Ueda T, Egoshi K, Suzuki N, Mikawa K, Mori I
Department of Urology, Saiseikai Utsunomiya General Hospital.
Hinyokika Kiyo. 1994 Dec;40(12):1081-5.
The quality of life (QOL) after transurethral resection of the prostate (TURP) was studied. A total of 113 patients were operated and released, and 86 (76%) cases responded to the TURP follow-up survey. The average age was 69 years and the average time elapsed after the operation was 220 days. Data regarding the patients undergoing TURP was gathered from a questionnaire consisting of 22 questions concerning the preoperative condition and 28 about the post-operative state. Performance status was not changed post-TURP. The patients showed improvements in nocturia, pollakisuria and dysuria. These urological symptoms were in accordance with the findings of uroflowmetry and American Urological Association Symptom Index. Ten questions addressing the patients mental and physical conditions revealed that good quality was generally retained. Sexual activity showed a tendency of gradual decrease in relation to increasing age. Ejaculatory function and actual satisfaction with the sexual act were obviously damaged by the operation. TURP showed no changes in regard to morning erection, sexual desire in an arousing atmosphere, penile hardness at sex and total satisfaction with the sexual life. Social life, family life and mental status were not influenced, but the physical status of 21 (26%) of the patients was decreased by the operation and hospital stay. Over all, 78% of the patients could maintain a good quality of life in post-TURP.
对经尿道前列腺切除术（TURP）后的生活质量（QOL）进行了研究。共有113例患者接受手术并出院，其中86例（76%）对TURP随访调查作出了回应。平均年龄为69岁，术后平均时间为220天。有关接受TURP患者的数据来自一份问卷，该问卷包含22个关于术前状况的问题和28个关于术后状况的问题。TURP后患者的身体状况未发生变化。患者的夜尿、尿频和排尿困难症状有所改善。这些泌尿系统症状与尿流率测定结果及美国泌尿外科学会症状指数相符。针对患者心理和身体状况的10个问题显示，总体上保持了良好的生活质量。性活动呈现出随年龄增长逐渐减少的趋势。射精功能及对性行为的实际满意度因手术而明显受损。TURP在晨勃、性唤起时的性欲、性交时阴茎硬度及对性生活的总体满意度方面未显示出变化。社交生活、家庭生活和心理状态未受影响，但21例（26%）患者的身体状况因手术和住院而下降。总体而言，78%的患者在TURP后能够保持良好的生活质量。
