The Impact Of Prostate Needle Biopsy On Erectile Function

OpenAlex İngilizce

Aim: To evaluate the impact of transrectal ultrasonography-guided prostate needle biopsy (PNB) on erectile function.Methods:Patients who underwent PNB were prospectively examined.The indications for prostate biopsy were elevated or increasing PSA and/or abnormal digital rectal examination.All patients were evaluated with the 5-item version of the International Index of Erectile Function (IIEF-5) before PNB and at 1, 3 and 6 months after PNB.Severity of erectile dysfunction (ED) was classified into five categories according to IIEF-5 scores.Results:Eighty patients were included in the study.The mean age of patients was 64.7 and the mean serum PSA level was 10.2 ng/ml.The mean IIEF-5 score was 16.5 prior to PNB.Before PNB, ED was reported in 61 patients and mild, mild to moderate, and moderate ED in 23 (28.8%),21 (26.2%), and 17 (21.2%)patients, respectively.Six months after PNB, ED was reported as mild, mild to moderate, moderate and severe in 23 (28.8%),21 (26.3%),16 (20%) and 1 (1.3%) patients, respectively.The differences are statistically insignificant (p >0.05).Conclusion: TNB does not have a permanent effect on erectile function.It seemed to be a trend toward increasing ED at 1 month and longer follow-up showed that these changes resolved back to baseline.