Open AccessState of copulative function in patients after the holmium laser enuсleation of benign prostatic hyperplasia
Author(s) -
Sergey V. Popov,
Попов Сергей Валерьевич,
И.Н. Орлов,
Орлов Игорь Николаевич,
Yevgeniy A. Grin,
Гринь Евгений Александрович,
Д. А. Демидов,
Демидов Дмитрий Александрович,
A.M. Gulko,
Гулько Александр Михайлович,
И В Сушина,
Сушина Ирина Викторовна,
С.М. Малевич,
Малевич Сергей Михайлович,
P.V. Vyazovtsev,
Вязовцев Павел Вячеславович
Publication year - 2019
Publication title -
urologičeskie vedomosti
Language(s) - English
Resource type - Journals
eISSN - 2687-1416
pISSN - 2225-9074
DOI - 10.17816/uroved9217-22
Subject(s) - enucleation , medicine , urology , reflex , erectile function , retrograde ejaculation , ejaculation , erectile dysfunction , hyperplasia , surgery , prostate , cancer
The effect of holmium laser enucleation of BPH (HoLEP) on the copulative function of 79 patients was evaluated. The copulative function was assessed by means of the IIEF, AMS scores, ICF scale questionnaires. The bulbocavernous reflex, total and free testosterone and sex hormone-binding globulin were also examined. Patients were examined before surgery, 3 and 6 months later. A decrease in the frequency of erectile dysfunction after 3 and 6 months after surgery was revealed. The frequency of retrograde ejaculation was higher compared with the preoperative value after 3 and 6 months after surgery. An improvement in the reflex and hormonal status of the operated patients was noted. Thus, HoLEP has a dual effect on the state of copulative function in patients with BPH, which results in improved erectile function and increased frequency of retrograde ejaculation.