Artemi S, Vassiliu P, Arkadopoulos N, Smyrnioti Maria-Eleni, Sarafis P, Smyrniotis V
Department of Nursing, General Hospital of Athens "ELPIS", Athens University of Technology, Athens, Greece.
School of Medicine, National and Kapodistrian University of Athens, Athens, Greece.
BMC Res Notes. 2019 Dec 18;12(1):814. doi: 10.1186/s13104-019-4839-2.
A pelvic surgery can cause erectile dysfunction. The purpose of this study was to evaluate erectile function at various times after pelvic surgery in male patients; to search the non-modifiable risk factors associated with the presence and intensity of sexuality in these patients. This prospective study used the erectile dysfunction IIEF scale.
The study population comprised of 106 male patients who had undergone minor pelvic surgery at least 9 months before and during the 2010-2016 period in the 4th Surgical Clinic. A control group of healthy males (N = 106) who underwent no pelvic surgery matched for age was also used for reference values. The main age of the participants was 66.16 ± 13.07 years old. A history of colectomy was present in 36.8%, 18.9% had undergone sigmoidectomy, and 33% inguinal hernia repair. The percentage of severe erectile function increased from 38.7% before surgery to 48.1% (25% increase) after surgery, at the end of the follow-up period (p < 0.05). In the multivariate analysis model, age emerged as an independent predictor of erectile function (p < 0.001). Age was the most important determinant of the IIEF score, which was aggravated by 25% from the first to the last assessment of patients.
盆腔手术可导致勃起功能障碍。本研究的目的是评估男性患者盆腔手术后不同时间点的勃起功能；寻找与这些患者性功能的存在和强度相关的不可改变的危险因素。这项前瞻性研究使用了勃起功能障碍国际勃起功能指数（IIEF）量表。
研究人群包括106名男性患者，他们在2010年至2016年期间于第四外科诊所至少在9个月前接受了小型盆腔手术。还使用了一组年龄匹配的未接受盆腔手术的健康男性作为对照组（N = 106）以获取参考值。参与者的主要年龄为66.16±13.07岁。有结肠切除术史的占36.8%，接受过乙状结肠切除术的占18.9%，腹股沟疝修补术的占33%。在随访期末，严重勃起功能的百分比从术前的38.7%增加到术后的48.1%（增加了25%）（p < 0.05）。在多变量分析模型中，年龄成为勃起功能的独立预测因素（p < 0.001）。年龄是IIEF评分的最重要决定因素，从对患者的首次评估到最后一次评估，评分恶化了25%。
