title: [Impacts of different transurethral prostatic resection procedures on male sexual function: meta-analysis of randomized controlled trials].
abstract: OBJECTIVE
  To compare the impacts of transurethral resection of the prostate (TURP), transurethral electrovaporization of the prostate (TUEVP) and holmium laser enucleation of the prostate (HoLEP) in the treatment of benign prostatic hyperplasia (BPH) on male sexual function.
  
  
  METHODS
  We identified randomized controlled trials on the influence of TURP, TUEVP and HoLEP on the sexual function of BPH patients, and performed meta-analysis on the included data using Revman 5.0.25.
  
  
  RESULTS
  Nine randomized controlled trials involving 1 050 BPH patients were included in the meta-analysis. The baseline of the study was comparable. TURP affected erectile function less than TUEVP (P = 0.04), but the two had no significant difference in their influence on ejaculatory function. Nor was any significant difference found between HoLEP and TURP in their influence on either erectile or ejaculatory function at 12 and 24 months after surgery.
  
  
  CONCLUSIONS
  TUEVP induces a higher incidence of erectile dysfunction than TURP, but its influence on ejaculatory function is not significantly different from the latter. HoLEP and TURP have no significant difference in their influence on erectile function and ejaculatory function.
authors.affiliation: Department of Urology, Beijing Chaoyang Hospital Affiliated to Capital Medical University, Beijing 100020, China.
authors.forename: Huan-tao
authors.initials: HT
authors.lastname: Zong
authors.forename: Xiao-xia
authors.initials: XX
authors.lastname: Peng
authors.forename: Cheng-cheng
authors.initials: CC
authors.lastname: Yang
authors.forename: Yong
authors.initials: Y
authors.lastname: Zhang
mesh_terms: D007172:Erectile Dysfunction / Q000209:etiology*; D006801:Humans; D008297:Male; D011470:Prostatic Hyperplasia / Q000601:surgery; D016032:Randomized Controlled Trials as Topic; D020728:Transurethral Resection of Prostate / Q000009:adverse effects* / Q000379:methods