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Dissertation Chapters | Urology | Tanzania | Volume 13 Issue 5, May 2024 | Rating: 5 / 10
Incidence and Predictors of Ejaculatory Disorders Following Transurethral Resection of Prostate at Muhimbili National Hospital
Frank A. Jongo | Muhsin M. Aboud
Abstract: Background: Benign prostate hyperplasia (BPH) is defined as proliferation of prostatic stromal cells, which results in an enlarged prostate gland, which interfere with urine flow and cause uncomfortable symptoms such as frequency, urgency, nocturia, intermittence, decreased stream and hesitancy. Transurethral resection of the prostate has been considered the gold standard surgical therapy for lower urinary tract symptoms secondary to benign prostate hyperplasia. Despite Transurethral resection of the prostate being one of the commonest procedures done in department of Urology at Muhimbili National Hospital and being associated with various post - operative ejaculatory disorders, still there is no data about the magnitude of ejaculatory disorders at Muhimbili National Hospital. The study aims at providing data on the magnitude of ejaculatory disorders and associated risk factors. Objectives: To determine the incidence and predictors of ejaculatory disorder following transurethral resection of prostate at Muhimbili National Hospital Methodology: This was a cross - sectional prospective study. Conducted on 68 patients from June 2019 to February 2020 recruited consecutively, who underwent transurethral resection of the prostate during the study period. Inclusion criteria was all patients who underwent transurethral resection of the prostate and who had normal sexual function. Patients with neurological, psychotic, neuropathic disorder, patients who had prior surgery for benign prostate hyperplasia or pelvic trauma or with ejaculatory disorders prior to transurethral resection of the prostate were excluded. Data was collected using a standardized pre - tested English questionnaire. All recruited patients were assessed for ejaculatory disorders 3 months after transurethral resection of the prostate (After resumption of sexual activity). Data analyzed using SPSS program version 23. Results: The incidence of ejaculatory disorders after TURP was 79.4%: oligo ejaculation 42.6%, delayed ejaculation 1.8% and retrograde ejaculation 55.6%. Age, prostate size, percentage resected tissue and comorbidities (diabetic mellitus and hypertension) did not influence ejaculatory disorders (retrograde ejaculation). Conclusion: The results confirm that TURP has high incidence of ejaculatory disorders, the most common type of ejaculatory disorders being retrograde ejaculation and oligo ejaculation. The least common type was delayed ejaculation. Age, prostate size, percentage resected tissue and comorbidities (diabetic mellitus and hypertension) were not statistical associated with ejaculatory disorders (retrograde ejaculation).
Keywords: Benign Prostate Hyperplasia (BPH), Transurethral Resection of Prostate (TURP), Ejaculatory Disorders (EjD), Muhimbili National Hospital
Edition: Volume 13 Issue 5, May 2024,
Pages: 235 - 240