Hienert G, Maier U
Urologische Universitätsklinik, Wien.
Wien Klin Wochenschr. 1987 Oct 9;99(19):689-91.
95 patients who had undergone suprapubic prostatectomy (without complication) were questioned with regard to any alteration in sexual activity. There was a negative influence on sexual activity in more than half of the patients who claimed sexual potency preoperatively (80/95); however, only a few patients (3/80) regarded this loss as being an important problem in changing of sexuality. The following points should be considered before operation. 1. Anatomical structures which are responsible for erection are not destroyed during operation. 2. Retrograde ejaculation will appear in approximately 80% of patients after operation. 3. Decrease in sexual activity is to be expected in 40% of operated males, although no definite connection with the operation modalities can be established.
对95例行耻骨上前列腺切除术（无并发症）的患者就其性活动的任何变化进行了询问。在术前声称有性能力的患者中，超过一半（80/95）的患者性活动受到负面影响；然而，只有少数患者（3/80）认为这种丧失是性特征改变中的一个重要问题。手术前应考虑以下几点。1. 负责勃起的解剖结构在手术中未被破坏。2. 术后约80%的患者会出现逆行射精。3. 40%接受手术的男性预计性活动会减少，尽管无法确定其与手术方式有明确关联。
