摘要
目的:探讨耻骨上经膀胱前列腺切除术(SPP)、经尿道前列腺电切术(TURP)、经尿道前列腺电气化联合电切术(TUVP加TURP)治疗BPH对患者性功能的影响。方法:采用国际勃起功能问卷简化表(IIEF5)通过调查问卷方式,对104例接受上述手术的BPH患者术前、术后6个月勃起功能及逆行射精情况进行问卷评分。结果:SPP、TURP、TUVP加TURP三组患者术前IIEF5评分分别为17.4、17.9、18.1分,术后6个月IIEF5评分分别为11.7、13.2、10.2分,手术前后比较差别有统计学意义(P<0.05)。三组之间IIEF5评分降低程度比较TUVP加TURP>SPP>TURP,差别有统计学意义(P<0.05)。三组术后逆行射精的发生率分别为23.1%、32.5%、25.0%。结论:三组手术均可导致患者勃起功能障碍的发生,其中以TUVP加TURP发生率最高,逆行射精发生率以TURP最高。提高手术操作技巧,避免包膜损伤,作好解释工作,可减少术后患者勃起功能障碍的发生。
Objective:To evaluate and compare penile erectile function following suprapubic transvesical prostatectomy(SPP)、transurethral resection of prostate(TURP) and transurethral electrovaporization combind with resection of prostate(TUVP+TURP) for BPH.Methods:By using the international index of erectile function 5(IIEF-5) questionnaire, we surveyed penile erectile function and retrograde ejaculation in 104 patients undergoing SPP、TURP、TUVP+TURP preoperatively and postoperatively 6 monthes.Results:The preoperative score of IIEF-5 in SPP、TURP、TUVP+TURP group were(17.5)、(17.9)、(18.1) respectively, the score of postoperative were (11.7)、(13.2)、(10.2),(P<(0.05)). The postoperative incidence of retrograde ejaculation in three groups were(23.1)%、(32.5)%、(25.0)% respectively.Conclusions:Our results showed that all the three therapeutic procedures could accompany erectil dysfunction, TUVP+TURP had the highest occurrence rate. The highest retrograde ejaculation rate was noted in TURP group. Incident of erectile dysfunction can be reduced by operation carefully and preoperative education about knowledge of the surgery.
出处
《临床泌尿外科杂志》
2005年第6期331-333,共3页
Journal of Clinical Urology
