title: The impact of transurethral procedures for benign prostate hyperplasia on male sexual function: a meta-analysis.
abstract: The effect of transurethral procedures for benign prostate hyperplasia  (BPH) on male sexual function is still controversial, and we conducted this  meta-analysis to compare the effects of different transurethral surgical  procedures for the treatment of symptomatic BPH on male erectile function (EF)  and ejaculatory function (EJF). Databases, including MEDLINE, EMBASE, and the  Cochrane Controlled Trial Register, were searched to identify randomized  controlled trials (RCT) that compared watchful waiting, transurethral  electrovaporization (TUEVP) or holmium laser treatment (HLT) with  transurethral resection of the prostate (TURP). Trials were included if they  were RCTs, contained fully available data, compared with conventional TURP for  BPH, and referred to male EF and EJF. A total of 12 RCTs involving a total of  1889 subjects were selected for analysis, including 2 trials comparing TURP  and watchful waiting, 6 comparing TURP with TUEVP, and 4 comparing TURP with  HLT. TURP was associated with a higher occurrence of retrograde ejaculation  compared with watchful waiting but not to TUEVP (P = .95) or HLT  (P = .37) and associated with a lower incidence of male erectile  dysfunction compared with TUEVP (P = .04) but not HLT. According to  the analysis, TURP lead to a higher prevalence of retrograde ejaculation  compared with watchful waiting but had less of an effect on EF than TUEVP.  TURP did not have a significantly different effect on EF or EJF compared with  HLT.
authors.affiliation: Urology Department of Beijing Chao Yang Hospital Affiliated Capital Medical University, Beijing, China.
authors.forename: Huan-Tao
authors.initials: HT
authors.lastname: Zong
authors.forename: Xiao-Xia
authors.initials: XX
authors.lastname: Peng
authors.forename: Chen-Chen
authors.initials: CC
authors.lastname: Yang
authors.forename: Yong
authors.initials: Y
authors.lastname: Zhang
mesh_terms: D004542:Ejaculation / Q000502:physiology*; D007172:Erectile Dysfunction / Q000209:etiology*; D006801:Humans; D008297:Male; D011470:Prostatic Hyperplasia / Q000150:complications / Q000601:surgery*; D016032:Randomized Controlled Trials as Topic; D020728:Transurethral Resection of Prostate / Q000009:adverse effects* / Q000379:methods