- Middle Black Sea Journal of Health Science
- Vol: 8 Issue: 4
- Does transrectal prostate biopsy cause sexual dysfunction? Cross-sectional evaluation of 252 patient...
Does transrectal prostate biopsy cause sexual dysfunction? Cross-sectional evaluation of 252 patients
Authors : Mevlüt Keleş, Mustafa Aydin, Lokman Irkilata, Alper Bitkin, Ebubekir Akgüneş, Mustafa Kemal Atilla
Pages : 515-524
Doi:10.19127/mbsjohs.1110819
View : 21 | Download : 5
Publication Date : 2022-11-30
Article Type : Research
Abstract :Objective: In this study, we aimed to evaluate whether there are negative effects of transrectal prostate biopsy (TPB) on sexual functions (SF). Methods: This study includes 252 male patients evaluated prospectively who underwent TPB in our clin-ic between January 2015 and September 2016. Patients with chronic diseases (e.g. diabetes mellitus, hy-pertension) and the use of drugs (e.g. antihypertensive drugs, antidepressants) that can affect SF were excluded. Patients completed the IIEF-15 forms before TPB, in the first, third, and sixth months after TPB. Patients were evaluated in terms of erectile function (EF), orgasmic functions (OF), sexual desire (SD), intercourse satisfaction (IS), and overall sexual satisfaction (OSS). Results: The relationship between follow-up time and EF, OF, SD, IS and OSS scores were analyzed. A significant difference was observed in EF scores before TPB and in the first month after TPB (p=0,007). However, in subgroup analyses, it was determined that this significant difference was only in the PCa patients. In BPH-diagnosed patients, there was no significant difference between the ED score and the follow-up times. OF, IS, and OOS scores in the 1st, 3rd, and 6th months decreased significantly according to the initial score (p = 0,001). SD scores showed no significant differences among follow-ups (p=0,191). Conclusion: Erectile dysfunction (ED) is not likely for all patients who undergo TPB. Our study revealed that PCa patients are short-term sufferers of ED after TPB. But, according to our data, it is not clear whether the cause is TPB or anxiety due to PCa diagnosis.Keywords : Erektil Disfonksiyon, Prostat, Prostat Spasifik Antijen, Biyopsi