Does transrectal prostate biopsy cause sexual dysfunction? Cross-sectional evaluation of 252 patients

Authors : Mevlüt KELEŞ, Mustafa AYDIN, Lokman İRKİLATA, Alper BİTKİN, Ebubekir AKGÜNEŞ, Mustafa Kemal ATİLLA

Pages : 515-524

Doi:10.19127/mbsjohs.1110819

View : 19 | Download : 6

Publication Date : 2022-11-30

Article Type : Research Paper

Abstract :Objective: In this study, we aimed to evaluate whether there are negative effects of transrectal prostate biopsy insert ignore into journalissuearticles values(TPB); on sexual functions insert ignore into journalissuearticles values(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 insert ignore into journalissuearticles values(e.g. diabetes mellitus, hy-pertension); and the use of drugs insert ignore into journalissuearticles values(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 insert ignore into journalissuearticles values(EF);, orgasmic functions insert ignore into journalissuearticles values(OF);, sexual desire insert ignore into journalissuearticles values(SD);, intercourse satisfaction insert ignore into journalissuearticles values(IS);, and overall sexual satisfaction insert ignore into journalissuearticles values(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 insert ignore into journalissuearticles values(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 insert ignore into journalissuearticles values(p = 0,001);. SD scores showed no significant differences among follow-ups insert ignore into journalissuearticles values(p=0,191);. Conclusion: Erectile dysfunction insert ignore into journalissuearticles values(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