摘要
目的 :比较开放与腔内不同术式治疗良性前列腺增生症 (BPH)术后对性功能的影响。方法 :对 12 0例腔内经尿道前列腺电切术 (TURP)与经尿道前列腺汽化电切术 (TVP)和 80例行包括膀胱耻骨上前列腺摘除术 (SPPC)与保留尿道前列腺切除术 (MPC)开放手术的BPH患者进行 9个月的追踪观察 ,总结其术后阳萎及逆行射精发生率。结果 :TURP与TVP术后阳萎发生率分别是10 % (4/4 1)和 5 % (2 /4 2 ) ,逆行射精发生率分别是 5 5 %和 5 1%。SPPC与MPC术后阳萎发生率分别是 10 % (3/31)和 3% (1/2 9) ,逆行射精发生率分别是 4 8%和 14 %。结论 :治疗BPH患者的 4种术式术后性功能损害TVP和MPC比TURP和SPPC少 。
Objective:To study the changes in sexual function following surgical treatment of Benign Prostatic Hyperplasia (BPH) with open and endoscopic approaches Methods:Following up by nine months,the incidences of postoperative impotence and retrograde ejaculation were compared between 120 cases treated with open surgery (TURP and TVP) and 80 cases treated with open surgery (SPPC and MPC) Results:The incidences of impotence were 10%(4/41),5%(2/42),10%(3/31),and 3%(1/29) in cases treated with TURP,TVP,SPPC and MPC respectively And the corresponding incidences of retrograde ejaculation were 32%,31%,25% and 5% respectively Conclusion:In a view of post operative sexual dysfunction after surgical treatment of gerontism BPH,TVP and MPC are superior to TURP and SPPC The incidence of retrograde ejaculation after MPC is the lowest one among 4 different approaches
出处
《广州医药》
2002年第3期9-11,共3页
Guangzhou Medical Journal
