EVALUATION OF ERECTILE DYSFUNCTION, QUALITY OF LIFE IN PATIENTS WITH BENIGN PROSTATIC HYPERPLASIA UNDERGOING TRANSURETHRAL RESECTION OF THE PROSTATE
Main Article Content
Abstract
Background: Benign prostatic hyperplasia (BPH) is a common urological condition that predominantly affects elderly men. It not only causes lower urinary tract symptoms (LUTS), thereby impairing quality of life, but is also closely associated with male sexual dysfunction. Currently, transurethral resection of the prostate (TURP) remains a widely used surgical treatment for benign prostatic hyperplasia in Vietnam. However, the association between erectile dysfunction and this surgical procedure remains unclear.
Objectives: To evaluate changes in erectile dysfunction and quality of life in patients with benign prostatic hyperplasia who underwent transurethral resection of the prostate.
Subjects and Methods: A cross-sectional descriptive study was conducted on 63 patients diagnosed with benign prostatic hyperplasia, who underwent transurethral resection of the prostate at Can Tho University of Medicine and Pharmacy Hospital, and Can Tho Central General Hospital from May 2024 to August 2025.
Results: The mean age was 70.10 ± 8.59 years. The mean prostate volume was 60.51 ± 24.40 mL. Preoperatively, the mean IPSS, QoL, and IIEF-5 scores were 29.32 ± 5.19, 5.49 ± 0.72, and 12.22 ± 4.43, respectively. At 3 months postoperatively, the mean IPSS, QoL, and IIEF-5 scores were 10.02 ± 3.49, 2.78 ± 0.79, and 12.29 ± 4.50, respectively. At 6 months postoperatively, the mean IPSS, QoL, and IIEF-5 scores were 4.76 ± 2.75, 1.35 ± 0.74, and 14.14 ± 4.53, respectively.
Conclusion: Transurethral resection of the prostate significantly improved lower urinary tract symptoms and enhanced the quality of life in patients with benign prostatic hyperplasia. In addition, a statistically significant change in the IIEF-5 score was also observed at 6 months postoperatively (p < 0.001).
Keywords
Benign prostatic hyperplasia, Erectile dysfunction, Transurethral Resection of the Prostate
Article Details
References
2. Trần Hoài Nam, Nguyễn Trần Thành. Kết quả phẫu thuật nội soi cắt đốt tuyến tiền liệt qua ngả niệu đạo tại Bệnh viện 19-8, Bộ Công an. Tạp chí Y học Việt Nam. 2024;533(2)
3. Danh Hào, & Đàm Văn Cương (2022). Đặc điểm lâm sàng, cận lâm sàng và kết quả điều trị tăng sinh tuyến tiền liệt bằng phương pháp cắt đốt nội soi trên bệnh nhân có bệnh mạn tính tại Bệnh viện Trường Đại học Y Dược Cần Thơ và Bệnh viện Đa Khoa Thành phố Cần Thơ. Tạp chí Y Dược học Cần Thơ. 2022;52:1-8. doi:10.58490/ctump.2022i50.128
4. Hoàng Quỳnh. Đánh giá tình trạng rối loạn cương dương ở bệnh nhân được phẫu thuật nội soi qua niệu đạo điều trị phì đại lành tính tuyến tiền liệt. Luận văn Chuyên khoa II Y học. Trường Đại học Y Hà Nội; 2020.
5. Daryanto B, Seputra KP, Satyagraha P, et al. A multicenter study of benign prostatic hyperplasia patients undergoing transurethral resection of the prostate in Indonesia: a descriptive analysis. Indones J Urol. 2025;32(1). doi:10.32421/juri.v32i1.1018
6. Hossain MA, Alam MA, Naser MF, Azam MS. Effects of transurethral resection of prostate (TURP) on quality of life in case of benign prostatic hyperplasia. J Natl Inst Neurosci Bangladesh. 2019;5(2):143-147. doi:10.3329/jninb.v5i2.43019
7. He S, Song J, Zhou X, et al. Effectiveness and safety of different surgical procedures for benign prostatic hyperplasia: a systematic review and network meta-analysis. World J Urol. 2025;43(1):12. doi:10.1007/s00345-024-05332-3
8. Huseini MH, Sutarto WE. Erectile dysfunction after transurethral prostate resection (TURP) in patients with lower urinary tract symptoms at Koja Hospital, Jakarta. Indones J Urol. 2021;28(2):211-215. doi:10.32421/juri.v28i2.679