| Summary: | Background: Erectile function is an important factor for all men in an active sexual condition, as
well as to assess the quality of sex life with their partners. Transurethral Resection of the Prostate
(TURP) is a gold standard action for Benign Prostate Hyperplasia (BPH). The researcher tried to
study to investigate the effect of corticosteroid and progesterone on erectile function in BPH
patients who have done TURP surgery by using Erection Hardness Score (EHS). The purpose of
this study was to investigate the effect of intra venous methylprednisolone on post-operative
erection function of TURP in BPH patients. To investigate the effect of intra-muscular
progesterone on postoperative erectile function of TURP in BPH patients. To investigate the
different effect between methylprednisolone and progesterone on post-operative erection function
of TURP in BPH patients.
Subjects and Method: Subjects of all BPH patients who performed TUR-P surgery in the
urology sub-section of Dr. Moewardi Hospital, Surakarta. The sampling technique in this study was
incidental sampling. This study was a clinical experimental study using Pre and Post-test designOnly
Control Design. 3 groups were divided to get different treatment, the first group was given
methylprednisolone, the second group was given progesterone and the third group was given
TURP therapy protocol only.
Results: After 1 month of TURP treatment in BPH patients, the result obtained for the EHS which
on a scale of 2 and 3. EHS on scale 2 for the methylprednisolone group was 9 patients (69.2%), the
progesterone group had 6 patients (46.2%), and the control group had 8 of patients (66.7%).
Meanwhile, EHS on scale 3 for the methylprednisolone group was 4 patients (30.8%), there were 7
patients (53.8%) of the progesterone group, and the control group had 4 patients (33.3%). After 3
months of TURP treatment in BPH patients, EHS on scale 2 in the methylprednisolone group there
were 2 patients (15.4%), the progesterone group there were 0 patients (0.0%), and the control
group there were 6 patients (50.0%). The methylprednisolone group had 9 patients (69.2%) on
EHS 3 scale, the progesterone group had 4 patients (30.8%), and there were 6 patients (50.0%) in
the control group. While, EHS scale of 4 the total of the patients in the methylprednisolone group
was 2 patients (15.4%), the progesterone group had 9 patients (69.2%), and the control group had 0
patients (0.0%).
Conclusion: the methylprednisolone improved the erectile function in post-operative TURP
patients. Progesterone improved erectile function in post-operative TURP patients. Therefore, it
can be concluded that progesterone was better than methylprednisolone.
Keywords: Erectile dysfunction, Methylprednisolone, Progesterone
Correspondence:
Monica Yolanda. Masters Program in Family Medicine, Sebelas Maret University, Jl. Ir. Sutami 36
A, Surakarta 57126, Central Java. Email: monica_mail83@yahoo.co.id.
|
|---|
