgical method in which the prostate tissue is removed using a holmium laser. In this method the prostate tissue is cut with the laser and removed in small pieces. HoLEP is an effective treatment option for large prostates and gives successful results in preserving the function of ejaculation.

The Urolift System

The Urolift system is a technique used to open the urinary tract by holding the prostate tissue in place. In this method, small implants are placed that pull the prostate tissue back and hold it in place. Urolift is a minimally invasive procedure that does not require a surgical incision or tissue removal and preserves the function of ejaculation.

The Advantages of Ejaculation-Sparing Operations

Ejaculation-sparing operations have many advantages. Among these are:

• Preservation of the function of ejaculation: these operations preserve patients' sexual functions by reducing the risk of retrograde ejaculation.
• Rapid recovery time: these operations, performed using minimally invasive techniques, allow patients to return to their normal lives within a shorter time.
• Low risk of complications: they carry a lower risk of complications compared with traditional operations.
• High patient satisfaction: the preservation of the function of ejaculation increases patients' satisfaction after the operation.