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根治性前列腺切除术后勃起功能障碍的多学科评估

Multidisciplinary evaluation in erectile dysfunction after radical prostatectomy.

作者信息

Stief C G, Böhren W, Gall G, Scherb W, Altwein J E

机构信息

Department of Urology, Academic Hospital, Munich, FRG.

出版信息

Int Urol Nephrol. 1988;20(6):617-21. doi: 10.1007/BF02549494.

DOI:10.1007/BF02549494
PMID:3229934
Abstract

Radical prostatectomy is associated with a postoperative impotence rate of 90%, a sequel that is the least acceptable to the patient. The use of the nerve-sparing procedure according to Walsh (1) with 70% restoration of sexual power postoperatively is limited considering the prevalence of periprostatic tumour invasion. A method is described which satisfies the demand for both a radical surgical procedure and postoperative restoration of sexual power.

摘要

根治性前列腺切除术术后阳痿发生率为90%,这是患者最难以接受的后遗症。考虑到前列腺周围肿瘤浸润的普遍性,按照沃尔什(1)提出的保留神经手术方法,术后性功能恢复率为70%,该方法的应用受到限制。本文描述了一种既能满足根治性手术要求又能使术后性功能恢复的方法。

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本文引用的文献

1
Impotence following radical prostatectomy: insight into etiology and prevention.根治性前列腺切除术后的阳痿:病因及预防探究
J Urol. 1982 Sep;128(3):492-7. doi: 10.1016/s0022-5347(17)53012-8.
2
Radical prostatectomy with preservation of sexual function: anatomical and pathological considerations.保留性功能的根治性前列腺切除术:解剖学和病理学考量
Prostate. 1983;4(5):473-85. doi: 10.1002/pros.2990040506.
3
Investigation of the venous system in impotence of vascular origin.血管性阳痿中静脉系统的研究。
Urol Radiol. 1984;6(3-4):190-3. doi: 10.1007/BF02923722.
4
New treatment for priapism.阴茎异常勃起的新疗法。
Lancet. 1984 Jul 28;2(8396):220-1. doi: 10.1016/s0140-6736(84)90500-2.
5
Nerve-sparing radical prostatectomy: extraprostatic tumor extension and preservation of erectile function.
J Urol. 1985 Dec;134(6):1149-51. doi: 10.1016/s0022-5347(17)47662-2.
6
Radical prostatectomy with preservation of sexual function: pathological findings in the first 100 cases.保留性功能的根治性前列腺切除术:前100例的病理结果
J Urol. 1985 Dec;134(6):1146-8. doi: 10.1016/s0022-5347(17)47661-0.
7
Carcinoma of the prostate: an opinion on management of early stage disease with a commentary on the meaning of capsular penetration.前列腺癌:关于早期疾病管理的观点及对包膜侵犯意义的评论
J Urol. 1985 Dec;134(6):1183-4. doi: 10.1016/s0022-5347(17)47679-8.
8
[Diagnosis of vascular impotence: comparison of Doppler sonography and arteriography].[血管性阳痿的诊断:多普勒超声检查与动脉造影的比较]
Hautarzt. 1987 Dec;38(12):716-22.