Perera N D, Hill J T
Havering Hospitals NHS Trust, Romford, Essex, UK.
Ceylon Med J. 1998 Jun;43(2):74-7.
To evaluate the clinical incidence of sexual dysfunction after transurethral resection of the prostate (TURP) and to identify risk factors.
Havering Hospitals NHS Trust, Essex, UK.
253 patients who underwent TURP were assessed using a standard proforma regarding pre- and post-operative erectile and ejaculatory functions. The patients who developed post-operative erectile failure were compared with the unaffected group.
126 patients completed the study; 22 were pre-operatively impotent and remained so post-operatively. Of 104 patients who were sexually active 18 developed post-operative erectile impairment. Five patients (4.8%) had total erectile failure. Only 7% of patients retained ejaculation after the operation. Significant risk factors in the patients with post-operative erectile failure, were presentation with acute retention and development of profuse primary hemorrhage.
The study reaffirmed that there is a low but significant clinical incidence (4.8%) of erectile failure after TURP which is associated with certain risk factors. Ejaculatory failure was higher in incidence but carried a lower clinical significance.
评估经尿道前列腺切除术（TURP）后性功能障碍的临床发生率，并确定危险因素。
英国埃塞克斯郡哈弗林国民保健服务信托基金医院。
使用标准表格对253例行TURP的患者进行术前和术后勃起及射精功能评估。将术后出现勃起功能障碍的患者与未受影响的组进行比较。
126例患者完成研究；22例术前阳痿，术后仍如此。在104例性活跃的患者中，18例术后出现勃起功能障碍。5例患者（4.8%）完全勃起功能丧失。术后仅7%的患者仍有射精功能。术后勃起功能障碍患者的显著危险因素为急性尿潴留和大量原发性出血。
该研究再次证实，TURP术后勃起功能障碍的临床发生率较低但具有显著意义（4.8%），且与某些危险因素相关。射精功能障碍发生率较高，但临床意义较低。
