LEUL MEKONNEN ZERU, MEKURİAW WUHİB SHUMYE, MİTAW GİRMA KEMBAW, ZEMEN MENGESHA YALEW, GETACHEW WUHİB, MELATWORK ASSEFA, HAİLEMARYAM SHİFERAW, BELACHEW TEGEGNE SHİFERAW
Medicine Science - 2025;14(2):391-398
It was believed that surgical treatments for benign prostatic hyperplasia could improve erectile function due to the relief of symptoms they were also reported to harm erectile function as heating or injury effect. The objective of this study was to assess the impact of benign prostatic hyperplasia surgery on erectile function in patients with benign prostatic hyperplasia, in Northeast Ethiopia. 2023. Institution-based retrospective cohort study was conducted from September 2021 to July 2023. 225 calculated sample size was needed in this study with consecutive sampling. A structured questionnaire adapted from the international index of erectile function was administered to collect data. Two hundred ten known benign prostatic hyperplasia (BPH) patients who underwent benign prostatic hyperplasia surgery were included in this study with a response rate of 93.3 %. Around 52.4% of patients who got BPH treatment by surgery had different forms of erectile dysfunctions ranging from mild to severe after BPH surgery. The mean (±SD) International Index of Erectile Function (IIEF) score before BPH surgery was found to be 18.04 (±5.80), but the mean (±SD) IIEF score after BPH surgery was found to be 17.63(±5.78 and did not show significant difference. By running multiple logistic regressions, we found that higher the International Prostate Symptom Score (IPSS) score before surgery, general anesthesia, IIEF score before surgery, and duration of catheterization for more than a week before surgery were significantly associated with erectile dysfunction.The proportion of erectile dysfunction after benign prostatic hyperplasia surgery was higher. Open benign prostatic hyperplasia surgery has no significant impact on erectile function. To reduce the burden of erectile dysfunction secondary to open BPH surgery, erectile function should be assessed preoperatively.
