BPH surgery is unlikely to affect erectile function

  • Soans J & al.
  • Aging Male
  • 6 Apr 2019

  • International Clinical Digest
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Takeaway

  • Most studies report no change, either positive or negative, in erectile function after surgery for benign prostatic hyperplasia (BPH).

Why this matters

  • BPH surgery is generally assumed to negatively affect erectile function, but the risk appears relatively low.

Study design

  • Researchers used PRISMA guidelines to select and analyze 111 studies reporting erectile function after BPH surgery.
  • Funding: None disclosed.

Key results

  • 87 studies reported no significant erectile changes after BPH surgery.
  • 16 studies reported significant improvement in erectile function.
  • 8 studies reported a significant reduction in erectile function.

Limitations

  • Studies used no single definition of sexual dysfunction and varied in their use of the International Index of Erectile Function score.

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