Urology, Medical College and Hospital Kolkata, Kolkata, West Bengal, India.
Urology, Medical College Kolkata, Kolkata, West Bengal, India.
Urologia. 2024 Nov;91(4):715-719. doi: 10.1177/03915603241254717. Epub 2024 Jul 26.
Sexual dysfunction affects a couple's relationship and quality of life of the patient and the partner irrespective of age. In Lower urinary tract symptoms (LUTS) with benign prostatic hyperplasia (BPH), sexual dysfunction is highly prevalent. This study aims to evaluate prevalence of sexual dysfunction in patients having LUTS with BPH and effect of various treatment on it.
The study is hospital based prospective cross-sectional study. Total 106 patients were included in this study. Fifty-six patients underwent medical treatment and 50 patients underwent transurethral resection of prostate (TURP) according to lower urinary tract symptom score along with grades of prostate. We measured prevalence of lower urinary tract symptoms, erectile dysfunction (ED), ejaculatory dysfunction (EJD).We compared the pre and post treatment ED, EJD scores in both medical and TURP group.
In our study, 11 (10.4%) patients had very mild ED, 12 (11.3%) had mild ED, 54 (50.9%) had moderate ED and 23 (21.7%) had severe ED. In our study, 11 (10.4%) patients had very mild EJD, 7 (6.6%) had mild EJD, 28 (26.4%) had moderate EJD and 2 (1.9%) had severe EJD. In medical group, ED pre-treatment versus ED post treatment was statistically significant ( = 0.0046), treatment of LUTS improves ED. EJD pre-treatment versus EJD post treatment was not statistically significant ( = 0.8368), treatment of LUTS associated with deterioration of EJD. In TURP group association of ED pre-treatment versus ED post treatment was statistically significant ( = 0.0319). Post TURP patients shows improvement in ED Association of EJD pre-treatment versus EJD post-treatment was statistically significant ( = 0.03000). Post TURP EJD deteriorate.
We concluded that the severity of sexual dysfunction correlates with severity of LUTS. Ejaculatory function deteriorates after treatment of TURP compared to medical.
性功能障碍会影响夫妻关系以及患者和伴侣的生活质量，与年龄无关。在良性前列腺增生（BPH）引起的下尿路症状（LUTS）中，性功能障碍非常普遍。本研究旨在评估患有 LUTS 伴 BPH 的患者性功能障碍的患病率以及各种治疗方法对其的影响。
本研究为基于医院的前瞻性横断面研究。共纳入 106 例患者。根据下尿路症状评分和前列腺分级，其中 56 例患者接受药物治疗，50 例患者接受经尿道前列腺切除术（TURP）。我们测量了下尿路症状、勃起功能障碍（ED）、射精功能障碍（EJD）的患病率。比较了药物和 TURP 组治疗前后 ED 和 EJD 评分。
在我们的研究中，11 例（10.4%）患者 ED 非常轻微，12 例（11.3%）患者 ED 轻度，54 例（50.9%）患者 ED 中度，23 例（21.7%）患者 ED 严重。在我们的研究中，11 例（10.4%）患者 EJD 非常轻微，7 例（6.6%）患者 EJD 轻度，28 例（26.4%）患者 EJD 中度，2 例（1.9%）患者 EJD 严重。在药物组中，ED 治疗前与 ED 治疗后比较有统计学意义（ = 0.0046），治疗 LUTS 可改善 ED。EJD 治疗前与 EJD 治疗后比较无统计学意义（ = 0.8368），治疗 LUTS 与 EJD 恶化相关。在 TURP 组中，ED 治疗前与 ED 治疗后比较有统计学意义（ = 0.0319）。TURP 术后患者 ED 改善。EJD 治疗前与 EJD 治疗后比较有统计学意义（ = 0.03000）。TURP 术后 EJD 恶化。
我们的结论是性功能障碍的严重程度与 LUTS 的严重程度相关。与药物治疗相比，TURP 治疗后射精功能恶化。
