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Change of Sexual Functions in Patients with Benign Prostatic Hyperplasia after Holmium Laser Enucleation of the Prostate (HoLEP)

Change of Sexual Functions in Patients with Benign Prostatic Hyperplasia after Holmium Laser Enucleation of the Prostate (HoLEP)

The mean prostate volume was 55.3ml. IPSS score improved from 20.1 to 7.55 at 3 months (p<0.001), to 6.05 at 6 months (p<0.001) and to 5.98 at 12 months (p<0.001). The mean QOL index improved from 5.11 to 2.09 at 3 months (p<0.001), to 2.02 at 6 months (p<0.001) and to 1.94 at 12 months (p<0.001). In regards to the sexual functions of UCLA PCI, overall sexual function and sexual bother did not change significantly after treatment. However, 3 out of 7 items, frequency of erections, frequency of intercourse, and morning erections were significantly improved after treatment. Interestingly, 34 (31%) out of 110 patients without Sexual Intercourse (SI) before treatment regained SI after treatment.

HoLEP for BPH patients is associated with significant improvement in some of the sexual functions as well as LUTS. Especially, morning erection can significantly improve during 3 to 12 months after HoLEP.

Speakers: Atsushi Nagai
Areas of Interest / Categories: Asia Oceania Federation of Sexology 2014

Asia Oceania Federation of Sexology 2014

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