Incidences Of Erectile Dysfunction And Retrograde Ejaculation After Suprapubic Prostatectomy And Transurethral Resection Of The Prostate In Chinese Men: A Meta-analysis

Objective:To compare suprapubic prostatectomy (SPPC) with transurethral resection of the prostate (TURP) in inducing erectile dysfunction (ED) and retrograde ejaculation (RE) in Chinese men.Methods:We retrieved all the case-controlled studies on the comparison of SPPC and TURP in inducing ED and RE by searching Medline and Chinese Journal Full-text Database(CJFD)(up to January 2009), screened the eligible literature according to the selection and exclusion criteria,and performed meta-analyses on the included studies using the software Revman4.2.Results:Eight eligible reports were identified in this study, including 515 cases of SPPC and 462 cases of TURP.The SPPC group showed a little higher incidence of ED than the TURP group (pooled OR:1.34; 95%CI, 0.97,1.85), with no statistically significant difference (P>0.05), while the latter exhibited a significantly higher incidence of RE than the former (pooled OR:0.58; 95%CI,0.44,0.76, P<0.05).Conclusion:There is no significant difference between the incidence of ED after SPPC and that after TURP in Chinese men, but the latter may induce a much higher rate of retrograde ejaculation than the former.