The Impact of Transrectal Prostate Needle Biopsies on Erectile Function

Year 2018, , 287 - 292, 01.09.2018

Osman Ergün

https://doi.org/10.17343/sdutfd.396279

Abstract

Object:
To evaluate the effects of  transrectal
ultrasound guided biopsies of the prostate on patients' sexual function at
different time intervals (before and after the procedure).

Material
and methods: Eighty prostate cancer free patients
were included the study, those were completed the International Prostate
Symptom Score and International Index of Erectile Function before, and 1 and 3
mounths after biopsy. We classified erectile function  into five categories according to IIEF-5
scores: severe (5–7), moderate (8–11), mild-moderate (12–16), mild (17-21) and
no ED (22–25).

Results:
45% (36/80) of the patients notified rectal bleeding complaints continuing for over
three days. Hematospermia and /or hematuria complaints that prolonged over three days
were observed at 78.8% (63/80) of patients . The mean IIEF score
before biopsy was 24.29 ± 8.40. The mean IIEF score at the first and third
months after biopsy was 20.31 ± 9.6 and 22.36 ± 8.88, respectively (p
<0.05). In the previously potent patient group, the rate of ED at 1 month
after biopsy was 31.57% (18/57). This rate decreased to 5.26% (3/57) at 3
months after biopsy. In the previously potent patient group, post biopsy ED
severity was between 17-21 according to IIEF-5 and was entering the mild ED
classification.

Conclusion:
The biopsy-related sexual dysfunction may be potentially emerged in all
patients undergoing prostate biopsy. But based on this study; Post-biopsy
sexual dysfunction, especially erectile dysfunction, is often a temporary
condition.

Keywords

Erectile dysfunction, impotance, international index of erectile function, prostate biopsy

Transrektal Prostat İğne Biyopsisinin Erektil Fonksiyon Üzerine Etkisi

Abstract

Amaç:
Transrektal ultrasonografi eşliğinde prostat biyosi işleminin, hastaların
cinsel fonksiyonu üzerine olan etkilerini, işlem öncesinde ve sonrasında farklı
zaman aralıkları ile değerlendirmek.

Hastalar  ve yöntem: Çalışmaya işlem
öncesi IPSS ve IIEF doldurtulan ve işlem sonrası bu formlar tekrar 1. ve 3.
aylarda doldurtulmuş olan ve biyopsi sonucu prostat kanseri ile uyumlu gelmeyen
80 hasta alındı. IIEF-5’e göre hastaların erektil fonksiyonları 5 kategoriye
ayrıldı; 5-7: ağır erektil disfonksiyon (ED), 8-11: orta ED, 12-16: hafif-orta
ED, 17-21: hafif ED, 22-25: ED olmayan.

Bulgular:
Hastaların  %45’ i (36/80) üç günden
fazla süren rektal kanama şikayeti bildirdiler. Üç günden uzun süren
hematospermi ve/veya hematüri şikayeti hastaların %78,8’ inde (63/80) gözlemlendi.
Biyopsi öncesi IIEF skor ortalaması 24.29±8.40 idi. Biyopsi sonrası 1. ve 3.
aylardaki IIEF skor ortalamaları sırası ile 20.31±9,6 ve 22.36±8.88 idi
(p<0,05). Biyopsi öncesi ED’ u olmayan  hasta grubunda biyopsi sonrası 1. ayda ED
görülme oranı %31.57 (18/57)  idi. Bu
oranın 3. ayda %5.26’ ya (3/57) gerilediği tespit edildi. Başlangıçta ED’u
olmayan hasta grubunda biyopsi sonrası görülen ED’un şiddeti, IIEF-5’e göre
17-21 arası olup hafif ED sınıflamasına girmekte idi.

Sonuç:
Biyopsi ilişkili cinsel disfonksiyon ihtimali, prostat biyopsisi geçiren tüm
hastalarda olasıdır. Fakat çalışmamıza dayanarak denebilir ki; biyopsi sonrası
seksüel disfonksiyon, özellikle de erektil disfonksiyon çoğu zaman geçici bir
durumdur.

Keywords

Erektil disfonksiyon, impotans, prostat biyopsisi, uluslararası erektil işlev formu

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