Copulative function of patients after transurethral and endovideosurgical interventions due to benign prostate hyperplasia

Aim of the study. An evaluation of the influence of transurethral and endovideosurgical methods of correction of benign prostate hyperplasia (BPH) on copulative function (CF). Materials and methods. We analyzed the results of treatment of 330 patients with BPH. 100 of them underwent transurethral resection of the prostate (TURP), 77 patients underwent transurethral mechanic enucleation with bipolar (TUEB), 79 patients underwent holmium laser enucleation of the prostate (HoLEP), and 74 patients received endovideosurgical adenomectomy. During the study, we used the following questionnaires: the international index of erectile function (IIEF), Aging Male's Symptoms (AMS) questionnaire, a scale for the quantitative evaluation of male copulative function (the MCF scale), and the index of the quality of life. The following indicators were measured: the bulbocavernosus reflex (BCR), testosterone fractions and the levels of sex hormone-binding globulin (SHBG). The patients were examined before the surgery and there and six months after. Results. Marked changes affecting the normalization of libido were recorded in groups of patients, who underwent TURP and endovideosurgical adenomectomy. The incidence of ED dropped in all groups after the surgery, which was accompanied by intensification of the BCR. The number of patients with hypoorgasmia was lower in groups of patients, who underwent TURP and EVS AE. The incidence of retrograde ejaculation was also lower in these groups. No significant difference in testosterone fractions and in the level of SHBG were found in the pre- and postoperative periods (3 months after the surgery). However, there is a tendency towards the increase of testosterone fractions and the decrease in the level of SHBG 6 months after the surgery. Conclusion. The correction of BPH by endoscopic and endovideosurgical methods positively affects the copulative function and hormonal background of patients, especially after TURP and endovideosurgical adenomectomy.