Erectile dysfunction after transurethral prostatectomy for lower urinary tract symptoms: results from a center with over 500 patients

Poulakis, Vassilis; Ferakis, Nikolaos; Witzsch, U.; Vries, Rachelle de; Becht, E.

doi:10.1111/j.1745-7262.2006.00088.x

Cited by 71 publications

(49 citation statements)

References 18 publications

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“…These two types of injuries are supposed to be induced by the preoperative use of coagulation current or extravasation from irrigation fluid. 2,8,18 Supporting these hypotheses, studies reported the risk of post-TURP ED to be related to capsular perforation at the time of surgery, 2,8,15,21 small size adenoma 2,18 and diabetes. 15,17 Extravasation of irrigation fluid, a thinner layer of adenomatous tissue between the resecting loop and erectile nerves, and a higher susceptibility of the erectile nerves of patients to damage from heat would be the putative mechanisms, respectively.…”

Section: Discussionmentioning

confidence: 91%

“…2,8,18 Supporting these hypotheses, studies reported the risk of post-TURP ED to be related to capsular perforation at the time of surgery, 2,8,15,21 small size adenoma 2,18 and diabetes. 15,17 Extravasation of irrigation fluid, a thinner layer of adenomatous tissue between the resecting loop and erectile nerves, and a higher susceptibility of the erectile nerves of patients to damage from heat would be the putative mechanisms, respectively. 2,8,15,17,18,21 Other suspected mechanisms of post-TURP ED are the psychological effects of transurethral surgery and relatively prolonged cessation of sexual activity during the postoperative period.…”

Section: Discussionmentioning

confidence: 91%

“…Table 5 shows the most important English language papers of interest. [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20] Use of validated questionnaires is essential in sexual function assessment. Soderdhal et al 16 showed that a nonvalidated questionnaire may cause false reports of ED.…”

Section: Discussionmentioning

confidence: 99%

“…15,17 Extravasation of irrigation fluid, a thinner layer of adenomatous tissue between the resecting loop and erectile nerves, and a higher susceptibility of the erectile nerves of patients to damage from heat would be the putative mechanisms, respectively. 2,8,15,17,18,21 Other suspected mechanisms of post-TURP ED are the psychological effects of transurethral surgery and relatively prolonged cessation of sexual activity during the postoperative period. 8,[21][22][23] For specifically investigating the potential thermic or chemical injuries of erectile nerves, while controlling for other factors (psychological effect of transurethral surgery, sexual activity cessation), we chose agematched patients who underwent TURBT as a control group.…”

Section: Discussionmentioning

confidence: 99%

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Effect of transurethral resection of the prostate on erectile function: a prospective comparative study

et al. 2009

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The effect of transurethral resection of the prostate (TURP) on erectile function is still controversial, and available evidence is conflicting. One of the possible mechanisms of post-TURP erectile dysfunction (ED) is direct thermal injury to the erectile nerves. The aim of this study was to investigate the effect of TURP on erectile function. Fifty patients undergoing TURP for obstructive benign prostatic hyperplasia (HBP) were prospectively included in the study, and 50 age-matched patients undergoing transurethral resection of the superficial bladder tumor were also prospectively included as a control group. All patients completed the international index of erectile function (IIEF-15), the international prostatic symptom score (IPSS) and the Hospital Anxiety and Depression Scale at inclusion in the study and then at the 3-and 6-month follow-up evaluation. Capsular perforations during TURP were prospectively reported by the operating surgeon. There was a significant improvement of erectile function in the TURP group despite the onset of ejaculation disorders in 70% of the patients. Improvement of erectile function was also found in the subgroup of patients with capsular perforation during TURP. Comparison with the control group showed that at preoperative evaluation, patients in the TURP group had more severe urinary symptoms and worse erectile function than did those of the control group. At the postoperative period, the IPSS score became comparable in the two groups, with major improvement of erectile function in the TURP group. We concluded that TURP improved erectile function in HBP patients with severe urinary symptoms. This improvement of erectile function was observed even in case of capsular perforation.

