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AI InsightConclusion: Although erectile function, sexual desire, and intercourse satisfaction were not different on using different needle sizes, in patients where 16G needles were used, orgasmic function and overall satisfaction were lower four weeks after the procedure.
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Özet
Objective: This study aimed to evaluate the sexual function in patients who underwent a transrectal ultrasonography-guided prostate needle biopsy (TRUS-Bx) using 16G and 18G needles. Materials and Methods: Ninety patients underwent TRUS-Bx. Group 1 included patients who underwent biopsy with an 18G needle (n=45), and group 2 included patients who underwent biopsy with a 16G needle (n=45). Sexual function in both groups was prospectively compared. Additionally, the patients’ age, prostatespecific antigen (PSA), prostate volume, cancer detection rate, complication rates, visual analog scale (VAS), and International Index of Erectile Function (IIEF) scores were compared. Results: Age, PSA, prostate volume, cancer detection rate, complication rates and VAS were not found statistically different between the groups. No difference was observed between the two groups in terms of the five main items of IIEF before the procedure. The intercourse satisfaction value was found to be significantly lower after the procedure than before the procedure in group 1 (p<0.05). Orgasmic function, intercourse satisfaction, and overall satisfaction were statistically significantly lower after the procedure than before the procedure in group 2 (p<0.001). Orgasmic function and overall satisfaction were lower in group 2 and significantly different between the two groups four weeks after the procedure (p<0.001). Conclusion: Although erectile function, sexual desire, and intercourse satisfaction were not different on using different needle sizes, in patients where 16G needles were used, orgasmic function and overall satisfaction were lower four weeks after the procedure.