Shi Chao-Liang, Jiao Wei, Zhang Jun, Wang Yang-Yun, Shi Guo-Wei
Department of Urology, Shanghai Fifth People's Hospital, Fudan University, Shanghai 200240, China.
Zhonghua Nan Ke Xue. 2021 Jan;27(1):45-49.
To study the effects of 1470 nm semiconductor laser enucleation of the prostate (SCLEP) and transurethral plasma electrotomy (TUPE) on erectile function and pelvic floor muscle strength in BPH patients.
We retrospectively analyzed the clinical data on 72 cases of BPH treated in our hospital from July 2017 to July 2019 by TUPE (group A, n = 36) or 1470 nm SCLEP (group B, n = 36). We observed and compared the postoperative penile erectile function, retrograde ejaculation and pelvic floor muscle strength between the two groups of patients.
Compared with group A, group B showed a significantly higher IIEF-5 score (19.43 ± 1.61 vs 21.15 ± 1.32, P < 0.05) and pelvic floor muscle strength (electromyographic ［EMG］ value) during rapid contraction (36.36 ± 1.38 vs 43.53 ± 2.04, P < 0.05), continuous contraction (34.27 ± 1.63 vs 39.46 ± 1.48, P < 0.05) and endurance test (35.24 ± 1.57 vs 38.19 ± 1.67, P < 0.05), but lower incidence rates of ED and retrograde ejaculation.
Compared with TUPE, 1470 nm SCLEP affects less the erectile function and pelvic floor muscle strength of BPH patients.
研究1470nm半导体激光前列腺剜除术（SCLEP）与经尿道等离子电切术（TUPE）对良性前列腺增生（BPH）患者勃起功能和盆底肌肉力量的影响。
回顾性分析2017年7月至2019年7月在我院接受治疗的72例BPH患者的临床资料，其中36例行TUPE（A组），36例行1470nm SCLEP（B组）。观察并比较两组患者术后阴茎勃起功能、逆行射精及盆底肌肉力量。
与A组相比，B组患者术后国际勃起功能指数-5（IIEF-5）评分显著更高（19.43±1.61 vs 21.15±1.32，P<0.05），盆底肌肉力量（快速收缩时肌电图［EMG］值：36.36±1.38 vs 43.53±2.04，P<0.05；持续收缩时：34.27±1.63 vs 39.46±1.48，P<0.05；耐力测试时：35.24±1.57 vs 38.19±1.67，P<0.05），但勃起功能障碍和逆行射精的发生率更低。
与TUPE相比，1470nm SCLEP对BPH患者勃起功能和盆底肌肉力量的影响较小。
