Erectile function is usually not affected by BPH surgery

Erectile function is usually not affected by BPH surgery

Physician Information Staff

WEDNESDAY, Sept., Feb. 21, 2022 (HealthDay News) — Surgery for benign prostatic hyperplasia (BPH) may impact sexual function, primarily involving ejaculatory function, according to a recent systematic review and meta-analysis published in European focus on urology.

Celeste Manfredi, MD, of the University of Campania “Luigi Vanvitelli” in Naples, Italy, and colleagues conducted a systematic literature review to assess the current evidence regarding the impact of BPH surgery on the sexual function. The analysis included 151 studies (20,531 patients).

Researchers found that a pooled analysis of 48 randomized controlled trials (5045 people) showed no statistically significant change in International Index of Erectile Function-5 score from baseline for transurethral resection of prostate (TURP), laser procedure and minimally invasive treatment. . There was a higher rate of retrograde ejaculation seen after TURP, other electrosurgical procedures, and the entire laser group. After most minimally invasive procedures, no statistically significant increase was observed in the rate of retrograde ejaculation. For prostatic urethral lift, a pooled analysis of Male Sexual Health Questionnaire-Ejaculatory Dysfunction Function scores showed no statistically significant difference between baseline and after treatment, but postoperative Bother scores were significantly higher.

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“The ultimate goal of future research should be to improve the evidence on the subject to enable scientific societies to provide clear and robust recommendations, and to improve patient counseling at the time of therapeutic choice”, write the authors.

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