摘要
目的:探讨BPH患者经耻骨上前列腺切除术(SPP)或经尿道前列腺电切术(TURP)后的性功能状况与手术的关系.方法:随访术前性功能正常且术后配偶健在的前列腺切除术患者126例.随访时间6个月～3年,平均随访时间14个月,并对其手术前后的性功能状况进行对比研究.结果:术后精液量明显减少49例(38.9%),有射精感但无精液排出20例(15.9%),不射精14例(11.1%).出院后即发现勃起功能障碍(ED)者11例(8.7%),部分勃起尚能完成性交者13例(10.3%),术后1～3年性功能逐渐消失者32例(25.4%).结论:前列腺切除术后性功能方面比较明显的变化包括精液量减少、逆行射精和不射精.术后ED是一种与年龄密切相关的疾病,也与多种慢性病有关,前列腺切除术并非是ED的独立风险因素.
Objective：To investigate the relationship of sexual function and operation of the patients with benign prostatic hyperplasia （BPH） after suprapubic prostatectomy （SPP） and transurethral resection of the prostate （TURP）. Methods：126 patients, having healthy spouses after operation ,with normal sexual function before SPP and TURP were followed up for 6 months to 3 years, the average time is 14 months, and the results of the Sexual function before and after operation were compared. Results：oThe ejaculum of 49 cases were evidently reduce （38.9%）, 20 cases have the feeling of ejaculation but no ejaculum ejection （15.9%）, 14 cases have no ejaculum ejection after operation（11. 1%）. 11 cases with erectile dysfunction （ED） immediately after operation（ 8.7 %）, 13 cases with partial function can finish coitus（10.3%）, and ED were found gradually in 32 cases from 1 to 3 years after operation （25.40%）. Conclusions： The evident change of sexual function after prostate resection include the ejaculum reduce, retrograde ejculation and no ejaculum ejector. ED of the patients underwent prostate resection is related with age and it also has close relationship with other diseases. Prostate resection isn＇t the only risk factor.
出处
《临床泌尿外科杂志》
2005年第9期558-559,共2页
Journal of Clinical Urology
关键词
前列腺增生
前列腺切除术
性功能
Benign prostatic hyperplasia
Suprapubic prostatectomy
Sexual function
