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Serial transperineal sector prostate biopsies: impact on long-term erectile dysfunction.
- Source :
-
Ecancermedicalscience . 2016, Vol. 10 Issue 630-650, p1-7. 7p. - Publication Year :
- 2016
-
Abstract
- We wanted to determine whether serial transperineal sector prostate biopsies have a long-term effect on erectile dysfunction (ED). A total of 64 men with prostate cancer entered our active surveillance (AS) programme after a transrectal prostate biopsy as well as a confirmatory initial transperineal sector prostate biopsy (TPSBx). A repeat TPSBx was performed 24 months later as part of our active surveillance protocol. The International Index of Erectile Function-5 (IIEF-5) questionnaire assessed ED at baseline prior to each TPSBx, and at one, three, and six months after first and second TPSBx. There was a significant short-term deterioration in erectile function on mean IIEF-5 score between baseline (19.5), when compared to one month (10.5) (P <0.001) and three months (18.7) (P = 0.001) following first TPSBx. This resolved at six month follow-up (19.6) (P = 0.681). Following second TPSBx, there was a deterioration in erectile function between baseline (16.6), compared to one month (7.3), three months (13.8), and six months (15.9) (P <0.05) following second TPSBx. Initial TPSBx caused significant short-term ED, which resolved by six months. Serial TPSBx appears to have an adverse impact on erectile function in men monitored on AS, increasing the risk of long-term ED. This risk should be highlighted and discussed during the consent process. [ABSTRACT FROM AUTHOR]
- Subjects :
- *DIAGNOSIS
*PROSTATE cancer
*PROSTATE biopsy
*IMPOTENCE
Subjects
Details
- Language :
- English
- ISSN :
- 17546605
- Volume :
- 10
- Issue :
- 630-650
- Database :
- Academic Search Index
- Journal :
- Ecancermedicalscience
- Publication Type :
- Academic Journal
- Accession number :
- 116602948
- Full Text :
- https://doi.org/10.3332/ecancer.2016.643