Impacts of different transurethral prostatic resection procedures on male sexual function: meta-analysis of randomized controlled trials.
- Author:
Huan-tao ZONG
1
;
Xiao-xia PENG
;
Cheng-cheng YANG
;
Yong ZHANG
Author Information
- Publication Type:Journal Article
- MeSH: Erectile Dysfunction; etiology; Humans; Male; Prostatic Hyperplasia; surgery; Randomized Controlled Trials as Topic; Transurethral Resection of Prostate; adverse effects; methods
- From: National Journal of Andrology 2011;17(11):1014-1018
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo compare the impacts of transurethral resection of the prostate (TURP), transurethral electrovaporization of the prostate (TUEVP) and holmium laser enucleation of the prostate (HoLEP) in the treatment of benign prostatic hyperplasia (BPH) on male sexual function.
METHODSWe identified randomized controlled trials on the influence of TURP, TUEVP and HoLEP on the sexual function of BPH patients, and performed meta-analysis on the included data using Revman 5.0.25.
RESULTSNine randomized controlled trials involving 1 050 BPH patients were included in the meta-analysis. The baseline of the study was comparable. TURP affected erectile function less than TUEVP (P = 0.04), but the two had no significant difference in their influence on ejaculatory function. Nor was any significant difference found between HoLEP and TURP in their influence on either erectile or ejaculatory function at 12 and 24 months after surgery.
CONCLUSIONTUEVP induces a higher incidence of erectile dysfunction than TURP, but its influence on ejaculatory function is not significantly different from the latter. HoLEP and TURP have no significant difference in their influence on erectile function and ejaculatory function.
