The Effect of Transurethral Resection of the Prostate on Erectile Function in Benign Prostatic Hyperplasia
Hayat Muhammad Kakar, Pervez Ahmed, Hidayatullah Mandokhail
Aim: To determine the mean change of transurethral resection of prostate (TURP) on erectile function in patients of benign prostatic hyperplasia (BPH) in a tertiary care hospital.
Methods: A total number of 100 patients who presented with acute urinary retention due to BPH and planned for TURP having age 50-70 years were included in this study. Before TURP validated International Index of Erectile Function (IIEF) scoring Proforma was filled for all patients and EF score was calculated. After 1 month of surgery the patients were called for follow up visit to fulfill the IIEF questionnaire. After receiving the filled questionnaire back, IIEF score was calculated again.
Results: Mean age of patients was 60.47+5.43 years. Mean duration of BPH was 15.83+6.48 months. Mean prostate volume was 64.12+11.46 ml. There was significant difference in pre-op and post-op IIEF score. Mean pre-op IIEF was 16.72+5.29 and mean postop IIEF 11.50+3.01 (p-value <0.001). stratification of age, duration of BPH and pre-op prostate volume was done. There was no significant effect of these confounder variables on pre-op and post-op erectile dysfunction.
Conclusion: TURP is significantly associated with reduction in erectile function in patients of BPH presenting with LUTS.
Keywords: benign prostatic hyperplasia, erectile dysfunction, IIEF score,