Author(s): Pepe P, Pietropaolo F, Dibenedetto G, Aragona F
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Abstract INTRODUCTION: Erectile dysfunction (ED) incidence following repeat saturation prostate biopsy (SPBx) was evaluated. MATERIALS AND METHODS: From January 2011 to June 2012 295 patients underwent repeat transperineal SPBx (median 28 cores) under sedation. The indications for biopsy were: abnormal DRE, PSA > 10 ng/mL or included between 4.1-10 with free/total PSA < 25\%. All patients were prospectively evaluated with the 5-item version of the International Index of Erectile Function (IIEF-5) at baseline and 1, 3 and 6 months from SPBx. RESULTS: 100/200 men with benign histology and normal sexual activity completed the study; median IIEF-5 score before and after SPBx was equal to 18.3 (baseline) vs 17.8 (1 month later) vs 18 (3 months later) vs 18.1 (6 months later) (p > 0.05); in detail, 1 month from biopsy 5 (5\%) men referred a mild ED that disappeared at 3 and 6 months evaluation. CONCLUSIONS: Repeat transperineal SPBx under sedation did not significantly worsened erectile function; the minimal risk of temporary post-biopsy ED could be previously discussed (not emphasised) with potent patients.
This article was published in Arch Ital Urol Androl
and referenced in Andrology-Open Access