The effect of holmium laser enucleation of BPH (HoLEP) on the copulative function of 79 patients was evaluated. The copulative function was assessed by means of the IIEF, AMS scores, ICF scale questionnaires. The bulbocavernous reflex, total and free testosterone and sex hormone-binding globulin were also examined. Patients were examined before surgery, 3 and 6 months later. A decrease in the frequency of erectile dysfunction after 3 and 6 months after surgery was revealed. The frequency of retrograde ejaculation was higher compared with the preoperative value after 3 and 6 months after surgery. An improvement in the reflex and hormonal status of the operated patients was noted. Thus, HoLEP has a dual effect on the state of copulative function in patients with BPH, which results in improved erectile function and increased frequency of retrograde ejaculation.
The article presents the results of a comparative study of the frequency and severity of bleeding after prostate biopsy performed under the control of Doppler mode of vascular scanning and without its use. Compared with the usual mode of ultrasound scanning of the prostate, the use of Doppler imaging mode of intraprostatic vessels reduces the number of hemorrhagic complications of prostate biopsy, which confirms the feasibility of using the Doppler mode when taking biopsy material.
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