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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.

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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