Table 1. Effect of holmium laser versus TURP for BPH on sexual function.
| Authors and study year | Study design | Follow-up (months) | Patient (n) |
Validated questionnaire | ↓ EF (%) |
↑ EF (%) |
EjD (%) |
||||
|---|---|---|---|---|---|---|---|---|---|---|---|
| Laser | TURP | Laser | TURP | Laser | TURP | Laser | TURP | ||||
| Mottet et al. 1999 5 | RCT | 12 | 23 | 13 | No | 10 | 0 | – | – | 50 | 50 |
| Gilling et al. 2000 6 | RCT | 24 | 61 | 59 | No | 8 | 11 | 20 | 19 | 96 | 86 |
| Tan et al. 2003 7 | RCT | 12 | 31 | 30 | No | 3.9 | 3.9 | 3.9 | 3.9 | – | – |
| Kuntz et al. 2004 8 | RCT | 12 | 100 | 100 | No | 11.2 | 10.5 | 3.3 | 0 | 74 | 70.3 |
| Westenberg et al. 2004 9 | RCT | 48 | 61 | 59 | No | 8 | 17 | 10 | 7 | – | – |
| Montorse et al. 2004 10 | RCT | 12 | 52 | 48 | IIEF | No | No | – | – | – | – |
| Briganti et al. 2006 11 | RCT | 24 | 32 | 31 | IIEF | No | No | 1.7 | 3.4 | 78.3 | 78.3 |
| Wilson et al. 2006 12 | RCT | 24 | 30 | 30 | No | 3.9 | 3.9 | 3.9 | 3.9 | 75 | 62 |
| Weighted mean | 21.0 ± 12.4 | 390 (total) | 370 (total) | 7.5 ± 3.0 | 7.7 ± 6.2 | 7.1 ± 6.9 | 6.2 ± 6.7 | 74.7 ± 16.4 | 69.3 ± 14.0 | ||
Abbreviations: BPH, benign prostate hyperplasia; EF, erectile function; EjD, ejaculatory dysfunction; IIEF, International Index of Erectile Function; RCT, randomized control trial; TURP, transurethral resection of the prostate; –, not reported.