No erectile dysfunction by TURP
Transurethral resection of the prostate (TUR-P), the most common surgery for an enlarged prostate does not impair sexual function, sometimes even the opposite is the case, a new study from Scotland.
Under an erectile dysfunction (ED) is defined as a disorder of the stiffening element, specifically the permanent inability to achieve an erection or to maintain that for satisfactory sexual sufficient (for more details see erectile dysfunction ). The TURP (transurethral resection of the prostate) is removed in the excess tissue through the urethra through it, is the most common surgery for benign prostatic syndrome (BPS, "benign prostate enlargement, see surgical procedure for BPH treatment ).
Whether the TURP may have an ED result, there are conflicting reports about it, ranging from the fact that 81% of men were impotent after TUR-P and that in almost every third man after TURP auftrete an ED until a significant improvement of sexual function after surgery. Possible causes of this confusion are different definitions of ED, different follow-up periods and errors in previous studies (eg, retrospective study, not incorporating already existing ED). In addition, an ED is more common in the lower urinary tract symptoms before (LUTS, such as urination, seeterms at BPS ), which are part of the BPS; these could be eliminated by the operation, so that the ED can improve.
To investigate influence of TURP on sexual function the short-term (6 months), medium-(6 years) and long term (12 years), this prospective (forward-looking) study was conducted: Included in the section were 280 68 years old men wherein 1993/1994 due to disorders of the lower urinary tract a TURP is performed. 145 of their female partners also participated. Patients and partners completed questionnaires on sexual function, namely before surgery and 3 and 6 months thereafter (not standardized arc) and after 6 and 12 years (standardized IIEF , after 12 years, after all, still 113 patients and 60 partners).
Before surgery, 57% of men (160 of 280) had an ED. Six months after surgery, 41% (68 of 168) affected, including any of the previously affected (of which only about three quarters could be interviewed), however, reported 15% of the previously concerned about an improvement in sexual function. Six years after surgery, 69% had an ED (70 of 101) of the in the last survey, people were not 64% more sexually active. Twelve years after surgery were affected 68% (77 of 113) of ED. At all times the partners assessed the presence of ED to considerably more than 90% identical and the existence of a sexual activity lower by 5-15%. From ED sufferers were on average slightly older than non-sufferers.
The results show, as the authors note that the ED is prevalent among men with lower urinary tract symptoms (57%), according to another study, taking their frequency with the strength of complaints. In addition, a well-known fact from other studies, the proportion of ED sufferers during the follow-up period and thus with age increased. The results clearly contradict the claim that the TURP harms the sexual function; according to studies with objective measurement of erection (but this is only 8-14% of the case takes on almost every second man the amount of sperm from, a very common, occasionally with ED mistook side effect).
On the contrary, 15% of those previously affected the sexual function improved even (according to other studies, no change or also improvement), which was a relief from the discomfort caused by the operation associated. PDE-5 inhibitors that time were not yet available, that they could this 6-month results do not improve, but perhaps after 12 years.Other surgical procedures in the BPS showed in previous studies, a similar mixed picture regarding ED as the TUR-P.
Conclusion of the authors
This prospective long-term study, which was also partners have participated, confirmed that an ED (erectile dysfunction) occurs in connection with complaints of lower urinary tract and the TURP often precedes. The subsequent improvement of a pre-existing ED was associated with the relief of these symptoms. The TURP impaired sexual function probably not, but may be a pre-existing ED in some cases even improve. Sexual function remained rather get long term after surgery.
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