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接受输尿管镜手术患者的性功能评估。

Evaluation of sexual function in patients submitted to ureteroscopic procedures.

作者信息

Eryildirim Bilal, Tuncer Murat, Sahin Cahit, Yucetas Ugur, Sarica Kemal

机构信息

Dr. Lütfi Kirdar Training and Research Hospital Urology Clinic, Istanbul, Turkey.

Istanbul Training and Research Hospital Urology Clinic, Istanbul, Turkey.

出版信息

Int Braz J Urol. 2015 Jul-Aug;41(4):791-5. doi: 10.1590/S1677-5538.IBJU.2014.0353.

Abstract

OBJECTIVE

We aimed to evaluate the possible effects of ureteroscopic procedures on the sexual function of both genders.

MATERIALS AND METHODS

A total of 102 sexually active cases (60 male, 42 female) undergoing ureteroscopic procedures were included in this study. Sexual function has been evaluated in detail by using International Index of Erectile Function (IIEF) in male and Female Sexual Function Index (FSFI) forms in female cases both before and 1-month after the procedures. Pre-and postoperative data were evaluated in a comparative manner.

RESULTS

The pre-and postoperative mean IIEF scores were 57.86 ± 2.26 and 54.57 ± 2.48 (p = 0.19) in males and the mean FSFI scores were 13.58 ± 1.46 and 14.46 ± 1.52 (p = 0.41), respectively in females. Evaluation of these values showed that regarding the effects of this procedure on male cases although the total scores for sexual function were not influenced it was observed a significant reduction in the intercourse satisfaction subdomain (IIEF-IS) in males (p < 0.05). In female cases however, unlike the male cases no statistically significant alterations with respect to these scores were noted (p = 0.418).

CONCLUSION

Ureteroscopic interventions could have some adverse effects on the sexual function particularly in male cases. However, it is clear that further prospective studies in both genders with large population of cases are certainly needed in order to outline this unresolved but important subject.

摘要

目的

我们旨在评估输尿管镜手术对两性性功能可能产生的影响。

材料与方法

本研究纳入了102例接受输尿管镜手术且有性活动的患者(男性60例,女性42例)。分别在手术前和术后1个月,使用国际勃起功能指数(IIEF)对男性患者的性功能进行详细评估,使用女性性功能指数(FSFI)表格对女性患者的性功能进行详细评估。对术前和术后的数据进行比较评估。

结果

男性患者术前和术后的平均IIEF评分分别为57.86±2.26和54.57±2.48(p = 0.19),女性患者的平均FSFI评分分别为13.58±1.46和14.46±1.52(p = 0.41)。对这些值的评估表明,尽管该手术对男性患者性功能的总分没有影响,但观察到男性患者性交满意度子域(IIEF-IS)有显著降低(p < 0.05)。然而,在女性患者中,与男性患者不同,这些评分没有统计学上的显著变化(p = 0.418)。

结论

输尿管镜干预可能对性功能有一些不良影响,尤其是在男性患者中。然而,显然需要对更多病例进行两性的进一步前瞻性研究,以阐明这个尚未解决但很重要的问题。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8f26/4757009/ec1a646aa51e/1677-5538-ibju-41-4-0791-gf01.jpg

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