Erectile function after repeat saturation prostate biopsy: Our experience in 100 patients

  • Pietro Pepe | piepepe@hotmail.com Urology Unit, Cannizzaro Hospital, Catania, Italy.
  • Francesco Pietropaolo Urology Unit, Cannizzaro Hospital, Catania, Italy.
  • Giuseppe Dibenedetto Urology Unit, Cannizzaro Hospital, Catania, Italy.
  • Francesco Aragona Urology Unit, Cannizzaro Hospital, Catania, Italy.

Abstract

Introduction: Erectile dysfunction (ED) incidence following repeat saturation prostate biopsy (SPBx) was evaluated. Materials and methods: From January 2011 to June 2012 295 patients underwent repeat transperineal SPBx (median 28 cores) under sedation. The indications for biopsy were: abnormal DRE, PSA > 10 ng/mL or included between 4.1-10 with free/total PSA < 25%. All patients were prospectively evaluated with the 5-item version of the International Index of Erectile Function (IIEF-5) at baseline and 1, 3 and 6 months from SPBx. Results: 100/200 men with benign histology and normal sexual activity completed the study; median IIEF-5 score before and after SPBx was equal to 18.3 (baseline) vs 17.8 (1 month later) vs 18 (3 months later) vs 18.1 (6 months later) (p > 0.05); in detail, 1 month from biopsy 5 (5%) men referred a mild ED that disappeared at 3 and 6 months evaluation. Conclusions: Repeat transperineal SPBx under sedation did not significantly worsened erectile function; the minimal risk of temporary post-biopsy ED could be previously discussed (not emphasised) with potent patients.

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Published
2013-09-26
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Section
Original Papers - Prostate
Keywords:
Erectile dysfunction, Saturation prostate biopsy, Sexuality, Prostate biopsy
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How to Cite
Pepe, P., Pietropaolo, F., Dibenedetto, G., & Aragona, F. (2013). Erectile function after repeat saturation prostate biopsy: Our experience in 100 patients. Archivio Italiano Di Urologia E Andrologia, 85(3), 130-132. https://doi.org/10.4081/aiua.2013.3.130

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