The Effect of Transurethral Resection of the Prostate on Erectile and Ejaculatory Functions in Patients with Benign Prostatic Hyperplasia

Saddam H Al Demour; Mohannad Abuhamad; Abdallah Nader Santarisi; Mohammad Al-Zubi; Samer Fathi Al-Rawashdah; Omar Halalsheh; Antonio Carbone; Antonio Luigi Pastore; Muayyad M Ahmad

doi:10.1159/000524957

The Effect of Transurethral Resection of the Prostate on Erectile and Ejaculatory Functions in Patients with Benign Prostatic Hyperplasia

Urol Int. 2022;106(10):997-1004. doi: 10.1159/000524957. Epub 2022 Jun 2.

Authors

Saddam H Al Demour^{1

2}, Mohannad Abuhamad¹, Abdallah Nader Santarisi¹, Mohammad Al-Zubi³, Samer Fathi Al-Rawashdah⁴, Omar Halalsheh⁵, Antonio Carbone⁶, Antonio Luigi Pastore⁶, Muayyad M Ahmad⁷

Affiliations

¹ Department of Special Surgery, Division of Urology, School of Medicine, The University of Jordan, Amman, Jordan.
² Dr. Sulaiman Al Habib Medical Group, Riyadh, Saudi Arabia.
³ Department of Urology, School of Medicine, Yarmouk University, Irbid, Jordan.
⁴ Department of Special Surgery, Urology Unit, School of Medicine, Mutah University, Karak, Jordan.
⁵ Department of Surgery and Urology, School of Medicine, Jordan University of Science and Technology, Irbid, Jordan.
⁶ Unit of Urology, Department of Medico-Surgical Sciences and Biotechnologies, Faculty of Pharmacy and Medicine, Sapienza University of Rome, Latina, Italy.
⁷ Clinical Nursing Department, School of Nursing, The University of Jordan, Amman, Jordan.

Abstract

Introduction: The aim of this study was to investigate the effect of TURP on erectile function (EF) and ejaculatory function (EJF).

Methods: A total of 91 patients who underwent TURP were retrospectively assessed. Patients were divided into two groups based on International Index of Erectile Function (IIEF-5): group A included 41 patients with normal EF, and group B included 50 patients with erectile dysfunction (ED). All patients were evaluated for EF and EJF at baseline, 1, 3, and 6 months after TURP by using IIEF-5, Ejaculatory Domain-Male Sexual-Health Inventory (Ej-MSHQ).

Results: In group A, there were no significant statistical differences in mean IIEF-5 at baseline and after TURP 22.88 ± 0.81 versus 22.63 ± 2.63 (p = 0.065). However, in group B, there was significant improvement in IIEF-5 after TURP all over the follow-up time points in comparison to the baseline (p = <0.001). The loss of EJF was significant among patients in group A. There was significant improvement of IPSS and Qmax in group A after surgery compared to group B.

Conclusion: The results confirmed that TURP has no significant negative influence on EF, and patients with preexisting ED were improved after TURP. On the contrary, the loss of EJF was significant.

Keywords: Benign prostatic hyperplasia; Ejaculation function; Erectile function; Lower urinary tract symptoms; Sexual function; Transurethral resection of prostate.

MeSH terms

Erectile Dysfunction* / etiology
Humans
Male
Penile Erection
Prostatic Hyperplasia* / complications
Prostatic Hyperplasia* / surgery
Retrospective Studies
Transurethral Resection of Prostate* / methods