Malone P R, Cook A, Edmonson R, Gill M W, Shearer R J
Department of Urology, St James' Hospital, Balham.
Br J Urol. 1988 Mar;61(3):234-8. doi: 10.1111/j.1464-410x.1988.tb06386.x.
We have reviewed 500 consecutive prostatectomies with a follow-up period of between 5 and 8 years; 184 surviving patients were sent a questionnaire and patients with residual urinary symptoms were interviewed, examined and a flow rate was performed. The operative mortality rate was 0.5%. Patients who presented with retention of urine had a high mortality rate in the first 3 years after the operation. Thirty-six per cent of surviving patients with chronic retention and 24% of those who underwent elective prostatectomy had residual urinary symptoms at the time of the study. Of patients who were sexually active pre-operatively, 34% felt that the operation was responsible for a deterioration in their sex lives. The incidence of retrograde ejaculation was 93%. It was concluded that prostatectomy is a safe operation with good patient acceptability. Patients with symptoms of prostatism require careful evaluation before prostatectomy and sexually active patients should be warned of the risks of impotence and decreased satisfaction due to retrograde ejaculation.
我们回顾了连续500例前列腺切除术患者，随访期为5至8年；向184例存活患者发送了问卷，并对有残余尿路症状的患者进行了访谈、检查并测量了尿流率。手术死亡率为0.5%。出现尿潴留的患者在术后头3年死亡率较高。在研究时，36%的慢性尿潴留存活患者和24%接受选择性前列腺切除术的患者有残余尿路症状。术前有性生活的患者中，34%认为手术导致了他们性生活质量下降。逆行射精的发生率为93%。得出的结论是，前列腺切除术是一种安全的手术，患者接受度良好。前列腺增生症状患者在前列腺切除术前需要仔细评估，对于有性生活的患者，应告知其存在阳痿风险以及逆行射精导致满意度下降的风险。
