Incidence of Erectile Dysfunction Following Urological Procedures
DOI:
https://doi.org/10.33719/sexscij.2512.20Keywords:
benign prostatic hyperplasia, Erectile dysfunction, urolithiasisAbstract
Objective: To find out how often men develop ED after common urological procedures.
Materials and Methods: Our study is a single-center, retrospective chart review. Sexually active patients over the age of 18 who had not undergone any previous endourological procedures were included. Age, comorbidities, and erectile function scores based on the International Index of Erectile Function (IEF), which is routinely completed in our clinic at the preoperative, fourth, and 12th weeks after surgery, were reviewed.
Results: A total of 310 patients were included with a mean age of 54.7±7.42 years. Significant decreases in IIEF scores were observed at the fourth postoperative week across all procedure groups compared to preoperative scores (P < 0.001). By the 12th week, LIEF scores significantly improved compared to the fourth week (p < 0.001) but remained lower than baseline values (p < 0.005). These results were consistent in all patient groups.
Conclusion: In our study, IIEF scores significantly decreased at the 4th week after urological procedures, with partial recovery by the 12th week, although values remained below baseline. Larger prospective studies are needed to confirm these findings.
References
Kessler, A., Sollie, S., Challacombe, B., Briggs, K., & Van Hemelrijck, M. (2019). The global prevalence of erectile dysfunction: A review. BJU International, 124(4), 587–599. https://doi.org/10.1111/bju.14813
Persu, C., Cauni, V., Gutue, S., Albu, E. S., Jinga, V., & Geavlete, P. (2009). Diagnosis and treatment of erectile dysfunction—a practical update. Journal of Medicine and Life, 2(4), 394–400. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3019009/
Akman, T., Binbay, M., Tekinarslan, E., Tepeler, A., Akcay, M., Ozgor, F., Ugurlu, M., & Muslumanoglu, A. (2013). Effects of bipolar and monopolar transurethral resection of the prostate on urinary and erectile function: A prospective randomized comparative study. BJU International, 111(1), 129–136. https://doi.org/10.1111/j.1464-410X.2012.11266.x
Al Demour, S. H., Abuhamad, M., Santarisi, A. N., Al-Zubi, M., Al-Rawashdah, S. F., Halalsheh, O., Carbone, A., Pastore, A. L., & Ahmad, M. M. (2022). The effect of transurethral resection of the prostate on erectile and ejaculatory functions in patients with benign prostatic hyperplasia. Urologia Internationalis, 106(10), 997–1004. https://doi.org/10.1159/000524957
Guo, P., Wang, Y., Xie, Y. F., & Lv, T. B. (2022). Erectile dysfunction in nonmuscle-invasive bladder cancer patients before and after transurethral resection (TUR) of bladder tumor in China. Asian Journal of Andrology, 24(5), 509–512. https://doi.org/10.4103/aja202166
Bolat, M. S., Akdeniz, E., Asci, R., Erdemir, F., Cinar, O., & Tomak, L. (2017). Ureterorenoscopy with stenting and its effect on male sexual function: A controlled randomised prospective study. Andrologia, 49(9), e12746. https://doi.org/10.1111/and.12746
Tan, J. L., Papa, N., Hanegbi, U., Snow, R., Grummet, J., Mann, S., Cuthbertson, A., Frydenberg, M., & Moon, D. (2021). Predictors of erectile dysfunction after transperineal template prostate biopsy. Investigative and Clinical Urology, 62(2), 159–165. https://doi.org/10.4111/icu.20200236
Downloads
Published
How to Cite
License
Copyright (c) 2025 Arda Tongal, Ali Nihat Gökcan, Sıtkı Ün, Hakan Türk
This work is licensed under a Creative Commons Attribution 4.0 International License.
