Does transrectal prostate biopsy cause sexual dysfunction? Cross - sectional evaluation of 252 patients

Abstract

Objective : In this study, we aimed to evaluate whether there are negative effects of transrectal prostate biopsy (TPB) on sexual functions (SF). Material And Methods: This study includes 252 male patients evaluated prospectively who underwent TPB in our clinic between January 2015 and September 2016. Patients with chronic diseases (e.g. diabetes mellitus, hypertension) and use of drugs (e.g. antihypertensive drugs, antidepressants) which can affect SF were excluded. Patients completed the IIEF-15 forms before TPB, in the first, third and the sixth months after TPB. Patients were evaluated in terms of erectile function (EF), orgasmic functions (OF), sexual desire (SD), intercourse satisfaction (IS) and overall sexual satisfaction (OSS). Results: The relationship between follow-up time and EF, OF, SD, IS and OSS scores were analyzed. A significant difference was observed in EF scores between before TPB and in the first month after TPB (p=0,007). However, in subgroup analyzes, it was determined that this significant difference was only in the PCa patients. ). In BPH diagnosed patients, there was no significant difference between the ED score and the follow-up times. OF, IS, OOS scores at 1st, 3rd and 6th months decreased significantly according to the initial score (p = 0,001). SD scores showed no significant differences among follow-up (p=0,191). Conclusions : Erectile dysfunction (ED) is not likely for all patients who undergo TPB. Our study revealed that PCa patients are short-term sufferers of ED after TPB. But, according to our data it is not clear whether the cause is TPB or anxiety due to PCa diagnosis.