前列腺动脉栓塞术可使患有良性前列腺增生相关下尿路症状困扰的患者保持完全的性活动能力。

Prostatic Artery Embolization Allows to Maintain Full Sexual Activity in Patients Suffering from Bothersome Lower Urinary Tracts Symptoms related to Benign Prostatic Hyperplasia.

机构信息

Vascular and Oncological Interventional Radiology Department Assistance Publique - Hôpitaux de Paris, Hôpital Européen Georges Pompidou, Paris, France.

Istituto di Imaging della Svizzera Italiana, Ospedale Regionale Bellinzona e Valli, EOC, Bellinzona, Switzerland.

出版信息

Cardiovasc Intervent Radiol. 2020 Aug;43(8):1202-1207. doi: 10.1007/s00270-020-02520-7. Epub 2020 Jun 3.

DOI:10.1007/s00270-020-02520-7

PMID:32494835

Abstract

INTRODUCTION

The effect of prostate artery embolization (PAE) on male sexual function is currently the subject of debate in the literature. The main purpose of this study was to define changes in all domains of sexual activity after PAE, using the international index of erectile function score (IIEF-15).

METHODS

A single-center retrospective study was conducted on 129 patients (mean age of 65.5 ± 7 years), who underwent PAE from February 2014 to January 2017 for symptomatic benign prostatic hyperplasia (BPH). Fifty consecutive patients fulfilling the inclusion criteria were evaluated before and after PAE follow-up using the IIEF-15, IPSS, prostate volume (PV) and cardiovascular risk factor and BPH drugs. The IIEF-15 domains analyzed were: erectile function (EF) ejaculation and orgasm (Ej/O), sexual desire (SD), intercourse satisfaction (IS) and overall satisfaction (OS). A paired sample t test or Wilcoxon signed-rank test was used to compare IIEF-15 between baseline and follow-up.

RESULTS

The study showed nonsignificant change in IIEF-15 total score (58.0 ± 13.8 SD; p = 0.71) and the five domains (EF 24.5 ± 7.0 SD, p = 0.82; EJ/O 8.2 ± 2.3 SD, p = 0.50; SD 7.2 ± 2.7 SD, p = 0.57; IS 10.3 ± 3.0 SD, p = 0.77; OS 8.2 ± 2.7 SD; p = 0.11) after PAE. We also found a significant improvement in IPSS score after PAE.

CONCLUSION

Based on the IIEF-15 questionnaire, PAE was showed to allow good urinary symptoms results and no deterioration in sexual function.

摘要

介绍

前列腺动脉栓塞术（PAE）对男性性功能的影响是目前文献中的一个争议话题。本研究的主要目的是使用国际勃起功能指数评分（IIEF-15）定义 PAE 后所有性行为领域的变化。

方法

对 2014 年 2 月至 2017 年 1 月因症状性良性前列腺增生（BPH）而行 PAE 的 129 名患者（平均年龄 65.5±7 岁）进行了单中心回顾性研究。符合纳入标准的 50 例连续患者在 PAE 前后分别使用 IIEF-15、IPSS、前列腺体积（PV）和心血管危险因素及 BPH 药物进行评估。分析的 IIEF-15 领域包括：勃起功能（EF）、射精和高潮（Ej/O）、性欲（SD）、性交满意度（IS）和总体满意度（OS）。采用配对样本 t 检验或 Wilcoxon 符号秩检验比较 IIEF-15 基线和随访时的差异。

结果

研究显示，IIEF-15 总分（58.0±13.8 SD；p=0.71）和五个领域（EF 24.5±7.0 SD，p=0.82；Ej/O 8.2±2.3 SD，p=0.50；SD 7.2±2.7 SD，p=0.57；IS 10.3±3.0 SD，p=0.77；OS 8.2±2.7 SD；p=0.11）在 PAE 后无显著变化。我们还发现 PAE 后 IPSS 评分显著改善。