THE INFLUENCE OF EJACULATORY DYSFUNCTION ON THE EMOTIONAL AND PSYCHOLOGICAL WELL-BEING OF PATIENTS IN THE MANAGEMENT OF BENIGN PROSTATIC HYPERPLASIA

Objective. To determine the impact of ejaculatory dysfunction (EjD) on the emotional and psychological state of the patient. Materials and Methods. The study included 150 patients who were examined and treated between 2018 and 2021 at the Kemerovo Regional Clinical Hospital, named after S.V. Belyaev, Kemerovo City Clinical Hospital No. 5 and the Department of the Urology and Andrology of Burnazyan Federal Medical Biophysical Center. The ejaculatory function was determined before treatment by completing the ‘Male Sexual Health Questionnaire: Ejaculation Disorders”. On the background of medication and after surgical treatment, ejaculatory function was studied again, as well as depressive disorders using the Beck Depression Scale (second version) with further determination of the relationship between EjD and emotional-psychological disorders. Results. The analysis revealed a strong relation between the presence of EyAD and psychoemotional disorders. It was found that there were significant statistical differences in the expression levels of signs of depression in patients with and without EjD(t=34.469, p<0.0001). When planning treatment for benign prostatic hyperplasia (BPH), the reduced emotional distress associated with EjD in patients over 70 years of age should be considered (z = 2.441, p = 0.015). Conclusions. When planning the treatment of BPH, it is necessary to take into account the patient's attitude towards preserving ejaculatory function and follow tactics that correspond to the patient's individual preferences and expectations in the field of sexual health.