Articles Vol. 65 No. CĐ 4 - Hội Y học Giới tính Việt Nam 30/05/2024

9. THE EFFECT OF TRANSURETHRAL RESECTION OF THE PROSTATE ON SEXUAL FUNCTIONS IN PATIENTS WITH BENIGN PROSTATIC HYPERPLASIA AT THANH HOA GENERAL HOSPITAL IN 2022-2023

Nguyen Anh Luong1,2, Le Dinh Hung1,2, Truong Thanh Tung1,2, Le Quang Anh1,2, Le Huu Quan1,2, Le Quang Hai1,2, Luong Dinh Phuong Nam1,2, Mai Tran Trung Duc1,2, Le Quoc Cuong1,2, Ngo Van Thong3,4
1 Thanh Hoa Provincial General Hospital
2 Bệnh viện Đa khoa tỉnh Thanh Hóa
3 Hanoi Medical University, Branch in Thanh Hoa
4 Phân hiệu Đại học Y Hà Nội tại Thanh Hóa
Corresponding author: tungtnqy@gmail.com
DOI: 10.52163/yhc.v65iCD4.1158
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Keywords
Laparoscopic prostatectomy, treatment to improve lower urinary tract symptoms, sexual function.
Abstract

 Introduction and objectives: Transurethral resection of the prostate (TURP) was still considered as the gold standard in treatment to improve lower urinary tract symptoms (LUTS) in patients with benign prostatic hyperplasia (BPH). The aim of this study was to investigate the effect of TURP on sexual function in patients with BPH between 2022 and 2023.

Subjects and methods: A total of 79 patients who underwent TURP were retrospectively assessed. All patients were evaluated for sexual function at baseline and 6 months after TURP by using IIEF- 15, IIEF-5, PEDT.

Results: 100% of patients had sexual activity before and after TURP. Before surgery, 44% of patients had good erections, this rate decreased after surgery to 38%. In the group of patients with erectile dysfunction before surgery, there was an improvement in erection ability (IIEF-5 score increased from 11.37 ± 2.34 to 15.13 ± 2.15). PEDT and IIEF-15 scores showed no change in symptoms of premature ejaculation and sexual dysfunction after surgery.

Conclusions: The results comfirmed that TURP do not wreak a havoc on sexual function, and patients with preexisting erectile function were improved after TURP.

References
[1]
Zhu C, Wang DQ, Zi H et al., Epidemiological Google Scholar
[2]
trends of urinary tract infections, urolithiasis and Google Scholar
[3]
benign prostatic hyperplasia in 203 countries and Google Scholar
[4]
territories from 1990 to 2019. Military Medical Google Scholar
[5]
Research. 2021;8(1):64. Google Scholar
[6]
Gratzke C, Bachmann A, Descazeaud A et al., Google Scholar
[7]
EAU Guidelines on the Assessment of Nonneurogenic Google Scholar
[8]
Male Lower Urinary Tract Symptoms Google Scholar
[9]
including Benign Prostatic Obstruction. Google Scholar
[10]
European urology. 2015;67(6):1099-109. Google Scholar
[11]
Mamoulakis C, Ubbink DT, de la Rosette Google Scholar
[12]
JJ, Bipolar versus monopolar transurethral Google Scholar
[13]
resection of the prostate: a systematic review and Google Scholar
[14]
meta-analysis of randomized controlled trials. Google Scholar
[15]
European urology. 2009;56(5):798-809. Google Scholar
[16]
De Nunzio C, Roehrborn CG, Andersson KE Google Scholar
[17]
et al., Erectile Dysfunction and Lower Urinary Google Scholar
[18]
Tract Symptoms. European urology focus, Google Scholar
[19]
;3(4-5):352-63. Google Scholar
[20]
Song G, Wang M, Chen B et al., Lower Urinary Google Scholar
[21]
Tract Symptoms and Sexual Dysfunction in Google Scholar
[22]
Male: A Systematic Review and Meta-Analysis. Google Scholar
[23]
Frontiers in medicine. 2021;8:653510. Google Scholar
[24]
Al Demour SH, Abuhamad M, Santarisi AN et Google Scholar
[25]
al., The Effect of Transurethral Resection of the Google Scholar
[26]
Prostate on Erectile and Ejaculatory Functions Google Scholar
[27]
in Patients with Benign Prostatic Hyperplasia. Google Scholar
[28]
Urologia internationalis, 2022;106(10):997- Google Scholar
[29]
Pavone C, Abbadessa D, Scaduto G et al., Sexual Google Scholar
[30]
dysfunctions after transurethral resection of the Google Scholar
[31]
prostate (TURP): evidence from a retrospective Google Scholar
[32]
study on 264 patients. Archivio italiano di Google Scholar
[33]
urologia, andrologia : organo ufficiale [di] Societa Google Scholar
[34]
italiana di ecografia urologica e nefrologica, Google Scholar
[35]
;87(1):8-13. Google Scholar
[36]
El-Assmy A, ElShal AM, Mekkawy R et al., Google Scholar
[37]
Erectile and ejaculatory functions changes Google Scholar
[38]
following bipolar versus monopolar transurethral Google Scholar
[39]
resection of the prostate: a prospective Google Scholar
[40]
randomized study. International urology and Google Scholar
[41]
nephrology, 2018;50(9):1569-76. Google Scholar
[42]
Muntener M, Aellig S, Kuettel R et al., Sexual Google Scholar
[43]
function after transurethral resection of the Google Scholar
[44]
prostate (TURP): results of an independent Google Scholar
[45]
prospective multicentre assessment of outcome. Google Scholar
[46]
European urology, 2007;52(2):510-5. Google Scholar
[47]
Quek KF, Low WY, Razack AH et al., Google Scholar
[48]
Reliability and validity of the Malay version Google Scholar
[49]
of the International Index of Erectile Function Google Scholar
[50]
(IIEF-15) in the Malaysian population. Google Scholar
[51]
International journal of impotence research, Google Scholar
[52]
;14(4):310-5. Google Scholar