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Category: Volume 06 Issue 10 October 2018
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Title: Sexual function status after Transurethral resection of prostate (TURP)

Authors: Hossain F, Rahman S, Rahman H, Alam AKMK, Faruque MDS, Rahman Z

 DOI: https://dx.doi.org/10.18535/jmscr/v6i10.213

Abstract

Background: There is a link between Low Urinary Tract Symptoms (LUTS) and deterioration of sexual function in men >50 years of age and for which transurethral resection of the prostate (TURP) is considered the gold standard treatment despite the new minimally invasive surgical options.

Objectives: To evaluate the change in sexual function status after TURP in elderly Bangladeshi males.

Methods: One hundred patients presenting with BPH and treated with transurethral resection of prostate (TURP) in the Department of Urology, BSMMU, Dhaka from January2016 to December 2016over a period of one year were evaluated for postoperative sexual function.

Results: The mean age of the patients was 61.21±7.21 years while the mean duration of lower urinary tract symptoms was 24.3±6.40 months. Of the 91 patients with a living wife/partner, 44 (48.4%) had active sex lives preoperatively, 38(41.8T) of them had good erections whereas 6 (6.6%) had weak erections though they were able to have satisfactory penetration. All 44 (48.4%) had normal ejaculation prior to TURP. In the postoperative follow up, 10 (22.7%) of these 44 patients reported an improvement in their sex life in terms of increased libido and improved erections. Twenty-one (47.7%) had no change in their status after TURP, but were satisfied with their sex life. The remaining 13 (29.5%) had deterioration in their status in terms of decreased libido and poor erections.

Conclusions: About 48.4% of patients with a living spouse/partner are sexually active at the time of undergoing TURP. TURF leads to a deterioration of sexual function in up to 29.5% of these patients. This includes both loss of libido and erections.

Keywords: TURP, Erection, Libido.

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Corresponding Author

Hossain F

Assistant Professor, Department of Urology, BSMMU, Dhaka