Transrektal Prostat İğne Biyopsisinin Erektil Fonksiyon Üzerine Etkisi

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.

Anahtar Kelimeler:

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

The Impact of Transrectal Prostate Needle Biopsies on Erectile Function

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,

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