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 Revman 4. 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.