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Related Experiment Videos

Written consent about sexual function in men undergoing transurethral prostatectomy

A C Thorpe1, R Cleary, J Coles

  • 1Department of Urology, Freeman Group of Hospitals, Newcastle upon Tyne, UK.

British Journal of Urology
|October 1, 1994
PubMed
Summary

Most urologists did not document counseling on sexual dysfunction after transurethral resection of the prostate (TURP). The incidence of sexual dysfunction post-TURP was 12-24%, aligning with prior research.

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Area of Science:

  • Urology
  • Surgical Outcomes
  • Patient Consent

Background:

  • Transurethral resection of the prostate (TURP) is a common procedure for benign prostatic hyperplasia.
  • Sexual dysfunction, including retrograde ejaculation and impotence, is a known potential complication of TURP.
  • Informed consent regarding sexual side effects is crucial for patient management.

Purpose of the Study:

  • To assess the documentation of sexual dysfunction consent in patients undergoing TURP.
  • To determine the incidence of sexual dysfunction in sexually active men post-TURP.
  • To evaluate quality of life outcomes in relation to sexual dysfunction counseling.

Main Methods:

  • A large-scale audit of TURP procedures across 12 hospital sites.
  • Data collection from medical records, operation lists, and theatre books.

Related Experiment Videos

  • Use of the Nottingham Health Profile (NHP) to assess quality of life and sexual function in a subgroup of patients.

    • Main Results:

    • Only 30% of case notes documented advice on retrograde ejaculation, with significant inter-site variation.
    • No significant difference in NHP scores was found based on documentation of consent for retrograde ejaculation.
    • The incidence of major sexual problems, impotence, and retrograde ejaculation in sexually active men post-TURP was 12%, 11%, and 24%, respectively.

    Conclusions:

    • The incidence of sexual dysfunction post-TURP in this audit aligns with existing literature.
    • A majority of urologists in the audit failed to adequately document patient counseling on potential sexual dysfunction.
    • Improved documentation of informed consent regarding sexual side effects is recommended.