[Sexual activity after surgery for benign prostatic hypertrophy]

A retrospective study was conducted in 57 patients who had undergone surgery at our center for benign prostatic hyperplasia over a period of one year. Postoperative sexual activity and the presence or absence of antegrade ejaculation were determined. Of these patients, 19 had no sexual activity before or after the operation and were therefore excluded from the study. The surgical techniques utilized were transvesical adenomectomy in 27 cases and TUR in 11 cases. Three patients (8%) were impotent after surgery, the difference between the two surgical techniques not being statistically significant. Retrograde ejaculation was observed in 58% (70% of the patients who underwent open surgery and 27.2% of those who underwent TUR). We analyze the results reported elsewhere and underscore the need to conduct prospective studies on one or several techniques using the same terminology in order to draw more reliable conclusions.