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1999 Selected Abstracts from American Urological Association annual meeting

Quality Of Erection Does Change After TURP - Results Of A Prospective Clinical Study

Martin J Petsch; and Harald Schulze; Dortmund, Germany (Presented by Dr. Petsch)
Introduction:
The effects of transurethral resection of the prostate (TURP) on sexual function are discussed controversially. Aim of this study was to measure changes between pre- and postoperative self-assessed sexual function in men with benign prostatic hyperplasia (BPH).
Methods:
Between 7/97 and 12/97 127 men with symptomatic BPH underwent TURP. 82 of the patients received a questionnaire before and 6 months after the operation (brief sexual function inventory; M.P. O'Leary et al, German version by MAPI, France) In addition, personal data and information concerning TURP were analyzed. (i.e. age, history, PSA, duration of operation, resection weight, pre- and postoperative hgb and flow, anesthesia, complications, pre- and postop IPSS).
Results:
Complete data up so far are available for 68 men. Average age of these patients was 67.8 yrs. (54-79yrs.) 20% of the patients felt an increase, 29% a decrease of sexual drive after the operation. Preoperative impotence was noted in 22 cases (32%) which reversed in 4 patients post-op. 30% described their erections impaired, whereas 23% noted an improvement. Changes in ejaculation volume has been a big problem for 21.5% and a small problem for 47% of the patients. 26% did not have any problem with the ejaculation. The overall satisfaction decreased in 44% and improved in 12% of the cases. No correlation could be shown between retrograde ejaculation and impaired overall satisfaction. We did not find any significant prognostic factors predicting changes of sexual function after TURP.
Conclusions:
In a patient's self assessment TURP does change the quality of erection. One third of our patients reported an impairment whereas one fourth described an improvement. The overall satisfaction declined for almost every second patient. According to our data an influence of TURP on sexual function may occur of which the patient should be informed prior to surgery.
Source:
1999 AUA Meeting

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