经尿道前列腺电汽化切割术后性功能影响的观察  

The Effect of Transurethral Electron and Vaporization of Prostate on Sexual Function

作　　者：高修智 余良群 吴寿洪 郑平旭 吴寿和 

机构地区：[1]汕头市潮阳区人民医院,广东汕头515100

出　　处：《国际医药卫生导报》2006年第14期60-62,共3页International Medicine and Health Guidance News

摘　　要：目的探讨前列腺增生患者经尿道前列腺电汽化切割术(TUVP)后的性功能状况与手术关系。方法随访术前性功能正常且术后配偶健在的前列腺切除患者60例。随访时间为术后6个月,对其手术前后性功能状况进行对比研究,并测定排尿功能。结果60例病人中,性欲无变化52例(86.7%),性欲下降3例(5%),性欲增强5例(8.3%)。阴茎勃起硬度无变化49例(81.7%),硬度下降6例(10%),硬度增强5例(8.3%)。正常射精35例(58.3%),射精量减少5例(8.3%),逆行射精20例(33.3%),勃起功能障碍(ED)1例(1.7%)。Qmax为16.8～23.7ml/s,平均21.6ml/s,IPSS为0～9.4分,平均4.8分,膀胱剩余尿为0～70ml,平均30ml。结论TUVP术后性功能方面比较明显的变化是逆行性射精。术中保留膀胱颈纤维环的完整性,保存前列腺包膜内薄层组织,以及精阜周围保留少量前列腺组织,有可能降低性功能障碍发生率。Objective To investigate the relationship of sexual function and operation of patients with benign prostatic hyperplasia （BPH） after transurethral electron and vaporization ablation of the prostate （TUVP）. Methods 60 patients , having healthy spouses after operation , with normal sexual function before TUVP were followed up for 6 months, and the result of sexual function before and after operation were compared ,and the urinary function was determined .Result In 60 patients, 52 （86. 7%） didn＇t become different on sexual function after TUVP, and 3 （5%） were found with decreased sexuality, and 5 （8.3%） were found with increased sexuality. In all patients , 49 （81.7%） didn＇t become different on the rigidity of penis after erection, and 6 （10%） were found with decreased rigidity, and 5 （8.3%） were found with increased rigidity. In 60 patients , 35 （58.3%） didn＇t become different on ejaculation, and the ejaculum of 5 cases （8.3%） were reduce , and 20 （33.3%） were found with retrograde ejaculation, 1 cases （1.7%）were found with erectile dysfunction（ED） .Q max was 16.8-23.7ml/s, an average was 21.6 ml/s,I PSS was 0-9.4 points , an average was 4.8 points. The surplus urine of the bladder was 0-70ml, An average was 30ml. Conclusion The difference of sexual function was more evidently on retrongrade ejaculation after TUVP .It can reduce the rate of sexual dysfunction , when operating, we retain the integrity of the friber hoop and a few tissue near prostate membrane and seminal mound.

关 键 词：前列腺增生 电汽化切割 性功能 

分 类 号：R699[医药卫生—泌尿科学]