经尿道前列腺切除术对良性前列腺增生患者勃起和射精功能的影响。
The Effect of Transurethral Resection of the Prostate on Erectile and Ejaculatory Functions in Patients with Benign Prostatic Hyperplasia.
机构信息
Department of Special Surgery, Division of Urology, School of Medicine, The University of Jordan, Amman, Jordan.
Dr. Sulaiman Al Habib Medical Group, Riyadh, Saudi Arabia.
出版信息
Urol Int. 2022;106(10):997-1004. doi: 10.1159/000524957. Epub 2022 Jun 2.
INTRODUCTION
The aim of this study was to investigate the effect of TURP on erectile function (EF) and ejaculatory function (EJF).
METHODS
A total of 91 patients who underwent TURP were retrospectively assessed. Patients were divided into two groups based on International Index of Erectile Function (IIEF-5): group A included 41 patients with normal EF, and group B included 50 patients with erectile dysfunction (ED). All patients were evaluated for EF and EJF at baseline, 1, 3, and 6 months after TURP by using IIEF-5, Ejaculatory Domain-Male Sexual-Health Inventory (Ej-MSHQ).
RESULTS
In group A, there were no significant statistical differences in mean IIEF-5 at baseline and after TURP 22.88 ± 0.81 versus 22.63 ± 2.63 (p = 0.065). However, in group B, there was significant improvement in IIEF-5 after TURP all over the follow-up time points in comparison to the baseline (p = <0.001). The loss of EJF was significant among patients in group A. There was significant improvement of IPSS and Qmax in group A after surgery compared to group B.
CONCLUSION
The results confirmed that TURP has no significant negative influence on EF, and patients with preexisting ED were improved after TURP. On the contrary, the loss of EJF was significant.
简介
本研究旨在探讨经尿道前列腺切除术（TURP）对勃起功能（EF）和射精功能（EJF）的影响。
方法
回顾性评估了 91 例接受 TURP 的患者。根据国际勃起功能指数（IIEF-5）将患者分为两组：A 组 41 例 EF 正常，B 组 50 例勃起功能障碍（ED）患者。所有患者均在基线、TURP 后 1、3 和 6 个月使用 IIEF-5、射精域-男性性健康问卷（Ej-MSHQ）评估 EF 和 EJF。
结果
A 组中，IIEF-5 的平均值在基线和 TURP 后 22.88 ± 0.81 与 22.63 ± 2.63 之间无显著统计学差异（p = 0.065）。然而，B 组中，与基线相比，所有随访时间点的 IIEF-5 均显著改善（p <0.001）。A 组患者的 EJF 丧失明显。与 B 组相比，A 组患者在手术后 IPSS 和 Qmax 均有显著改善。
结论
结果证实，TURP 对 EF 没有显著的负面影响，且术前存在 ED 的患者在 TURP 后得到改善。相反，EJF 丧失明显。
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