Cheng Nian-zhen, Tang Zheng-yan, Liu Yu, Liu Xue-song, Qi Lin
Department of Urology, Xiangya Hospital, Central South University, Changsha 410008, China.
Zhong Nan Da Xue Xue Bao Yi Xue Ban. 2008 Oct;33(10):975-8.
To investigate the effect of transurethral resection of prostate (TURP) on the quality of life in aged patients with benign prostatic hyperplasia(BPH).
Altogether 358 BPH patients were evaluated by International Prostate Symptom Score (IPSS), the 5-Item Version of the International Index of Erectile Function (IIEF-5),Quality of Life Scale (QOLS) questionnaires, Self-Rating Anxiety Scale (SAS), Self-Rating Depression Scale (SDS),residual urine volume (RUV), and maximum flow rate(Qmax) before and at 3 months after they underwent TURP.
The mean scores of IPSS, QOLS, SAS, and SDS, and mean RUV decreased, and mean Qmax increased significantly at 3 months after receiving operation compared with those before the treatment in aged patients with BPH. But no significant difference was found in the scores of IIEF-5 between post-operation and pre-operation.
TURP may alleviate BPH clinical symptoms and improve quality of life, but may not be helpful to the recovery of sexual function in aged patients with BPH.
探讨经尿道前列腺电切术（TURP）对老年良性前列腺增生症（BPH）患者生活质量的影响。
采用国际前列腺症状评分（IPSS）、国际勃起功能指数5项问卷（IIEF-5）、生活质量量表（QOLS）、自评焦虑量表（SAS）、自评抑郁量表（SDS）、残余尿量（RUV）及最大尿流率（Qmax），对358例BPH患者在接受TURP手术前及术后3个月进行评估。
与治疗前相比，老年BPH患者术后3个月时IPSS、QOLS、SAS及SDS的平均得分以及平均RUV降低，平均Qmax显著升高。但术后与术前IIEF-5得分比较差异无统计学意义。
TURP可缓解BPH临床症状并改善生活质量，但对老年BPH患者性功能的恢复可能无帮助。
