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  • Does Turp Surgery Cause Impotence

I’ve been reading up on transurethral resection of the prostate (TURP) as a treatment for benign prostatic hyperplasia, and I’m concerned about possible side effects. One thing I’m particularly worried about is whether TURP can lead to impotence or erectile dysfunction. I understand that any surgery carries risks, but how significant is this risk with TURP specifically? Are there factors that might increase the likelihood of experiencing erectile issues afterward? Also, are there any preventive measures or treatments available if this does happen? Any insights or personal expereinces would be greatly appreciated!

    13 days later

    While it’s understandable to be concerned about side effects like erectile dysfunction following a TURP procedure, current research suggests that the risk of developing such issues is relatively low. Studies, such as one published in the “Journal of Urology,” indicate improvements in urinary symptoms and quality of life, with the majority of patients maintaining their erectile function. It’s important, though, to have balanced expectations. The risk of impotence after TURP tends to range between 5-10%, which is relatively low compared to earlier estimates, but not negligible.

    Factors that might increase this risk include pre-existing conditions such as diabetes, cardiovascular disease, or previous urological surgeries. These can impact nerve function, which is critical for maintaining erections.

    Preventive measures are somewhat limited, but discussing all medications, lifestyle factors, and health conditions with your urologist can help mitigate potential risks. If you do experience erectile issues post-surgery, treatments like PDE5 inhibitors (Viagra, Cialis), vacuum erection devices, or penile injections can be effective, just as they are for other causes of ED.

    It’s always useful to have an open dialogue with your healthcare provider about your concerns and potential outcomes. Additionally, you might want to explore pelvic floor exercises, which can support erectile function by improving pelvic floor strength.

    Does anyone on the forum have personal experiences they’d be willing to share or additional strategies that helped them maintain erectile function after TURP?

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