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精囊——男性性功能障碍中一对被忽视的附属腺体:一篇综述

Seminal vesicles - an overlooked pair of accessory glands in male sexual dysfunction: a narrative review.

作者信息

Gao Dawei, Li Chuyu, Jin Yihan, Sun Dalin, Cui Yugui, Chen Weiping, Jin Baofang

机构信息

Faculty of Chinese Medicine, Macau University of Science and Technology, Macau, China.

State Key Laboratory of Reproductive Medicine, Clinical Center of Reproductive Medicine, First Affiliated Hospital of Nanjing Medical University, Nanjing Medical University, Nanjing, China.

出版信息

Int J Impot Res. 2024 Dec 20. doi: 10.1038/s41443-024-01011-4.

DOI:10.1038/s41443-024-01011-4
PMID:39702662
Abstract

The seminal vesicles (SVs) have long been recognized for their role in male fertility, yet their contribution to male sexual function is often underestimated. In recent decades, studies have gradually unveiled an association between SVs and various male sexual dysfunctions (SDs), including diminished libido, erectile dysfunction, premature ejaculation, delayed ejaculation, and orgasmic disorder. We conducted a comprehensive literature search of publications up until April 2024 in PubMed, Google Scholar, and CNKI, focusing on original studies, case reports, and reviews addressing the relationship between SVs and male SDs. The aim was to explore the pathophysiological mechanisms, clinical evaluation, and management of this relationship, providing urologists and andrologists with new insights into diagnosing and treating complex male SDs. Current research suggests that SVs may play a role in male sexual function, but the evidence remains limited. Future large-scale, rigorously designed studies are needed to further validate this relationship.

摘要

精囊长期以来因其在男性生育中的作用而被认可,但其对男性性功能的贡献常常被低估。近几十年来,研究逐渐揭示了精囊与各种男性性功能障碍(SDs)之间的关联,包括性欲减退、勃起功能障碍、早泄、射精延迟和性高潮障碍。我们在PubMed、谷歌学术和中国知网进行了全面的文献检索,涵盖截至2024年4月的出版物,重点关注关于精囊与男性性功能障碍关系的原始研究、病例报告和综述。目的是探讨这种关系的病理生理机制、临床评估和管理,为泌尿科医生和男科医生诊断和治疗复杂的男性性功能障碍提供新的见解。目前的研究表明精囊可能在男性性功能中发挥作用,但证据仍然有限。未来需要大规模、设计严谨的研究来进一步验证这种关系。

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本文引用的文献

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Distended Seminal Vesicles Are Involved in Specific Cerebral Sexual Arousal: A Pilot Study Using Functional Brain Imaging in Young Healthy Men.精囊扩张与特定的脑性唤起有关:一项针对年轻健康男性的功能性脑成像初步研究。
Eur Urol Open Sci. 2022 Jun 14;42:10-16. doi: 10.1016/j.euros.2022.05.008. eCollection 2022 Aug.
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Testosterone level in seminal vesicle fluid is a better indicator of erectile function than serum testosterone in patients with prostate cancer.对于前列腺癌患者,精囊液中的睾酮水平比血清睾酮更能准确反映勃起功能。
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不射精患者精囊的超声异常特征:一例报告
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A Modified Procedure to Diagnose Erectile Dysfunction Using the International Index of Erectile Function (IIEF-6) Combined With the Premature Ejaculation Diagnosis Tool (PEDT) via an Internet Survey.
一种通过互联网调查使用国际勃起功能指数(IIEF-6)结合早泄诊断工具(PEDT)诊断勃起功能障碍的改良方法。
Sex Med. 2022 Jun;10(3):100506. doi: 10.1016/j.esxm.2022.100506. Epub 2022 Apr 1.
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Clinical review of ejaculatory dysfunction.射精功能障碍的临床综述
Reprod Med Biol. 2019 Jul 24;18(4):331-343. doi: 10.1002/rmb2.12289. eCollection 2019 Oct.
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