Effects of Post-TURP Orgasm Disorder and Sexual Satisfaction in Men

Objective: This study investigated the effects of Transurethral Resection of the Prostate (TURP) on orgasmic functions and sexual satisfaction in men with benign prostatic hyperplasia (BPH). Material and Methods: Fifty sexually active male patients who underwent bipolar TURP for BPH between March 2021 and March 2023 were included. Patients completed a questionnaire before the procedure and again 3 months later.Results: 2% of patients reported being unable to have an orgasm. 24% experienced a decrease in orgasm intensity. 14% developed pain during orgasm (disorgasmia), which was not present pre-procedure. 28% experienced urinary incontinence during orgasm (climacturia), with 4% constantly and 24% occasionally. Dry ejaculation increased from 10% pre-procedure to 48% post-procedure.Conclusion: All four parameters (presence of orgasm, disorgasmia, climacturia, and dry ejaculation) showed statistically significant changes (p < 0.005). The study highlights that TURP for BPH leads to significant changes in orgasmic functions, underscoring the importance of informing patients about these potential complications to their sexual health and quality of life.