Abstract

Background: It was believed that surgical treatments for benign prostatic hyperplasia could improve erectile function due to the relief of symptoms they were also reported to harm erectile function as heating or injury effect.
Objectives: The objective of this study was to assess the impact of benign prostatic hyperplasia surgery on erectile function in patients with benign prostatic hyperplasia, in Northeast Ethiopia. 2023.
Methods and materials: Institution-based retrospective cohort study was conducted from September 2021 to July 2023. A total of 225 calculated sample sizes were needed in this study with consecutive sampling. A structured questionnaire adapted from the international index of erectile function was administered to collect data. Finally, descriptive statistics, student T-test, and logistic regression were conducted and a P value of less than 0.05 was declared as the level of significance.
Results: Two hundred ten known BPH patients who underwent benign prostatic hyperplasia surgery were included in this study with a response rate of 93.3 %. Around 52.4% of patients who got BPH treatment by surgery had different forms of erectile dysfunctions ranging from mild to severe after BPH surgery. The mean (±SD) IIEF score before BPH surgery was found to be 18.04(±5.80), but the mean (±SD) IIEF score after BPH surgery was found to be 17.63(±5.78 and did not show significant difference. By running multiple logistic regressions we found that higher IPSS score before surgery, general Anesthesia, IIEF score before surgery, and duration of catheterization for more than a week before surgery were significantly associated with erectile dysfunction.
Conclusions: The proportion of erectile dysfunction after benign prostatic hyperplasia surgery was higher. Benign prostatic hyperplasia surgery has no significant impact on patients who underwent benign prostatic hyperplasia surgery. Types of anesthesia, higher IPSS score before surgery, IIEF before surgery, and duration of catheterization before surgery significantly increased the chance of erectile dysfunction after surgery. To reduce the burden of erectile dysfunction secondary to BPH surgery, erectile function should be assessed preoperatively

Key words: Benign prostatic hyperplasia, erectile function, surgery, Ethiopia.