Document Detail

Erectile function following high-energy thick loop prostatectomy.
MedLine Citation:
PMID:  11676356     Owner:  NLM     Status:  MEDLINE    
OBJECTIVES: To evaluate the effects of the high energy cutting current that is used in conjunction with the thick loop on erectile function in patients with benign prostatic hyperplasia (BPH) undergoing prostatectomy. PATIENTS AND METHODS: Seventy patients with BPH were included in this prospective study. All patients underwent transurethral vaporization resection of the prostate (TUVRP) using the "Wing" thick loop and 250-Watt cutting current. Potency questionnaire to define if the patient was fully potent, partially potent or impotent was obtained both pre operatively and 3 months post-TUVRP. Adequate preoperative counseling on the procedure and its outcome particularly in relation to sexual activity was given to all patients that were sexually active. Age of the patients, size of the prostate, resectate weight and operation time was recorded for correlation with erectile function post-TUVRP. RESULTS: The mean age of patients was 70.1 +/- 6.3 years, the mean prostate size was 53.9 +/- 31.1 grams. Thirty-two patients (46%) were either impotent or sexually inactive at presentation. Thirty men were fully potent and 8 patients presented with reduced potency. Only 2 patients (5.2%) developed impotence post-TUVRP, both were partially impotent at presentation. CONCLUSIONS: Our results indicate that the frequency of erectile dysfunction following TUVRP may be low. It seems that the higher energy use in TUVRP does not adversely affect potency possibly because of the cooling effect of the circulating blood in the neurovesical bundles and the use of irrigation fluids intraoperatively.
R F Talic
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Scandinavian journal of urology and nephrology     Volume:  35     ISSN:  0036-5599     ISO Abbreviation:  Scand. J. Urol. Nephrol.     Publication Date:  2001 Sep 
Date Detail:
Created Date:  2001-10-24     Completed Date:  2002-01-31     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:  300-4     Citation Subset:  IM    
Department of Surgery, College of Medicine, and King Khalid University Hospital, King Saud University, Riyadh, Saudi Arabia.
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MeSH Terms
Aged, 80 and over
Electrosurgery / instrumentation*
Erectile Dysfunction / etiology
Middle Aged
Penile Erection*
Prospective Studies
Prostatic Hyperplasia / surgery*
Surgical Instruments
Transurethral Resection of Prostate / adverse effects,  instrumentation,  methods*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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