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Original Research

The Effect of Median Lobe Presence on Oncologic and Functional Outcomes in Robot Assisted Radical Prostatectomy in the Learning Curve


SBÜ Erzurum Eğitim Araştırma Hastanesi Üroloji Servisi Erzurum


DOI : 10.33719/yud.658455
New J Urol. 2020; 15 (1): 45-50

Abstract

Objective: The effects of surgical techniques which used in BPH treatment by IIEF-15 query form on sexual function was investigated.

Materials and Methods: The study was Ja-nuary 2008 - June 2011 between BPH diagno-sed between the ages of 50-75, sexually active, 80 male patients were included in the study. Patients were divided into 4 equal groups. Prostate volu-me of the three groups, respectively under 100 cc TUR-P monopolar, bipolar TURP, KTP (gre-en light) laser vaporization of the prostate volu-me 100 cc’s the fourth group on the transvesical prostatectomy (TVP) was performed. Preopera-tive and postoperative IPSS, quality of life (QoL) score and IIEF-15 values   are compared.

Results: The mean age of the 80 patients par-ticipating in our study, 63.4 ± 6.4, 81.17 ± 30.5 cc prostate volume, IPSS symptom score was 26 ± 4.2, quality of life (QoL) scores were found to be 5 ± 0.9. IPSS score in the postoperative period, 7.14 ± 3.26 to 1.37 ± 0.59 and QoL is ‘showed a decreased (p <0.01). All groups were considered, erectile function, intercourse satisfaction, libido, overall satisfaction levels of preoperative 21.39 ± 4.26 to 20.53 ± 5.53, respectively, to postoperati-ve, 9.96 ± 2.57 to 9.36 ± 3 , 44, 7.00 ± 1.29 to 7.11 ± 1.55, 7.19 ± 1.30 to 6.73 ± 2.19 and that they were not affected operations. Orgasmic function in terms of the values   of all patients postoperati-vely compared with preoperative values, a statis-tically significant decrease (p <0.01).

Conclusion: According to IIEF-15 except for the evaluation orgasmic function, sexual functi-on parameters monopolar TUR-P / bipolar, Gre enlight laser vaporization and affected than transvesical prostatec-tomy.

Key Words: Benign Prostatic Hyperplasia, Monopolar, Bipolar, Greenlight, Sexual Function.


Abstract

Objective: The effects of surgical techniques which used in BPH treatment by IIEF-15 query form on sexual function was investigated.

Materials and Methods: The study was Ja-nuary 2008 - June 2011 between BPH diagno-sed between the ages of 50-75, sexually active, 80 male patients were included in the study. Patients were divided into 4 equal groups. Prostate volu-me of the three groups, respectively under 100 cc TUR-P monopolar, bipolar TURP, KTP (gre-en light) laser vaporization of the prostate volu-me 100 cc’s the fourth group on the transvesical prostatectomy (TVP) was performed. Preopera-tive and postoperative IPSS, quality of life (QoL) score and IIEF-15 values   are compared.

Results: The mean age of the 80 patients par-ticipating in our study, 63.4 ± 6.4, 81.17 ± 30.5 cc prostate volume, IPSS symptom score was 26 ± 4.2, quality of life (QoL) scores were found to be 5 ± 0.9. IPSS score in the postoperative period, 7.14 ± 3.26 to 1.37 ± 0.59 and QoL is ‘showed a decreased (p <0.01). All groups were considered, erectile function, intercourse satisfaction, libido, overall satisfaction levels of preoperative 21.39 ± 4.26 to 20.53 ± 5.53, respectively, to postoperati-ve, 9.96 ± 2.57 to 9.36 ± 3 , 44, 7.00 ± 1.29 to 7.11 ± 1.55, 7.19 ± 1.30 to 6.73 ± 2.19 and that they were not affected operations. Orgasmic function in terms of the values   of all patients postoperati-vely compared with preoperative values, a statis-tically significant decrease (p <0.01).

Conclusion: According to IIEF-15 except for the evaluation orgasmic function, sexual functi-on parameters monopolar TUR-P / bipolar, Gre enlight laser vaporization and affected than transvesical prostatec-tomy.

Key Words: Benign Prostatic Hyperplasia, Monopolar, Bipolar, Greenlight, Sexual Function.

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