Erectile and ejaculatory failure after transurethral prostatectomy.
OBJECTIVE
To evaluate the clinical incidence of sexual dysfunction after transurethral resection of the prostate (TURP) and to identify risk factors.


METHODS
Havering Hospitals NHS Trust, Essex, UK.


METHODS
253 patients who underwent TURP were assessed using a standard proforma regarding pre- and post-operative erectile and ejaculatory functions. The patients who developed post-operative erectile failure were compared with the unaffected group.


RESULTS
126 patients completed the study; 22 were pre-operatively impotent and remained so post-operatively. Of 104 patients who were sexually active 18 developed post-operative erectile impairment. Five patients (4.8%) had total erectile failure. Only 7% of patients retained ejaculation after the operation. Significant risk factors in the patients with post-operative erectile failure, were presentation with acute retention and development of profuse primary hemorrhage.


CONCLUSIONS
The study reaffirmed that there is a low but significant clinical incidence (4.8%) of erectile failure after TURP which is associated with certain risk factors. Ejaculatory failure was higher in incidence but carried a lower clinical significance.
Havering Hospitals NHS Trust, Romford, Essex, UK.
N D
ND
Perera
J T
JT
Hill
D000368:Aged; D004542:Ejaculation; D007172:Erectile Dysfunction / Q000453:epidemiology / Q000209:etiology*; D005500:Follow-Up Studies; D006801:Humans; D015994:Incidence; D008297:Male; D008875:Middle Aged; D011468:Prostatectomy / Q000009:adverse effects*; D011469:Prostatic Diseases / Q000601:surgery; D012016:Reference Values; D012307:Risk Factors; D013188:Sri Lanka / Q000453:epidemiology