Barnas Jennifer L, Pierpaoli Steven, Ladd Patricia, Valenzuela Rolando, Aviv Nadid, Parker Marilyn, Waters W Bedford, Flanigan Robert C, Mulhall John P
Department of Urology, Weill Medical College of Cornell University, New York Presbyterian Hospital, New York, USA.
BJU Int. 2004 Sep;94(4):603-5. doi: 10.1111/j.1464-410X.2004.05009.x.
To define the type of orgasmic dysfunction in men after radical prostatectomy (RP), as absence of orgasm and orgasmic pain are recognized complaints, and changes in orgasm may lead to significant sexual dissatisfaction.
Using an unvalidated questionnaire, demographic, erectile function and orgasmic function questions were answered by 239 patients who had previously undergone a retropubic RP.
Of the 239 patients, 22% had no change in orgasm intensity, 37% reported a complete absence of orgasm, 37% had decreased orgasm intensity and 4% reported a more intense orgasm after RP than before. Pain during orgasm (dysorgasmia) occurred in 14% of the patients; in these respondents the pain reportedly occurred always (with every orgasm) in 33%, frequently in 13%, occasionally in 35%, and rarely in 19%. Most patients (55%) had orgasm-associated pain for <1 min.
These results indicate that orgasmic functional changes are relatively common after RP and are worth considering by clinicians and researchers.
明确根治性前列腺切除术后男性性高潮功能障碍的类型，因为性高潮缺失和性高潮疼痛是公认的问题，且性高潮的变化可能导致严重的性不满。
采用一份未经验证的问卷，239例曾接受耻骨后根治性前列腺切除术的患者回答了有关人口统计学、勃起功能和性高潮功能的问题。
在239例患者中，22%的患者性高潮强度无变化，37%报告完全没有性高潮，37%的患者性高潮强度降低，4%报告根治性前列腺切除术后性高潮比术前更强烈。14%的患者出现性高潮时疼痛（性交性高潮障碍）；在这些受访者中，据报告疼痛总是出现（每次性高潮时）的占33%，频繁出现的占13%，偶尔出现的占35%，很少出现的占19%。大多数患者（55%）性高潮相关疼痛持续时间小于1分钟。
这些结果表明，根治性前列腺切除术后性高潮功能变化相对常见，值得临床医生和研究人员关注。
