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Related Experiment Videos

Sexual function in 131 patients with benign prostatic hyperplasia before prostatectomy.

J Baniel1, S Israilov, J Shmueli

  • 1Department of Urology, Rabin Medical Center, Petah Tiqva, and Sackler Faculty of Medicine, Tel Aviv University, Israel.

European Urology
|June 22, 2000
PubMed
Summary

Benign prostatic hyperplasia (BPH) significantly impacts sexual function, with severe urinary issues correlating to higher rates of sexual dysfunction. This suggests BPH may be a risk factor for erectile difficulties before treatment.

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Area of Science:

  • Urology
  • Andrology
  • Men's Health

Background:

  • Benign prostatic hyperplasia (BPH) is a common condition in aging men.
  • Urinary symptoms associated with BPH can impact quality of life.
  • The relationship between BPH and sexual dysfunction requires further investigation.

Purpose of the Study:

  • To determine the prevalence of sexual dysfunction in patients diagnosed with BPH.
  • To assess the correlation between the severity of urinary symptoms and sexual dysfunction.
  • To evaluate BPH as a potential risk factor for sexual dysfunction prior to surgical intervention.

Main Methods:

  • 131 male patients aged 55-74 with BPH were evaluated.
  • Diagnosis included International Prostate Symptom Score (IPSS), quality of life assessment, digital rectal examination, transrectal ultrasound, and uroflowmetry.

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  • Sexual function was assessed using psychosexual history, penile brachial index (PBI), nocturnal penile tumescence (NPT), and testosterone levels.

    • Main Results:

    • Severe urinary dysfunction (Group I, n=70) showed higher rates of unsuccessful coitus (44.2%) compared to mild dysfunction (Group II, n=61) (13.1%).
    • Significant differences were observed in NPT (32.4% vs 24.4%), PBI <0.6 (33.4% vs 22.3%), and low testosterone (36.4% vs 28.5%) between severe and mild groups, respectively (p<0.05).
    • No correlation was found between sexual function and general health status.

    Conclusions:

    • Severe urinary dysfunction in BPH patients is strongly associated with increased sexual dysfunction.
    • The findings suggest that BPH may be a contributing risk factor for sexual dysfunction.
    • Early assessment of sexual health in BPH patients is recommended.