Yıldız Ali, Karamık Kaan, Aktaş Yasin, Anıl Hakan, İslamoğlu Ekrem, Ateş Mutlu, Savaş Murat
1 Antalya Training and Research Hospital, Antalya, Turkey.
2 Department of Urology, University of Health Sciences, Antalya Training and Research Hospital, Antalya, Turkey.
Urologia. 2019 Aug;86(3):148-151. doi: 10.1177/0391560319842956. Epub 2019 Apr 14.
The aim of this study is to assess the erectile function of patients before and after transrectal ultrasound prostate biopsy comparatively in order to determine the appropriate time to evaluate erectile function before radical prostatectomy. A total of 44 patients underwent transrectal ultrasound biopsy. We used the International Index of Erectile Function-5 questionnaire to assess all the patients. In total, 44 volunteered patients were included in this study. All patients were evaluated with the International Index of Erectile Function-5 questionnaire before the biopsy and at 4 weeks after the transrectal ultrasound biopsy. A total of 50% of patients were potent before the biopsy was done. A month after the biopsies, erectile dysfunction was reported by 29 of 44 patients (66%) as mild in 10 (22.7%), as mild-moderate in 14 (31.8%), as moderate in 4 (9.1%), and severe in 1 (2.3%). The differences were statistically significant in the first month of the biopsy ( < 0.05). The effect of prostate biopsy upon the erectile function is non-negligible. However, this situation is temporary and transient. Therefore, it is recommended that the International Index of Erectile Function-5 questionnaire is to be administered prior to prostate biopsy rather than before surgical treatment.
本研究的目的是比较经直肠超声引导下前列腺穿刺活检前后患者的勃起功能，以确定在根治性前列腺切除术之前评估勃起功能的合适时间。共有44例患者接受了经直肠超声引导下活检。我们使用国际勃起功能指数-5问卷对所有患者进行评估。本研究共纳入44例自愿参与的患者。所有患者在活检前以及经直肠超声引导下活检后4周均接受国际勃起功能指数-5问卷评估。活检前，共有50%的患者勃起功能正常。活检后1个月，44例患者中有29例（66%）报告出现勃起功能障碍，其中轻度10例（22.7%），轻度至中度14例（31.8%），中度4例（9.1%），重度1例（2.3%）。在活检后的第一个月，差异具有统计学意义（<0.05）。前列腺活检对勃起功能的影响不可忽视。然而，这种情况是暂时的、短暂的。因此，建议在前列腺活检前而非手术治疗前使用国际勃起功能指数-5问卷进行评估。
