Preoperative IIEF scores were 52.22 +- 10.79, and postoperative ratings were 61.46 +- 7.93 (P0.001), indicating significant improvements.Serum FSH and LH levels dramatically increased, prolactin and estradiol levels significantly decreased, and testosterone levels significantly increased from 2.87 +- 1.00 ng/ml to 5.45 +- 0.84 ng/ml (P0.001).