PMID- 19940854
OWN - NLM
STAT- MEDLINE
DCOM- 20100607
LR  - 20220331
IS  - 1476-5489 (Electronic)
IS  - 0955-9930 (Linking)
VI  - 22
IP  - 2
DP  - 2010 Mar-Apr
TI  - Effect of transurethral resection of the prostate on erectile function: a 
      prospective comparative study.
PG  - 146-51
LID - 10.1038/ijir.2009.56 [doi]
AB  - 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.
FAU - Jaidane, M
AU  - Jaidane M
AD  - Department of Urology, Sahloul University Hospital, Sousse, Tunisia. 
      mehdi@jaidane.org
FAU - Arfa, N B
AU  - Arfa NB
FAU - Hmida, W
AU  - Hmida W
FAU - Hidoussi, A
AU  - Hidoussi A
FAU - Slama, A
AU  - Slama A
FAU - Sorba, N B
AU  - Sorba NB
FAU - Mosbah, F
AU  - Mosbah F
LA  - eng
PT  - Comparative Study
PT  - Journal Article
DEP - 20091126
PL  - England
TA  - Int J Impot Res
JT  - International journal of impotence research
JID - 9007383
SB  - IM
CIN - J Urol. 2011 Feb;185(2):604. PMID: 22088641
MH  - Aged
MH  - Aged, 80 and over
MH  - Coitus
MH  - Erectile Dysfunction/epidemiology/*etiology
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Orgasm
MH  - Penile Erection/physiology
MH  - Penis/innervation
MH  - Peripheral Nerve Injuries
MH  - Prospective Studies
MH  - Prostatic Hyperplasia/*surgery
MH  - Severity of Illness Index
MH  - Transurethral Resection of Prostate/*adverse effects/methods
EDAT- 2009/11/27 06:00
MHDA- 2010/06/09 06:00
CRDT- 2009/11/27 06:00
PHST- 2009/11/27 06:00 [entrez]
PHST- 2009/11/27 06:00 [pubmed]
PHST- 2010/06/09 06:00 [medline]
AID - ijir200956 [pii]
AID - 10.1038/ijir.2009.56 [doi]
PST - ppublish
SO  - Int J Impot Res. 2010 Mar-Apr;22(2):146-51. doi: 10.1038/ijir.2009.56. Epub 2009 
      Nov 26.