Kunelius P, Häkkinen J, Lukkarinen O
Surgical Clinic, University of Oulu, Finland.
Urol Res. 1998;26(1):7-9. doi: 10.1007/s002400050015.
The purpose of this prospective study was to evaluate the sexual function of patients with benign prostatic hyperplasia (BPH) before and after transurethral resection of the prostate (TURP). The sexual functions of 155 patients with BPH were evaluated before TURP and 6 and 12 months afterwards. The mean age of the patients was 69 years (range 49-86 years). The only significant change in sexual function after TURP was improvement in early morning erections (P < 0.01). Sixty-eight per cent of the patients were satisfied with their sex life before TURP, 69% after 6 months and 67% after 12 months. The corresponding percentages of patients satisfied with their libido were 60%, 59% and 54%. Only 26% of the patients had completely satisfactory erections before TURP, while 22% had them 6 months later and 24% 12 months later. The proportion of fully impotent patients was 11% before the procedure, 13% after 6 months and 16% after 12 months. In 84% of the patients ejaculation was retrograde 6 months and 12 months after TURP. We conclude that TURP does not affect the sexual function of patients with BPH, with the exception of retrograde ejaculation.
这项前瞻性研究的目的是评估良性前列腺增生（BPH）患者经尿道前列腺切除术（TURP）前后的性功能。对155例BPH患者在TURP术前、术后6个月和12个月时的性功能进行了评估。患者的平均年龄为69岁（范围49 - 86岁）。TURP术后性功能唯一显著的变化是晨勃有所改善（P < 0.01）。68%的患者在TURP术前对性生活满意，术后6个月为69%，术后12个月为67%。对性欲满意的患者相应比例分别为60%、59%和54%。TURP术前只有26%的患者勃起完全满意，术后6个月为22%，术后12个月为24%。术前完全阳痿的患者比例为11%，术后6个月为13%，术后12个月为16%。84%的患者在TURP术后6个月和12个月出现逆行射精。我们得出结论，除逆行射精外，TURP不影响BPH患者的性功能。
