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The impact of transrectal prostate biopsy on erectile function
E Linden-Castro1, M Pelayo-Nieto1, D Espinosa-Perezgrovas1
1Departamento de Urología, Centro Médico Nacional 20 de Noviembre, Ciudad de México, México.
Actas Urologicas Espanolas
|April 2, 2016
Summary
Erectile function temporarily declines after transrectal prostate biopsy (TRPB) but largely recovers within six months. Most patients experience significant improvement after the first month post-procedure.
Area of Science:
- Urology
- Andrology
- Men's Health
Background:
- Transrectal prostate biopsy (TRPB) is a common procedure for diagnosing prostate cancer.
- Erectile function is a crucial aspect of men's health and quality of life.
Purpose of the Study:
- To evaluate the impact of TRPB on erectile function over time.
- To determine the recovery trajectory of erectile function following TRPB.
Main Methods:
- Ninety-three patients undergoing TRPB without prior erectile dysfunction were assessed using the International Index of Erectile Function-5 (IIEF-5).
- Assessments were conducted pre-biopsy and at 4, 12, and 24 weeks post-procedure.
Main Results:
- A significant decrease in IIEF-5 scores and increased erectile dysfunction were observed at 4 weeks post-TRPB (33.3% affected).
- By 24 weeks, only 7.52% of patients reported mild erectile dysfunction, with significant recovery noted after the first month.
Conclusions:
- Erectile dysfunction following TRPB is generally temporary and transient.
- Erectile function shows substantial improvement starting after the first month, with near-complete recovery by six months.
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