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Year : 2004  |  Volume : 20  |  Issue : 2  |  Page : 86-89

Sexual function status before and after transurethral resection of prostate (TURP) in Indian patients with benign hyperplasia of prostate

Department of Urology, All India Institute of Medical Sciences, New Delhi, India

Correspondence Address:
Narmada P Gupta
Department of Urology, AIIMS, Ansari Nagar, New Delhi - 110 029
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Source of Support: None, Conflict of Interest: None

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Objectives : To evaluate the change in sexual function status after TURP in a select population of Indian elderly males presenting with benign prostatic hyperplasia (BPH). Methods : One hundred and thirty-six patients present­ing with BPH and treated with transurethral resection of prostate (TURP) during the period from August 1999 to July 2001 were evaluated for pre and postoperative sexual function using a 10-question proforma. Results : The mean age of the patients was 64.9 years while the mean duration of lower urinary tract symptoms was 1.9 years. Of the 109 patients with a living wife/part­ner, 54 (49.54%) had active sex lives with coital frequency ranging from once a week to less than once a fortnight. Preoperatively, 48 of these patients had good erections whereas 6 had weak erections though they were able to have satisfactory penetration. All 54 had normal ejacu­lation prior to TURP. In the postoperative follow up, 10 (18.5%) of these 54 patients reported an improvement in their sex life in terms of increased libido and improved erections. Twenty-six (48.1 %) had no change in their sta­tus after TURP, but were satisfied with their sex life. Out of these 36 patients, 4 patients had preserved ante grade ejaculation. The remaining 18 (33.33%) had deteriora­tion in their status in terms of decreased libido and poor erections. None of our patients who were sexually inac­tive before TURP regained sexual activity. Conclusions: About 50% of patients with a living spouse/partner are sexually active at the time of undergo­ing TURP for BPH. TURF leads to a deterioration of sexual function in up to 33% of these patients. This in­cludes both loss of libido and erections. It is also associ­ated with a loss of ante grade ejaculation in over 85% patients. Very few patients who are sexually inactive pre-operatively recover sexual function after surgery. This study suggests that sexual counseling during informed consent should be a regular feature prior to TURP.

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