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A comparative study on the penile erectile dysfunction following three different prostatectomy procedures

WANG Yi~1 HE Lijun~1 LIN Jian~1 NA Yanqun~2 (~1Department of Urology, Shougang Hospital, Peking University, Beijing,100041, China;~2Department of Urology,the First Affiliated Hospital,Peking University )  
Objective:To evaluate and compare penile erectile function following suprapubic transvesical prostatectomy(SPP)、transurethral resection of prostate(TURP) and transurethral electrovaporization combind with resection of prostate(TUVP+TURP) for BPH.Methods:By using the international index of erectile function 5(IIEF-5) questionnaire, we surveyed penile erectile function and retrograde ejaculation in 104 patients undergoing SPP、TURP、TUVP+TURP preoperatively and postoperatively 6 monthes.Results:The preoperative score of IIEF-5 in SPP、TURP、TUVP+TURP group were(17.5)、(17.9)、(18.1) respectively, the score of postoperative were (11.7)、(13.2)、(10.2),(P(0.05)). The postoperative incidence of retrograde ejaculation in three groups were(23.1)%、(32.5)%、(25.0)% respectively.Conclusions:Our results showed that all the three therapeutic procedures could accompany erectil dysfunction, TUVP+TURP had the highest occurrence rate. The highest retrograde ejaculation rate was noted in TURP group. Incident of erectile dysfunction can be reduced by operation carefully and preoperative education about knowledge of the surgery.
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