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Tytuł pozycji:

Significant relationship between parameters measured by transrectal color Doppler ultrasound and sexual dysfunction in patients with BPH 12 months after TURP

Tytuł:
Significant relationship between parameters measured by transrectal color Doppler ultrasound and sexual dysfunction in patients with BPH 12 months after TURP
Autorzy:
Li K. Chen
Yu W. Lai
Li P. Chiu
Saint Shiou-Sheng Chen
Temat:
Benign prostatic hyperplasia
Erectile dysfunction
Sexual dysfunction
Transrectal color doppler ultrasound
transurethral resection of the prostate
Diseases of the genitourinary system. Urology
RC870-923
Źródło:
BMC Urology, Vol 21, Iss 1, Pp 1-7 (2021)
Wydawca:
BMC, 2021.
Rok publikacji:
2021
Kolekcja:
LCC:Diseases of the genitourinary system. Urology
Typ dokumentu:
article
Opis pliku:
electronic resource
Język:
English
ISSN:
1471-2490
Relacje:
https://doaj.org/toc/1471-2490
DOI:
10.1186/s12894-020-00776-2
Dostęp URL:
https://doaj.org/article/2b154b99fd834804b5bf937ac65e8bd9  Link otwiera się w nowym oknie
Numer akcesji:
edsdoj.2b154b99fd834804b5bf937ac65e8bd9
Czasopismo naukowe
Abstract Background A link between sexual dysfunction and lower urinary tract symptoms due to benign prostatic hyperplasia (BPH) has been noticed. Transurethral resection of the prostate (TURP) remains the standard treatment for symptomatic BPH, whether TURP causes sexual dysfunction is still uncertain. In this retrospective study, we investigated the relationship between parameters measured by color Doppler ultrasound (CDU) and sexual dysfunction in patients with BPH 12 months after TURP. Methods The parameters include presumed circle area ratio (PCAR), maximal horizontal area of seminal vesicles (MHA), resistive index of the prostate (RIP), and peak systolic velocity in the flaccid penis (PSV). The international prostate symptom score was used to evaluate the lower urinary tract symptoms and the five-item version of the International Index of Erectile Function was used to evaluate sexual function before and after TURP. Results Of the 103 patients without sexual dysfunction before TURP, 11 (10.7%) had erectile dysfunction (ED) after TURP. These 11 patients had significantly lower PCAR, RIP, PSV and MHA than those without ED. The patients with retrograde ejaculation after TURP had significantly lower PCAR than those without retrograde ejaculation, and the patients with premature ejaculation after TURP had significantly lower MHA than those without premature ejaculation. Comparing the parameters between baseline and after TURP, PCAR, RIP, and MHA decreased significantly in the patients with sexual dysfunction, but no significant differences were noted in the patients without sexual dysfunction after TURP. Conclusions More extended TURP can lead to a higher incidence of ED and retrograde ejaculation in BPH patients without sexual dysfunction before TURP. Patients with a lower volume of seminal vesicles after TURP may have a higher incidence of premature ejaculation.

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