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INCIDENCE ERECTILE DYSFUNCTION

BEFORE AND AFTER TRANSURETHRAL


RESECTION OF PROSTATE
ROCCI JACK PARSE*, ANGLING YUNANTO*
*UNIVERSITAS PADJADJARAN, UROLOGY DEPARTMENT, DUSTIRA HOSPITAL BANDUNG,
JAWA BARAT, ID 45363

KEYWORDS: ERECTILE DYSFUNCTION, IIEF, TURP

BACKGROUND & AIM Patients with previous history of TURP

Transurethral resection of the prostate (TURP)


commonly used to treat benign prostate
hyperplasia (BPH). Some sexual dysfunction in
men after the procedure were reported. The study
aimed to review the incidence and analyze risk
factors associated with ED post-TURP

METHOD RESULTS &


The retrospective study from medical records of DISCUSSION
BPH patients treated with TURP in Dustira
Hospital in 2019 – 2021. Erectile dysfunction (ED) A total of 228 patients were included
was measured using : International Index of for the study. Most patients were
diagnosed with mild ED using IIEF-5
Erectile Function (IIEF)-5 and Erection Hardness
scoring (104 patients; 45.6%) and EHS
Score (EHS). Both questionnaires were given to

scoring 4 (110 patients, 48.2%).


the patient before and 3 months after the surgery. Significant improvements in ED
The surgery was performed by urology consultants symptoms (p < 0.05) were noted after
or chief residents under supervision of the TURP surgery in 3 months follow-up if
consultants evaluated with IIEF; no significant
improvements in ED symptoms (p >
Baseline characteristics according to IIEF-5 scores 0.05) after TURP surgery in 3 months
follow-up if evaluated with EHS.

ED severity changes after surgery (EHS)

ED severity changes after surgery (with IIEF)

Baseline characteristics according to EHS scores

CONCLUSION
Improvement in subjective measurements
for ED were noted in the study.
Comorbidities were found at higher
percentage in patients presenting with
more severe ED.

REFERENCE
1. Chen LK, Lai YW, Chiu LP, Chen SSS. Significant relationship between parameters measured by transrectal color Doppler ultrasound and sexual dysfunction in
patients with BPH 12 months after TURP. BMC Urol. 2021;21(1):1–7
2. Erkoc M, Besiroglu H, Otunctemur A, Polat EC, Bozkurt M. Metabolic syndrome is associated worsened erectile function in patients undergoing TURP due to benign
prostatic hyperplasia. Aging Male. 2021;23(5):533–7.
3. Oka AAG, Duarsa GWK, Novianti PA, Mahadewa TGB, Ryalino C. The impact of prostate-transurethral resection on erectile dysfunction in benign prostatic
hyperplasia. Res Reports Urol. 2019;11:91–6.
4. Irwin GM. Erectile Dysfunction. Prim Care - Clin Off Pract [Internet]. 2019;46(2):249–55.
5. Calogero AE, Burgio G, Condorelli RA, Cannarella R, La Vignera S. Epidemiology and risk factors of lower urinary tract symptoms/benign prostatic hyperplasia and
erectile dysfunction. Aging Male [Internet]. 2019;22(1):12–9.

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