M. Pelayo-Nieto, E. Linden-Castro, I. Ramírez-Galindo, A. González-Serrano, G. Rembis-Ávila, D. Espinosa-Perezgrovas, G. Catalán-Quinto, F. Guzmán-Hernández, J.A. Morales-Covarrubias, R. Cortez-Betancourt
{"title":"经直肠前列腺活检对勃起功能的影响","authors":"M. Pelayo-Nieto, E. Linden-Castro, I. Ramírez-Galindo, A. González-Serrano, G. Rembis-Ávila, D. Espinosa-Perezgrovas, G. Catalán-Quinto, F. Guzmán-Hernández, J.A. Morales-Covarrubias, R. Cortez-Betancourt","doi":"10.1016/j.uromx.2015.11.006","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><p>The procedure of transrectal biopsy of the prostate (TRBP) is not exempt from complications. Between 1-6.9% of men that undergo TRBP present with adverse effects such as hematuria, hematospermia, dysuria, or fever, and 0.5%-5% will present with septicemia.</p></div><div><h3>Aim</h3><p>To evaluate erectile function in Mexican men that underwent TRBP.</p></div><div><h3>Material and methods</h3><p>A total of 324 patients underwent TRBP. All the patients were evaluated through the International Index of Erectile Function (IIEF-5) questionnaire. All patients that had a positive result for cancer and that presented with erectile dysfunction at the initial evaluation were excluded from the study. Ninety-three patients were included and were evaluated with the IIEF-5 before the biopsy and at 4, 12, and 24 weeks after TRBP.</p></div><div><h3>Results</h3><p>At the baseline IIEF-5 evaluation, 100% of the 93 patients were potent. At post-TRBP week 4, the mean IIEF-5 score was 22 points (range: 11-25). Significant difference was found when the groups were evaluated (<em>P</em> <!-->=<!--> <!-->.001), given that > 30% presented with some grade of erectile dysfunction, compared with the baseline evaluation. At week 24, only 7.25% of the patients presented with some grade of erectile dysfunction.</p></div><div><h3>Conclusions</h3><p>After TRBP, the decrease in the IIEF-5 scores and the presence of erectile dysfunction was temporary and transitory, having a greater effect during the first month after the procedure. There was improvement after the first month and an almost complete recovery at 6 months.</p></div>","PeriodicalId":34909,"journal":{"name":"Revista mexicana de urologia","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2016-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.uromx.2015.11.006","citationCount":"0","resultStr":"{\"title\":\"Impacto de la biopsia transrectal de próstata en la función eréctil\",\"authors\":\"M. Pelayo-Nieto, E. Linden-Castro, I. Ramírez-Galindo, A. González-Serrano, G. Rembis-Ávila, D. Espinosa-Perezgrovas, G. Catalán-Quinto, F. Guzmán-Hernández, J.A. Morales-Covarrubias, R. Cortez-Betancourt\",\"doi\":\"10.1016/j.uromx.2015.11.006\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Background</h3><p>The procedure of transrectal biopsy of the prostate (TRBP) is not exempt from complications. Between 1-6.9% of men that undergo TRBP present with adverse effects such as hematuria, hematospermia, dysuria, or fever, and 0.5%-5% will present with septicemia.</p></div><div><h3>Aim</h3><p>To evaluate erectile function in Mexican men that underwent TRBP.</p></div><div><h3>Material and methods</h3><p>A total of 324 patients underwent TRBP. All the patients were evaluated through the International Index of Erectile Function (IIEF-5) questionnaire. All patients that had a positive result for cancer and that presented with erectile dysfunction at the initial evaluation were excluded from the study. Ninety-three patients were included and were evaluated with the IIEF-5 before the biopsy and at 4, 12, and 24 weeks after TRBP.</p></div><div><h3>Results</h3><p>At the baseline IIEF-5 evaluation, 100% of the 93 patients were potent. At post-TRBP week 4, the mean IIEF-5 score was 22 points (range: 11-25). Significant difference was found when the groups were evaluated (<em>P</em> <!-->=<!--> <!-->.001), given that > 30% presented with some grade of erectile dysfunction, compared with the baseline evaluation. At week 24, only 7.25% of the patients presented with some grade of erectile dysfunction.</p></div><div><h3>Conclusions</h3><p>After TRBP, the decrease in the IIEF-5 scores and the presence of erectile dysfunction was temporary and transitory, having a greater effect during the first month after the procedure. There was improvement after the first month and an almost complete recovery at 6 months.</p></div>\",\"PeriodicalId\":34909,\"journal\":{\"name\":\"Revista mexicana de urologia\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2016-03-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://sci-hub-pdf.com/10.1016/j.uromx.2015.11.006\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Revista mexicana de urologia\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S2007408515001573\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"Medicine\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Revista mexicana de urologia","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2007408515001573","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"Medicine","Score":null,"Total":0}
Impacto de la biopsia transrectal de próstata en la función eréctil
Background
The procedure of transrectal biopsy of the prostate (TRBP) is not exempt from complications. Between 1-6.9% of men that undergo TRBP present with adverse effects such as hematuria, hematospermia, dysuria, or fever, and 0.5%-5% will present with septicemia.
Aim
To evaluate erectile function in Mexican men that underwent TRBP.
Material and methods
A total of 324 patients underwent TRBP. All the patients were evaluated through the International Index of Erectile Function (IIEF-5) questionnaire. All patients that had a positive result for cancer and that presented with erectile dysfunction at the initial evaluation were excluded from the study. Ninety-three patients were included and were evaluated with the IIEF-5 before the biopsy and at 4, 12, and 24 weeks after TRBP.
Results
At the baseline IIEF-5 evaluation, 100% of the 93 patients were potent. At post-TRBP week 4, the mean IIEF-5 score was 22 points (range: 11-25). Significant difference was found when the groups were evaluated (P = .001), given that > 30% presented with some grade of erectile dysfunction, compared with the baseline evaluation. At week 24, only 7.25% of the patients presented with some grade of erectile dysfunction.
Conclusions
After TRBP, the decrease in the IIEF-5 scores and the presence of erectile dysfunction was temporary and transitory, having a greater effect during the first month after the procedure. There was improvement after the first month and an almost complete recovery at 6 months.
期刊介绍：
Revista Mexicana de Urología (RMU) [Mexican Journal of Urology] (ISSN: 0185-4542 / ISSN electronic: 2007-4085) is bimonthly publication that disseminates research by academicians and professionals of the international medical community interested in urological subjects, in the format of original articles, clinical cases, review articles brief communications and letters to the editor. Owing to its nature, it is publication with international scope that disseminates contributions in Spanish and English that are rigorously reviewed by peers under the double blind modality. Neither journalistic documents nor those that lack rigorous medical or scientific support are suitable for publication.
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