Evaluation of erectile function post TURP versus transvesical prostatectomy | ||||
| The Scientific Journal of Al-Azhar Medical Faculty, Girls | ||||
| Volume 3, Issue 1, January 2019, Page 261-265 PDF (95.25 K) | ||||
| DOI: 10.4103/sjamf.sjamf_14_19 | ||||
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| Authors | ||||
| Salah E. Shebl; Mohamed Abdel Hamid; Amir Mohamed | ||||
| Abstract | ||||
| Background Benign prostatic hyperplasia (BPH) is a frequent disorder in old men. It is characterized by hyperplasia of the inner glands of the prostate. BPH induces urine outflow obstruction, consequently causing morphological and functional disorders of the lower and upper urinary tract. Patients with BPH frequently complain of weak or no erection at all. Many of patients at these age suffering from decrease in testesterone level. The older patients have sexual dysfunctions more frequently. Objectives To choose the procedure that has the least effect on erectile function, we evaluated the effect of both operations on erectile function (open prostatectomy transvesical approach and transurethral resection of the prostate). Patients and methods The study was carried out at the Urology Department at Al-Zahra University Hospital between April 2014 and July 2017. Our study included 60 patients suffering from BPH who were divided into two groups,: group A comprised 30 patients who underwent transurethral resection of the prostate and group B comprised 30 patients who underwent transvesical prostatectomy. All patients underwent complete history taking, including international index erectile function questionnaire-5, full clinical examination, kidney function tests, liver function tests, complete blood count, fasting glucose, prostatic specific antigen (PSA), serum testosterone, sex hormone-binding globulin, estradiol level, and penile duplex, uroflowmetry preoperatively and 6 months postoperatively. Results By comparison, in group A and group B, international index erectile function questionnaire-5 was not significantly changed in both groups, and neither was penile duplex significantly changed. Conclusion There was no significant difference in erectile function between both groups; there was also no difference between before and after each operation. | ||||
| Keywords | ||||
| Benign Prostatic Hyperplasia; Erectile dysfunction; international index of erectile function-5; Transurethral resection of prostate; transvesical prostatectomy | ||||
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