Copulative function of patients after transurethral and endovideosurgical interventions due to benign prostate hyperplasia

Popov S.V., Skryabin O.N., Orlov I.N., Grin' E.A., Topuzov T.M., Kyzlasov P.S., Malevich S.M., Sushina I.V., Vyazovcev P.V.

Aim of thestudy. An evaluation of the influence of transurethral and endovideosurgical methods of correction of benign prostate hyperplasia (BPH) on copulative function (CF).

Materials and methods. We analyzed the results of treatment of 330 patientswith BPH. 100 of them underwent transurethralresection of the prostate (TURP), 77 patients underwent transurethral mechanic enucleation with bipolar (TUEB), 79 patients underwent holmium laser enucleation of the prostate (HoLEP), and 74 patientsreceived endovideosurgical adenomectomy. During the study, we used the following questionnaires: the international index of erectile function (IIEF), Aging Male's Symptoms (AMS) questionnaire, a scale for the quantitative evaluation of male copulative function (the MCF scale), and the index of the quality of life.The following indicators were measured: the bulbocavernosus reflex (BCR), testosterone fractions and the levels ofsex hormone-binding globulin (SHBG).e patientswere examined before the surgery and there and six months after

Results. Marked changes affecting the normalization of libido were recorded in groups of patients,who underwent TURP and endovideosurgical adenomectomy. e incidence of ED dropped in all groups aer the surgery, whichwas accompanied by intensification of the BCR.e number of patients with hypoorgasmia was lower in groups of patients, who underwent TURP and EVS AE. e incidence of retrograde ejaculation was also lower in these groups. No significant difference in testosterone fractions and in the level of SHBG were found in the pre- and postoperative periods (3 months after the surgery). However, there is a tendency towards the increase of testosterone fractions and the decrease in the level of SHBG 6 months aer the surgery.

Conclusion.The correction of BPH by endoscopic and endovideosurgical methods positively affectsthe copulative function and hormonal background of patients, especially after TURP and endovideosurgical adenomectomy

Authors declare lack of the possible conflicts of interests.

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benign prostatic hyperplasia, transurethral resection of the prostate, mechanical enucleation with bipolar electrode, holmium laser enucleation, endovideosurgical adenomectomy