Document Detail


Capsular perforation localization and adenoma size as prognostic indicators of erectile dysfunctional after transurethral prostatectomy.
MedLine Citation:
PMID:  9458513     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The incidence of impotence following transurethral resection of the prostate (TURP) for benign prostatic hyperplasia (BPH) was investigated, as well as its correlation with the localization of peroperative capsular perforations and the amount of prostate tissue resected. Patients underwent an interview questioning their potency before and after TURP. For each patient, the TURP technique was reviewed: the localization of eventual capsular perforations was noted and the amount of tissue resected was recorded. Of the 100 patients assessed, 83 were anamnestically potent prior to TURP. Of these, 27 (##%) reported complete loss of erections after operation. Peroperative capsular perforations adjacent to the neurovascular bundles and small-size adenomas correlated significantly with postoperative impotence. The results suggest that capsular perforations adjacent to the neurovascular bundles may be a cause of impotence after TURP, and that patients with small-size adenomas bear a higher risk of post-TURP erectile dysfunction.
Authors:
S Bieri; C E Iselin; S Rohner
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Scandinavian journal of urology and nephrology     Volume:  31     ISSN:  0036-5599     ISO Abbreviation:  Scand. J. Urol. Nephrol.     Publication Date:  1997 Dec 
Date Detail:
Created Date:  1998-03-20     Completed Date:  1998-03-20     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  0114501     Medline TA:  Scand J Urol Nephrol     Country:  SWEDEN    
Other Details:
Languages:  eng     Pagination:  545-8     Citation Subset:  IM    
Affiliation:
Department of Radiation Oncology, Geneva University Hospital, Switzerland.
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MeSH Terms
Descriptor/Qualifier:
Adenoma / pathology
Aged
Erectile Dysfunction / etiology*
Humans
Male
Middle Aged
Penile Erection
Prognosis
Prostate / innervation
Prostatectomy / adverse effects*,  methods
Prostatic Hyperplasia / surgery
Prostatic Neoplasms / pathology
Retrospective Studies

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