Impact of Anxiety on Erectile Dysfunction After Transrectal Ultrasound-Guided Prostate Biopsy

INTRODUCTION: The aim of this study was to determine whether erectile dysfunction (ED) patients are under the effect of anxiety and analyze their results of transrectal ultrasound-guided prostate biopsy (TRUS-PB).
METHODS: The study was conducted between April 2015 and February 2016, and the population consists of the patients clean from prostate cancer (PCa) according to the TRUS-PB results. ED or cancer patients were identified for exclusion as well as those with a history of biopsy or surgery on prostate site. The study group filled in the international index of erectile function-5 (IIEF-5) and the beck depression inventory (BDI) forms under the supervision of urologists. The timetable was like this: The two pre-biopsy forms with the 2nd or 3rd-week interval, the biopsy day following the second form, and the three post-biopsy forms in the 1st, 3rd, and 6th month.
RESULTS: When completing the study process, the case number was a total of 131 patients with no PCa according to the biopsy results (Main Age: 60.14±5.49). For IIEF-5, the pre-biopsy statistics were 23.57±2.45 points on average (105 ED patients), and the post-biopsy ones got better from the fourth forms (p<0.001). The pre-biopsy scores of BDI increased in 94 patients and again their post-biopsy ones improved in the fourth forms (p<0.001).
DISCUSSION AND CONCLUSION: The process including follow-up in prostate examination has depressive risks in the patients who applied TRUS-PB along with ED.