Jordan T B, Ernst R, Hatzichristodoulou G, Dinkel A, Klorek T, Beyrle C, Gschwend J E, Herkommer K
Klinik und Poliklinik für Urologie, Klinikum rechts der Isar, Technische Universität München, Ismaningerstraße 22, 81667, München, Deutschland.
Klinik und Poliklinik für Psychosomatische Medizin und Psychotherapie, Klinikum rechts der Isar, Technische Universität München, München, Deutschland.
Urologe A. 2015 Oct;54(10):1407-13. doi: 10.1007/s00120-014-3755-2.
Erectile dysfunction after radical prostatectomy (RPx) does affect the sexual life of patients and their partners. In our study, we evaluated sexual life over the long-term of 60 months following nerve-sparing (ns) RPx in couples who successfully performed sexual intercourse (SI) 12 months after surgery.
A total of 36 patients and their female partners who had SI prior to and 12 months after nsRPx were included in this study. Sixty months following nsRPx, couples were asked about frequency of SI, satisfaction of sexual life, usage of medical aid for erections, and sexual function [patients: IIEF-5 (International Index of Erectile Function), partners: FSFI (Female Sexual Function Index)].
Thirty couples (83.3%) were available for follow-up. A total of 70% of couples performed SI 60 months after nsRPx. In contrast to couples who did not have SI 60 months after nsRPx, couples who successfully had SI were more satisfied, had SI more often, had higher IIEF-5 scores, and higher frequency of bilateral ns surgery. In 80% of those patients, no medical aid except PDE-5 inhibitors were used. The partners of those patients were more satisfied with their sexual life, compared to the patients themselves. Couples, in whom the patient had IIEF-5 scores ≥19 were more satisfied, had SI more often, and the partners had higher FSFI scores, compared to couples with patients' IIEF-5 scores <19.
Couples who had successfully performed SI within 12 months following nsRPx continue to have satisfying SI in the long-term. Those couples are more satisfied with their sexual life and have SI more often prior to and 12 months after nsRPx.
根治性前列腺切除术后（RPx）勃起功能障碍确实会影响患者及其伴侣的性生活。在我们的研究中，我们评估了在保留神经（ns）的RPx术后成功进行性交（SI）12个月的夫妇在术后60个月的长期性生活情况。
本研究纳入了36例患者及其女性伴侣，他们在nsRPx术前及术后12个月有过SI。在nsRPx术后60个月，询问夫妇关于SI的频率、性生活满意度、勃起医疗辅助器具的使用情况以及性功能[患者：国际勃起功能指数（IIEF-5），伴侣：女性性功能指数（FSFI）]。
30对夫妇（83.3%）可供随访。在nsRPx术后60个月，共有70%的夫妇进行了SI。与nsRPx术后60个月未进行SI的夫妇相比，成功进行SI的夫妇更满意，SI频率更高，IIEF-5评分更高，双侧ns手术的频率也更高。在这些患者中，80%除了使用5型磷酸二酯酶（PDE-5）抑制剂外未使用其他医疗辅助器具。与患者自身相比，这些患者的伴侣对性生活更满意。与患者IIEF-5评分<19的夫妇相比，患者IIEF-5评分≥19的夫妇更满意，SI频率更高，伴侣的FSFI评分也更高。
在nsRPx术后12个月内成功进行SI的夫妇在长期内仍能持续获得满意的SI。这些夫妇对性生活更满意，在nsRPx术前及术后12个月SI频率更高。
