Bolt J W, Evans C, Marshall V R
Br J Urol. 1987 Apr;59(4):319-22. doi: 10.1111/j.1464-410x.1987.tb04640.x.
One of the major and disconcerting complications of prostatectomy is impotence. Several studies have reported only a small reduction in potency rates following prostatectomy but have not examined the effect of surgery per se on a group of men in whom one could expect a significant incidence of reduced potency. In order to rectify this defect, a prospective study was undertaken to assess the effect of transurethral resection of the prostate (TURP) and other general surgical procedures on two age-matched populations. In all cases potency and ejaculatory function and frequency of intercourse were assessed pre- and post-operatively. Potency was retained in 86% of men undergoing TURP and in all of the men undergoing general surgical procedures (p less than 0.01). Of those men who indicated that they were capable of having sexual intercourse prior to operation, 88% were unaffected by TURP. In the general surgical group 97% were unaffected. Thus it would appear that TURP has a significant effect on sexual function which cannot be accounted for by the stress of surgery or the age of the population undergoing operation.
前列腺切除术的主要且令人不安的并发症之一是阳痿。几项研究报告称，前列腺切除术后性功能正常率仅略有下降，但并未考察手术本身对一组可能出现显著性功能减退发生率的男性的影响。为了纠正这一缺陷，开展了一项前瞻性研究，以评估经尿道前列腺切除术（TURP）及其他普通外科手术对两个年龄匹配人群的影响。在所有病例中，术前和术后均评估了性功能、射精功能及性交频率。接受TURP的男性中86%保留了性功能，接受普通外科手术的所有男性均保留了性功能（p<0.01）。在那些术前表示能够进行性交的男性中，88%未受TURP影响。在普通外科手术组中，97%未受影响。因此，似乎TURP对性功能有显著影响，这无法用手术应激或接受手术人群的年龄来解释。
