Gilling P J, Wright W L, Gray J M
Waikato Hospital, Hamilton.
N Z Med J. 1988 Jul 27;101(850):484-5.
A retrospective analysis of 62 consecutive potent patients undergoing transurethral resection of the prostate is described. Each patient was interviewed a minimum of six months following surgery. Potency was retained in 89% of patients but 57% of these experienced a decrease from their preoperative level of function. Three factors were found to be significantly associated with a reduction in postoperative potency. These were systemic disease (p less than 0.001), small prostatic resections (p less than 0.001) and a reduced level of potency preoperatively (p less than 0.01). Of those men retaining a degree of potency, 90% achieved their first erection within two months of the procedure. The full extent of sexual dysfunction following transurethral resection of the prostate has not previously been appreciated, nor have the factors associated with this dysfunction.
本文描述了对62例连续接受经尿道前列腺切除术的性功能正常患者的回顾性分析。每位患者在术后至少接受了六个月的随访。89%的患者保留了性功能，但其中57%的患者性功能较术前水平有所下降。发现有三个因素与术后性功能下降显著相关。这些因素是全身性疾病（p<0.001）、小范围前列腺切除术（p<0.001）和术前性功能水平降低（p<0.01）。在保留一定程度性功能的男性中，90%在术后两个月内实现了首次勃起。经尿道前列腺切除术后性功能障碍的全部程度此前未被充分认识，与此功能障碍相关的因素也未被充分认识。
