Objective: We aimed to analyze the effect of 120 watt and 160 watt energy on erectile function used during monopolar transurethral prostatectomy (TURP).
Material and Methods: A total of sexually active 47 male patients, undergoing monopolar TURP because of Benign Prostatic Hyperplasia (BPH), were randomised into 120 watt (n=21), and 160 watt (n=26) groups, in terms of the amount of energy used for prostatic tissue cut-ting. The patients were evaluated with IIEF-5 and IIEF-15 questionnaires, preoperatively and in the postoperative 3rd month concerning erectile function.
Results: The mean age of the patients was 64.2±5.3 and 62.7±0.9 years, in the 120 watt and 160 watt groups respectively. The voiding parameters showed statistically significantly improvement in both groups after TURP. Ne-vertheless, 3 months after the TURP, IIEF-5 and IIEF-15 scores of the patients decreased signi-ficantly in both groups compared with the pre-operative period.
Conclusions: Although, in the 3rd month evaluation after monopolar TURP, IIEF-5 and IIEF-15 scores of the patients decrease, regard-less of the amount of energy used, it is still a debated issue, whether TURP causes erectile dysfunction as an effective treatment option for BPH.
Key Words: monopolar TURP, erectile dysfunction
Abstract
Objective: We aimed to analyze the effect of 120 watt and 160 watt energy on erectile function used during monopolar transurethral prostatectomy (TURP).
Material and Methods: A total of sexually active 47 male patients, undergoing monopolar TURP because of Benign Prostatic Hyperplasia (BPH), were randomised into 120 watt (n=21), and 160 watt (n=26) groups, in terms of the amount of energy used for prostatic tissue cut-ting. The patients were evaluated with IIEF-5 and IIEF-15 questionnaires, preoperatively and in the postoperative 3rd month concerning erectile function.
Results: The mean age of the patients was 64.2±5.3 and 62.7±0.9 years, in the 120 watt and 160 watt groups respectively. The voiding parameters showed statistically significantly improvement in both groups after TURP. Ne-vertheless, 3 months after the TURP, IIEF-5 and IIEF-15 scores of the patients decreased signi-ficantly in both groups compared with the pre-operative period.
Conclusions: Although, in the 3rd month evaluation after monopolar TURP, IIEF-5 and IIEF-15 scores of the patients decrease, regard-less of the amount of energy used, it is still a debated issue, whether TURP causes erectile dysfunction as an effective treatment option for BPH.
Key Words: monopolar TURP, erectile dysfunction