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Section: Discussionmentioning

confidence: 91%

Section: Discussionmentioning

confidence: 91%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Effect of transurethral resection of the prostate on erectile function: a prospective comparative study

et al. 2009

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“…Some patients suffer temporary ED right after TURP and the returning of erection ability with ranges from 1 to 6 months right after TURP. The effects of ED for in patients right after TURP are still controversial, one of the possible causes of ED is the result of heat trauma to the erectile nerves (Jaidane 2010;Poulakis et al, 2006).…”

mentioning

confidence: 99%

Differences in Influence between Intravenous Methylprednisolone and Intramuscular Progesterone toward Erectile Function After Operation Transurethral Resection of the Prostate (TUR-P) in Patients Benign Prostate Hyperplasia (BPH)

2017

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Background: Erectile function is an important factor for all men in an active sexual condition, as well as to assess the quality of sex life with their partners. Transurethral Resection of the Prostate (TURP) is a gold standard action for Benign Prostate Hyperplasia (BPH). The researcher tried to study to investigate the effect of corticosteroid and progesterone on erectile function in BPH patients who have done TURP surgery by using Erection Hardness Score (EHS). The purpose of this study was to investigate the effect of intra venous methylprednisolone on post-operative erection function of TURP in BPH patients. To investigate the effect of intra-muscular progesterone on postoperative erectile function of TURP in BPH patients. To investigate the different effect between methylprednisolone and progesterone on post-operative erection function of TURP in BPH patients. Subjects and Method: Subjects of all BPH patients who performed TUR-P surgery in the urology sub-section of Dr. Moewardi Hospital, Surakarta. The sampling technique in this study was incidental sampling. This study was a clinical experimental study using Pre and Post-test designOnly Control Design. 3 groups were divided to get different treatment, the first group was given methylprednisolone, the second group was given progesterone and the third group was given TURP therapy protocol only. Results: After 1 month of TURP treatment in BPH patients, the result obtained for the EHS which on a scale of 2 and 3. EHS on scale 2 for the methylprednisolone group was 9 patients (69.2%), the progesterone group had 6 patients (46.2%), and the control group had 8 of patients (66.7%). Meanwhile, EHS on scale 3 for the methylprednisolone group was 4 patients (30.8%), there were 7 patients (53.8%) of the progesterone group, and the control group had 4 patients (33.3%). After 3 months of TURP treatment in BPH patients, EHS on scale 2 in the methylprednisolone group there were 2 patients (15.4%), the progesterone group there were 0 patients (0.0%), and the control group there were 6 patients (50.0%). The methylprednisolone group had 9 patients (69.2%) on EHS 3 scale, the progesterone group had 4 patients (30.8%), and there were 6 patients (50.0%) in the control group. While, EHS scale of 4 the total of the patients in the methylprednisolone group was 2 patients (15.4%), the progesterone group had 9 patients (69.2%), and the control group had 0 patients (0.0%). Conclusion: the methylprednisolone improved the erectile function in post-operative TURP patients. Progesterone improved erectile function in post-operative TURP patients. Therefore, it can be concluded that progesterone was better than methylprednisolone.

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Surgery on the Benign Prostate

Pendse¹,

Feneley²

2017

Radiology and Follow‐up of Urologic Surgery

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Erectile dysfunction after transurethral prostatectomy for lower urinary tract symptoms: results from a center with over 500 patients

Abstract: The incidence of postoperative, newly reported ED after TURP was 12%. Risk factors for its occurrence were diabetes mellitus and intraoperative capsular perforation.

Cited by 71 publications

References 18 publications

Effect of transurethral resection of the prostate on erectile function: a prospective comparative study

Effect of transurethral resection of the prostate on erectile function: a prospective comparative study

Differences in Influence between Intravenous Methylprednisolone and Intramuscular Progesterone toward Erectile Function After Operation Transurethral Resection of the Prostate (TUR-P) in Patients Benign Prostate Hyperplasia (BPH)

Surgery on the Benign Prostate

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