经尿道前列腺切除术对勃起功能的影响：64例报告
[Impact of transurethral resection of the prostate on erectile function: a report of 64 cases].
作者信息
Zhao Qi-Qun, Meng Xu-Hui, Xue Jun
机构信息
Department of Urology, The Second Affiliated Hospital of Nanjing Medical University, Nanjing, Jiangsu 210011, China.
出版信息
Zhonghua Nan Ke Xue. 2013 Aug;19(8):710-3.
OBJECTIVE
To analyze the impact of transurethral resection of the prostate (TURP) on erectile function and the factors influencing postoperative erectile function.
METHODS
Altogether 64 male patients aged 53 -75 (mean 66.5) years underwent TURP for prostatic hyperplasia. Before and 3 months after surgery, we observed the nocturnal penile tumescence of the patients and analyzed their scores on the 5-item version of the International Index of Erectile Function (IIEF-5) and the Self-Rating Anxiety Scale (SAS).
RESULTS
Intraoperative prostatic capsule perforation and postoperative stress were significantly related to postoperative erectile dysfunction (P < 0.05). The mean score of IIEF-5 was significantly decreased (P < 0.01) while that of SAS remarkably increased (P < 0.01) after TURP as compared with those before surgery. The frequency of nocturnal penile tumescence was reduced at 3 months after surgery, but with no statistically significant difference.
CONCLUSION
Intraoperative prostatic capsule perforation and postoperative stress obviously affect postoperative erectile function.
目的
分析经尿道前列腺电切术（TURP）对勃起功能的影响以及影响术后勃起功能的因素。
方法
共64例年龄在53 - 75岁（平均66.5岁）的男性患者因前列腺增生接受TURP手术。在手术前及术后3个月，观察患者夜间阴茎勃起情况，并分析其国际勃起功能指数5项问卷（IIEF - 5）评分及自评焦虑量表（SAS）评分。
结果
术中前列腺包膜穿孔及术后应激与术后勃起功能障碍显著相关（P < 0.05）。与术前相比，TURP术后IIEF - 5平均评分显著降低（P < 0.01），而SAS评分显著升高（P < 0.01）。术后3个月夜间阴茎勃起频率降低，但差异无统计学意义。
结论
术中前列腺包膜穿孔及术后应激明显影响术后勃起功能。
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