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Patient Perspectives on Benign Prostatic Hyperplasia Surgery: A Focus on Sexual Health
David Bouhadana1, David-Dan Nguyen1, Kevin C Zorn2
1Faculty of Medicine, McGill University, Montreal, QC, Canada.
The Journal of Sexual Medicine
|August 11, 2020
Summary
Patients undergoing benign prostatic hyperplasia (BPH) surgery prioritize maintaining sexual function, with most past and future surgical candidates considering erectile and ejaculatory function crucial. This highlights the need for patient-centered care in BPH treatment discussions.
Area of Science:
- Urology
- Surgical Oncology
- Sexual Medicine
Background:
- Benign prostatic hyperplasia (BPH) surgery aims to alleviate lower urinary tract symptoms.
- Novel minimally invasive techniques have emerged to reduce postoperative complications.
- Patient concerns regarding sexual function complications can deter BPH treatment.
Purpose of the Study:
- To assess the perspectives of past and future benign prostatic hyperplasia (BPH) surgery patients.
- To evaluate patient views on postoperative erectile and ejaculatory function preservation.
Main Methods:
- A survey was administered to 290 BPH patients (149 post-surgery, 151 pre-surgery).
- The survey assessed patient motivations for surgery and concerns about potential sexual dysfunction.
- Data was collected on age and specific functional concerns.
Main Results:
- Over 90% of BPH patients consider maintaining erectile and ejaculatory function important.
- Age influences specific concerns: younger patients focus on sexual function, older patients on incontinence.
- Sexual function preservation is a key consideration across age groups.
Conclusions:
- Patient-centered care must address the importance of sexual function in BPH surgery decisions.
- Further research on newer surgical techniques' long-term sexual outcomes is needed.
- Maintaining sexual health is a significant factor for BPH patients.
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