title: [Investigation of changes in sexual and ejaculatory functions after holmium laser enucleation of the prostate (HoLEP)].
abstract: Changes in sexual function and ejaculatory function in patients who had undergone holmium laser enucleation of the prostate (HoLEP) were investigated using questionnaires. In this study, 77 patients on whom HoLEP was performed at our department from July 2010 to December 2010 were included. Of the 77 patients, the number of patients who could achieve an erection increased from 36 (46.8%) preoperatively to 52 (67.5%) postoperatively after HoLEP. Although postoperative ejaculatory dysfunction was found in 38 (73%) of 52 patients, 47 (90%) experienced orgasms, regardless of ejaculation, which is a high rate. With respect to ejaculatory satisfaction, patients who experienced an ejaculation had significantly higher satisfaction levels than those who did not. These results suggest that changes in postoperative ejaculatory function might affect satisfaction levels of ejaculation.
authors.affiliation: Ishikawa Urology Clinic.
authors.forename: Ryuta
authors.initials: R
authors.lastname: Ishikawa
authors.affiliation: The Department of Urology, Fuchinobe General Hospital; The Department of Urology, Kitasato University of Medicine.
authors.forename: Toshiya
authors.initials: T
authors.lastname: Shitara
authors.affiliation: The Department of Urology, Kitasato University of Medicine.
authors.forename: Takahiro
authors.initials: T
authors.lastname: Hirayama
authors.affiliation: The Department of Urology, Kitasato University of Medicine.
authors.forename: Yoji
authors.initials: Y
authors.lastname: Wakatabe
authors.affiliation: The Department of Urology, Kitasato University of Medicine.
authors.forename: Masato
authors.initials: M
authors.lastname: Dobashi
authors.affiliation: The Department of Urology, Fuchinobe General Hospital.
authors.forename: Yoshiko
authors.initials: Y
authors.lastname: Sugita
authors.affiliation: The Department of Urology, Fuchinobe General Hospital.
authors.forename: Seiichi
authors.initials: S
authors.lastname: Kubo
authors.affiliation: The Department of Urology, Kitasato University of Medicine.
authors.forename: Tetsuo
authors.initials: T
authors.lastname: Fujita
authors.affiliation: The Department of Urology, Kitasato University of Medicine.
authors.forename: Masatsugu
authors.initials: M
authors.lastname: Iwamura
authors.affiliation: The Department of Urology, Kitasato University of Medicine.
authors.forename: Shiro
authors.initials: S
authors.lastname: Baba
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D004542:Ejaculation / Q000502:physiology*; D006801:Humans; D053844:Lasers, Solid-State / Q000627:therapeutic use*; D008297:Male; D008875:Middle Aged; D011468:Prostatectomy / Q000379:methods*; D012723:Sex; D011795:Surveys and Questionnaires