Lindner A, Golomb J, Korzcak D, Keller T, Siegel Y
Department of Urology, Edith Wolfson Medical Center, Holon, Israel.
Urology. 1991 Jul;38(1):26-8. doi: 10.1016/0090-4295(91)80006-s.
We evaluated the effects of prostatectomy on sexual function in 210 patients, 49.6 percent of whom underwent transurethral resection of the prostate (TURP), and the remainder had suprapubic transvesical prostatectomy (SPP). Pre- and postoperative interviews with detailed questionnaires were utilized. Postoperative sexual dysfunction was reported by 18 of 152 patients (11.8%) who were functioning normally prior to surgery. The incidence of postoperative impotence was evenly distributed between the TURP and SPP groups and was age-related; it was highest among older patients. We further observed a strong correlation between the presence of a permanent sexual partner and the preservation of potency. We conclude that the risk of postoperative impotence is dependent on both the patient's age and the presence of a partner, and should be discussed with the patient preoperatively.
我们评估了前列腺切除术对210例患者性功能的影响，其中49.6%的患者接受了经尿道前列腺切除术（TURP），其余患者接受了耻骨上经膀胱前列腺切除术（SPP）。我们采用术前和术后详细问卷调查的方式。152例术前性功能正常的患者中，有18例（11.8%）术后出现性功能障碍。术后阳痿的发生率在TURP组和SPP组中分布均匀，且与年龄相关；在老年患者中发生率最高。我们还进一步观察到，有固定性伴侣与性功能的保留之间存在密切关联。我们得出结论，术后阳痿的风险既取决于患者的年龄，也取决于是否有伴侣，术前应与患者进行讨论。
