Serial Changes in Sexual Function Following Holmium Laser Enucleation of the Prostate: A Short-term Follow-up Study
정민수, 하승범, 이창주, 조민철, 김수웅, 백재승,
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정민수 ( Jeong Min-Su )
Seoul National University College of Medicine Department of Urology
하승범 ( Ha Seung-Beom )
Seoul National University College of Medicine Department of Urology
이창주 ( Lee Chang-Ju )
Seoul National University College of Medicine Department of Urology
조민철 ( Cho Min-Chul )
Dongguk University School of Medicine Department of Urology
김수웅 ( Kim Soo-Woong )
Seoul National University College of Medicine Department of Urology
백재승 ( Paick Jae-Seung )
Seoul National University College of Medicine Department of Urology
KMID : 0358320120530020104
Abstract
Purpose: To evaluate the serial changes in sexual function in the short-term period after holmium laser enucleation of the prostate (HoLEP) for benign prostatic hyperplasia (BPH) and to investigate whether a change in each domain of the International Index of Erectile Function (IIEF) is associated with improvement of micturition.
Materials and Methods: Thirty-eight potent men who underwent HoLEP and in whom complete 12-month follow-up data on the IIEF were available were included in this retrospective study. All patients underwent a baseline evaluation for BPH. The surgical outcome was evaluated at 1, 3, 6, and 12 months postoperatively by use of the International Prostate Symptom Score, IIEF, and uroflowmetry.
Results: The mean age and body mass index of the patients was 64.5±6.2 years and 24.2±2.6 kg/m2, respectively. Mean total prostate volume and transitional zone volume were 48.8±18.8 ml and 24.2±16.1 ml, respectively. Most IIEF domain scores showed a slight decrease at 1, 3, and 6 months after surgery but recovered to the baseline or showed a marginal but nonsignificant increase at 12 months postoperatively compared with baseline. Orgasmic function and the overall sexual satisfaction domain score remained slightly reduced up to 12 months postoperatively. There was no significant correlation between improvement of micturition and change in sexual function throughout the follow-up period after surgery.
Conclusions: Although HoLEP achieves significant improvements in micturition, overall sexual function decreases slightly in the early postoperative period, but recovers to the baseline at 12 months postoperatively. Our data suggest that changes in sexual function after HoLEP are not associated with improvement of micturition.
키워드
Erectile dysfunction; Holmium; Lasers; Prostatic hyperplasia
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