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[良性前列腺增生手术治疗后的性再适应]

[Sexual readaptation after the surgical treatment of benign prostatic hyperplasia].

作者信息

Goriunov V G, Davidov M I

出版信息

Urol Nefrol (Mosk). 1997 Sep-Oct(5):20-4.

PMID:9412007
Abstract

Sexual function was studied in 818 patients with benign prostatic hyperplasia (BPH) before and after surgical treatment of this disease. Before surgery, sexual activity was absent in 276 examinees. After surgery 4.3% of them retained erection, 95.7% remained impotent. 542 patients before operations were sexually active. Surgical treatment of BPH (transurethral resection, transvesical adenomectomy) creates grounds for deterioration of sexual function and risk of erection loss. Thus, 77 operated patients had no erection, 176 had weak libido, 159--insufficient erection, 244 retrograde ejaculation, 188 painful orgasm. Transurethral resection led to a complete loss of copulative function in 5.3% of patients, transvesical adenomectomy--in 9.9%. Sexual readaptation after transurethral resection and transvesical adenomectomy has been improved due to a special complex developed by the authors. This complex consists of 14 therapeutic and prophylactic procedures.

摘要

对818例良性前列腺增生(BPH)患者在手术治疗该病前后的性功能进行了研究。手术前,276名受检者无性行为。手术后,其中4.3%的人保留了勃起功能,95.7%的人仍然阳痿。542名手术前有性行为的患者。BPH的手术治疗(经尿道切除术、经膀胱腺瘤切除术)为性功能恶化和勃起功能丧失的风险创造了条件。因此,77例手术患者无勃起功能,176例性欲减退,159例勃起不足,244例逆行射精,188例性高潮疼痛。经尿道切除术导致5.3%的患者完全丧失性交功能,经膀胱腺瘤切除术导致9.9%的患者完全丧失性交功能。由于作者开发的一种特殊综合疗法,经尿道切除术和经膀胱腺瘤切除术后的性重新适应情况得到了改善。这种综合疗法包括14种治疗和预防程序。

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