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Sexual function one year after transurethral prostatic resection. Patients' own assessments
A C Kinn1, C Helmy-Dhejne, J Larsson
1Department of Urology, Karolinska Hospital, Stockholm, Sweden.
Scandinavian Journal of Urology and Nephrology
|April 30, 1998
Summary
Transurethral resection of the prostate (TURP) can lead to sexual dysfunction in men. Many patients report decreased erection, ejaculation, libido, and satisfaction after TURP, often attributing it to the surgery.
Area of Science:
- Urology
- Men's Health
- Sexual Medicine
Background:
- Benign prostatic hyperplasia (BPH) is a common condition in aging men.
- Transurethral resection of the prostate (TURP) is a standard surgical treatment for BPH.
- Sexual function is a crucial aspect of quality of life for many men.
Purpose of the Study:
- To evaluate patient-reported sexual function after TURP for BPH.
- To assess the incidence and nature of sexual dysfunction post-TURP.
- To explore patient perceptions regarding the impact of TURP on sexual health.
Main Methods:
- A questionnaire was administered to 127 men one year after undergoing TURP.
- The survey assessed erectile function, ejaculation, libido, and overall sexual satisfaction.
- Patient self-evaluations of sexual function and perceived causes of dysfunction were collected.
Main Results:
- Significant postoperative sexual dysfunction was reported across all evaluated domains.
- 54% of responders reported a decline in sexual function, with half blaming the surgery.
- Factors such as age, comorbidity, and social conditions contributed to sexual decline.
Conclusions:
- Patients frequently report sexual dysfunction after TURP for BPH.
- Despite objective data, patients often attribute sexual health decline to the surgical procedure.
- Understanding patient perceptions is vital for managing expectations and addressing concerns post-TURP.