Kemal ENER, EMRAH OKULU, Mustafa ALDEMİR, FATİH AKDEMİR, Murat KESKE, Muhammet Fuat ÖZCAN, Serkan ALTINOVA

Monopolar Transüretral Prostatektomi'de 120 watt ve 160 watt enerji kullanımının erektil fonksiyon üzerine etkisi

Amaç: Monopolar transüretral prostatektomi (TURP)'de 120 watt ve 160 watt enerji kullanımının, ereksiyon üzerine olan etkilerini incelemeyi amaçladık.Gereç ve Yöntemler: Benign Prostat Hiperplazisi (BPH) nedeniyle monopolar TURP yapılan, cinsel yönden aktif 47 hasta, kesme için kullanılan enerji miktarına göre 120 watt (n=21) ve 160 watt (n=26), gruplarına randomize edildi. Hastalar, preoperatif ve postoperatif 3. ayda, IIEF-5 ve IIEF-15 sorgulama formları ile cinsel disfonksiyon yönünden değerlendirildi.Bulgular: Hastaların yaş ortalaması, sırasıyla 120 watt grubunda 64.2±5.3, 160 watt grubunda ise 62.7±0.9 yıl idi. TURP sonrasında her 2 gruptaki hastaların işeme parametreleri, istatistiksel olarak anlamlı düzelme gösterdi. Bununla beraber, TURP sonrası 3. ayda, her 2 gruptaki hastaların IIEF-5 ve IIEF-15 skorları, ameliyat öncesi döneme göre anlamlı olarak azaldı.Sonuçlar: Monopolar TURP sonrası IIEF5 ve 15 skorları, kullanılan enerji miktarından bağımsız olarak 3. ayda azalmakla beraber, BPH tedavisinde etkin bir yöntem olan TURP'nin, erektil disfonksiyon oluşturup oluşturmadığı halen tartışmalı bir konudur.

The impact of 120 watt and 160 watt monopolar transurethral prostatectomy on erectile function

Objective: We aimed to analyze the effect of 120 watt and 160 watt energy on erectile function used during monopolar transurethral prostatectomy (TURP).Material and Methods: A total of sexually active 47 male patients, undergoing monopolar TURP because of Benign Prostatic Hyperplasia (BPH), were randomised into 120 watt (n=21), and 160 watt (n=26) groups, in terms of the amount of energy used for prostatic tissue cutting. The patients were evaluated with IIEF-5 and IIEF-15 questionnaires, preoperatively and in the postoperative 3rd month concerning erectile function. Results: The mean age of the patients was 64.2±5.3 and 62.7±0.9 years, in the 120 watt and 160 watt groups respectively. The voiding parameters showed statistically significantly improvement in both groups after TURP. Nevertheless, 3 months after the TURP, IIEF-5 and IIEF-15 scores of the patients decreased significantly in both groups compared with the preoperative period. Conclusions: Although, in the 3rd month evaluation after monopolar TURP, IIEF-5 and IIEF-15 scores of the patients decrease, regardless of the amount of energy used, it is still a debated issue, whether TURP causes erectile dysfunction as an effective treatment option for BPH.

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