Experience in the Treatment of Patients with Sexual Disorders and Lower Urinary Tract Symptoms After Surgical Treatment of Benign Prostatic Hyperplasia

Abstract

The aim of the research: the choice of treatment for patients with sexual disorders (SD) and lower urinary tract symptoms (LUTS) after surgical treatment of benign prostatic hyperplasia (BPH).
 Materials and methods. There were examined 270 patients, who were divided into two groups: 75 patients with BPH stage I1II who received medical therapy and 160 after surgical treatment (85 and 75 patients undergoing TUPR and the different types of prostatectomy, respectively). The period between surgery and inclusion in the study was 1-2 months. In addition, the study included 35 healthy men who made up the reference group. All patients received basic therapy according to the standards of the European Association of urology, guidelines regarding healthy lifestyle, avoiding harmful habits, diet and physical therapy methods. In addition, patients received therapy with inhibitors of phosphodiesterase of 5-th type, tailor-made preparations and metabolic stimulation therapy, drugs to improve blood flow of blood to the cavernous bodies, or tools that reduce the outflow of venous blood from them.
 Results. Treatment results were assessed by the dynamics of changes in LUTS, objective information about the functional status after 3, 6 and 12 months. Dynamics of indicators of SD, psycho1emotional status was assessed at 1, 3, 6 and 12 months.
 Conclusion. Established the identity of the nature of the assessment of men from both groups’ satisfaction with the treatment was a linear relationship between time and criteria such as overall satisfaction with desire to continue it, with confidence and pleasure, sexual opportunities, quality of erections.