Abstract
Aim. Today, the problem of treating sexual disorders does not have limitations on the age factor; in this connection, the state of copulatory function (CF) in patients after surgery for benign prostatic hyperplasia (BPH) is an important aspect. In the world and domestic literature, there are very few works that comprehensively evaluate the effect of bipolar transurethral mechanical enucleation (TUEB) on the state of CF in general with a parallel study of reflex and hormonal. Objective. To study the effect of TUEB on the state of CF, reflex and hormonal status. Materials and methods. The results of the treatment of 102 patients who underwent TUEB (n=102). IPSS scores and quality of life index, IIEF, AMS questionnaire scores, ICF scale, bulbocavernous reflex (BCR), testosterone fractions (TF) and sex hormone-binding globulin (SHBG) were investigated. The patients were examined preoperatively, 6 and 12 months later. Results. Progressive improvement in erectile function (EF) after surgical treatment with the TUEB method. The duration of the latent period of BCR decreased, indicating an improvement in reflex status, as well as an increase in the duration of nocturnal sleep with a parallel increase in testosterone concentration in the operated patients. Conclusions. Surgical treatment of BPH through the application of TUEB in general shows duality of influence on the state of EF, consisting of positive influence (improvement of EF) and negative influence, which is expressed in increased specific weight of patients with postoperative hypoorgasmia (HO) and retrograde ejaculation (RE). This technique was found to improve reflex and hormonal status.
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