Preservation of sexual function with blue laser vaporization in the treatment of benign prostatic hyperplasia: a prospective study

Objective Sexual function preservation is a paramount concern for patients undergoing benign prostatic hyperplasia (BPH) surgery, increasingly recognized by physicians. Blue laser vaporization, a novel approach for BPH treatment, has yet to be thoroughly investigated for its effects on sexual functi...

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Main Authors: Zun-Jie Hu, Fei Liu, Bing-Hui Li, Yan Hu, Qiao Huang, Cong Zhu, Xian-Tao Zeng, Yong-Wei Zhao
Format: Article
Language:English
Published: Taylor & Francis Group 2025-12-01
Series:The Aging Male
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Online Access:https://www.tandfonline.com/doi/10.1080/13685538.2025.2473609
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author Zun-Jie Hu
Fei Liu
Bing-Hui Li
Yan Hu
Qiao Huang
Cong Zhu
Xian-Tao Zeng
Yong-Wei Zhao
author_facet Zun-Jie Hu
Fei Liu
Bing-Hui Li
Yan Hu
Qiao Huang
Cong Zhu
Xian-Tao Zeng
Yong-Wei Zhao
author_sort Zun-Jie Hu
collection DOAJ
description Objective Sexual function preservation is a paramount concern for patients undergoing benign prostatic hyperplasia (BPH) surgery, increasingly recognized by physicians. Blue laser vaporization, a novel approach for BPH treatment, has yet to be thoroughly investigated for its effects on sexual function. This prospective study assesses the impact of blue laser vaporization on sexual function in BPH patients, focusing on patient perceptions.Methods This study prospectively enrolled BPH patients undergoing blue laser vaporization at our hospital since January 2023. We evaluated the treatment’s effectiveness and its impact on preserving sexual function using standardized questionnaires. These included the International Index of Erectile Function (IIEF-5), the Male Sexual Health Questionnaire for Ejaculatory Dysfunction (MSHQ-EjD), and both the International Consultation on Incontinence Modular Questionnaire for Male Lower Urinary Tract Symptoms (ICIQ-MLUTS) and its sexual function component (ICIQ-MLUTSsex).Results We included 67 BPH patients with a median age of 65 years in this study, monitoring them for over three months. The results indicate that blue laser vaporization significantly improved International Prostate Symptom Score, Quality of Life, and ICIQ-MLUTS scores in BPH patients (p < 0.001), along with a reduction in post-void residual volume (p < 0.001). Importantly, there were no significant changes in the IIEF-5 score, MSHQ-EjD score, and ICIQ-MLUTSsex score, indicating preservation of sexual function post-surgery.Conclusion Blue laser vaporization effectively alleviates lower urinary tract symptoms in BPH patients while preserving erectile and ejaculatory functions.
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spelling doaj-art-b4d0d56e377044a4b770cd8d0bf8abb22025-08-20T02:29:59ZengTaylor & Francis GroupThe Aging Male1368-55381473-07902025-12-0128110.1080/13685538.2025.2473609Preservation of sexual function with blue laser vaporization in the treatment of benign prostatic hyperplasia: a prospective studyZun-Jie Hu0Fei Liu1Bing-Hui Li2Yan Hu3Qiao Huang4Cong Zhu5Xian-Tao Zeng6Yong-Wei Zhao7Department of Urology, The Affiliated Taian City Central Hospital of Qingdao University, Taian, ChinaDepartment of Urology, The Affiliated Taian City Central Hospital of Qingdao University, Taian, ChinaCenter for Evidence-Based and Translational Medicine, Zhongnan Hospital of Wuhan University, Wuhan, ChinaDepartment of Urology, The Affiliated Taian City Central Hospital of Qingdao University, Taian, ChinaCenter for Evidence-Based and Translational Medicine, Zhongnan Hospital of Wuhan University, Wuhan, ChinaDepartment of Urology, The Affiliated Taian City Central Hospital of Qingdao University, Taian, ChinaCenter for Evidence-Based and Translational Medicine, Zhongnan Hospital of Wuhan University, Wuhan, ChinaDepartment of Urology, The Affiliated Taian City Central Hospital of Qingdao University, Taian, ChinaObjective Sexual function preservation is a paramount concern for patients undergoing benign prostatic hyperplasia (BPH) surgery, increasingly recognized by physicians. Blue laser vaporization, a novel approach for BPH treatment, has yet to be thoroughly investigated for its effects on sexual function. This prospective study assesses the impact of blue laser vaporization on sexual function in BPH patients, focusing on patient perceptions.Methods This study prospectively enrolled BPH patients undergoing blue laser vaporization at our hospital since January 2023. We evaluated the treatment’s effectiveness and its impact on preserving sexual function using standardized questionnaires. These included the International Index of Erectile Function (IIEF-5), the Male Sexual Health Questionnaire for Ejaculatory Dysfunction (MSHQ-EjD), and both the International Consultation on Incontinence Modular Questionnaire for Male Lower Urinary Tract Symptoms (ICIQ-MLUTS) and its sexual function component (ICIQ-MLUTSsex).Results We included 67 BPH patients with a median age of 65 years in this study, monitoring them for over three months. The results indicate that blue laser vaporization significantly improved International Prostate Symptom Score, Quality of Life, and ICIQ-MLUTS scores in BPH patients (p < 0.001), along with a reduction in post-void residual volume (p < 0.001). Importantly, there were no significant changes in the IIEF-5 score, MSHQ-EjD score, and ICIQ-MLUTSsex score, indicating preservation of sexual function post-surgery.Conclusion Blue laser vaporization effectively alleviates lower urinary tract symptoms in BPH patients while preserving erectile and ejaculatory functions.https://www.tandfonline.com/doi/10.1080/13685538.2025.2473609450-nm blue laservaporizationbenign prostatic hyperplasiasexual functioncohort study
spellingShingle Zun-Jie Hu
Fei Liu
Bing-Hui Li
Yan Hu
Qiao Huang
Cong Zhu
Xian-Tao Zeng
Yong-Wei Zhao
Preservation of sexual function with blue laser vaporization in the treatment of benign prostatic hyperplasia: a prospective study
The Aging Male
450-nm blue laser
vaporization
benign prostatic hyperplasia
sexual function
cohort study
title Preservation of sexual function with blue laser vaporization in the treatment of benign prostatic hyperplasia: a prospective study
title_full Preservation of sexual function with blue laser vaporization in the treatment of benign prostatic hyperplasia: a prospective study
title_fullStr Preservation of sexual function with blue laser vaporization in the treatment of benign prostatic hyperplasia: a prospective study
title_full_unstemmed Preservation of sexual function with blue laser vaporization in the treatment of benign prostatic hyperplasia: a prospective study
title_short Preservation of sexual function with blue laser vaporization in the treatment of benign prostatic hyperplasia: a prospective study
title_sort preservation of sexual function with blue laser vaporization in the treatment of benign prostatic hyperplasia a prospective study
topic 450-nm blue laser
vaporization
benign prostatic hyperplasia
sexual function
cohort study
url https://www.tandfonline.com/doi/10.1080/13685538.2025.2473609
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