Transrektal prostat biyopsisi cinsel işlev bozukluğuna neden olur mu? 252 hastanın kesitsel değerlendirmesi

Year 2022, Volume: 8 Issue: 4, 515 - 524, 30.11.2022

Mevlüt Keleş , Mustafa Aydın , Lokman İrkilata , Alper Bitkin , Ebubekir Akgüneş , Mustafa Kemal Atilla

https://doi.org/10.19127/mbsjohs.1110819

Abstract

Keywords

Erektil Disfonksiyon, Prostat, Prostat Spasifik Antijen, Biyopsi

Thanks

İstatistiksel analizler için sağladığı değerli katkılarından dolayı Dr. Hasan Durmuş'a teşekkür ederiz.

Does transrectal prostate biopsy cause sexual dysfunction? Cross-sectional evaluation of 252 patients

Abstract

Objective: In this study, we aimed to evaluate whether there are negative effects of transrectal prostate biopsy (TPB) on sexual functions (SF).
Methods: This study includes 252 male patients evaluated prospectively who underwent TPB in our clin-ic between January 2015 and September 2016. Patients with chronic diseases (e.g. diabetes mellitus, hy-pertension) and the use of drugs (e.g. antihypertensive drugs, antidepressants) that can affect SF were excluded. Patients completed the IIEF-15 forms before TPB, in the first, third, and sixth months after TPB. Patients were evaluated in terms of erectile function (EF), orgasmic functions (OF), sexual desire (SD), intercourse satisfaction (IS), and overall sexual satisfaction (OSS).
Results: The relationship between follow-up time and EF, OF, SD, IS and OSS scores were analyzed. A significant difference was observed in EF scores before TPB and in the first month after TPB (p=0,007). However, in subgroup analyses, it was determined that this significant difference was only in the PCa patients. In BPH-diagnosed patients, there was no significant difference between the ED score and the follow-up times. OF, IS, and OOS scores in the 1st, 3rd, and 6th months decreased significantly according to the initial score (p = 0,001). SD scores showed no significant differences among follow-ups (p=0,191).
Conclusion: Erectile dysfunction (ED) is not likely for all patients who undergo TPB. Our study revealed that PCa patients are short-term sufferers of ED after TPB. But, according to our data, it is not clear whether the cause is TPB or anxiety due to PCa diagnosis.

Keywords

Erectile Dysfunction, Prostate, Prostate-Specific Antigen, Biopsy

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