Amat Cecilia M, Romero Pérez P, Omera-Arbash A R
Hospital Comarcal Marina Alta, Denia, Alicante, España.
Arch Esp Urol. 1993 Oct;46(8):683-7; discussion 687-8.
A retrospective study was conducted in 57 patients who had undergone surgery at our center for benign prostatic hyperplasia over a period of one year. Postoperative sexual activity and the presence or absence of antegrade ejaculation were determined. Of these patients, 19 had no sexual activity before or after the operation and were therefore excluded from the study. The surgical techniques utilized were transvesical adenomectomy in 27 cases and TUR in 11 cases. Three patients (8%) were impotent after surgery, the difference between the two surgical techniques not being statistically significant. Retrograde ejaculation was observed in 58% (70% of the patients who underwent open surgery and 27.2% of those who underwent TUR). We analyze the results reported elsewhere and underscore the need to conduct prospective studies on one or several techniques using the same terminology in order to draw more reliable conclusions.
我们对在本中心接受了为期一年的良性前列腺增生手术的57例患者进行了一项回顾性研究。确定了术后的性活动情况以及是否存在顺行射精。在这些患者中,19例在手术前后均无性活动,因此被排除在研究之外。所采用的手术技术为经膀胱腺瘤切除术27例,经尿道切除术11例。3例患者(8%)术后出现阳痿,两种手术技术之间的差异无统计学意义。58%的患者出现逆行射精(接受开放手术的患者中有70%,接受经尿道切除术的患者中有27.2%)。我们分析了其他地方报道的结果,并强调需要使用相同术语对一种或几种技术进行前瞻性研究,以便得出更可靠的结论。