Impact on Sexual Function of Holmium Laser Enucleation Versus Transurethral Resection of the Prostate: Results of a Prospective, 2-Center, Randomized Trial

Alberto Briganti, Richard Naspro, Andrea Gallina, Andrea Salonia, Ivano Vavassori, Rodolfo Hurle, Enzo Scattoni, Patrizio Rigatti, Francesco Montorsi

Research output: Contribution to journalArticlepeer-review

Abstract

Purpose: We compared the impact of HoLEP and TURP on sexual function. Materials and Methods: Between January 2002 and January 2003, 120 patients with a mean age ± SD of 65.2 ± 7.1 years who had benign prostatic hyperplasia were enrolled in this 2-center, prospective, randomized study. A total of 60 patients with a mean age of 65.25 ± 6.9 years underwent HoLEP (group 1) and 60 with a mean age of 64.18 ± 7.2 years underwent TURP (group 2). Patients were assessed before surgery, and at 12 and 24-month followup visits. Subjective symptoms were scored by the International Prostate Symptom Score, the International Prostate Symptom Score quality of life question, IIEF, 10 nonvalidated general assessment questions, physical examination, serum prostate specific antigen and transrectal ultrasonography. Results: A total of 32 patients (53.3%) in group 1 and 31 (51.6%) in group 2 reported various degrees of erectile dysfunction before surgery according to the IIEF-EF score. Differences between preoperative and postoperative orgasmic domain scores in each group were significant (p

Original languageEnglish
Pages (from-to)1817-1821
Number of pages5
JournalJournal of Urology
Volume175
Issue number5
DOIs
Publication statusPublished - May 2006

Keywords

  • impotence
  • lasers
  • penis
  • prostate
  • prostatic hyperplasia

ASJC Scopus subject areas

  • Urology

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