Research progress on ejaculatory function preservation in minimally invasive surgical treatments for benign prostatic hyperplasia: a narrative review.

ABSTRACT:

Background and objective

As the treatment paradigm for benign prostatic hyperplasia (BPH) shifts from solely relieving lower urinary tract symptoms (LUTS) to emphasizing quality of life and preservation of sexual function, minimally invasive surgical therapies (MISTs) have emerged as promising options for preserving ejaculatory function postoperatively. This review aims to summarize the technical features and evidence base of major MISTs, including prostatic urethral lift (PUL), prostatic artery embolization (PAE), water vapor thermal therapy (WVTT, Rezum), Aquablation, and robot-assisted simple prostatectomy (RASP), with a focus on their ability to preserve ejaculatory function.

Methods

A structured literature review was conducted to identify representative studies on MISTs

SUBMITTER: Luo Z 

PROVIDER: S-EPMC12541510 | biostudies-literature | 2025 Sep

REPOSITORIES: biostudies-literature