根治性膀胱切除术对男性勃起功能的影响  

THE INFLUENCE OF RADICAL CYSTECTOMY FOR BLADDER CANCER ON MALE ERECTILE FUNCTION

作　　者：董胜国[1] 于勤超[1] 闫靖中[1] 

机构地区：[1]青岛大学医学院附属医院泌尿外科,青岛266003

出　　处：《齐鲁医学杂志》2001年第3期186-187,共2页Medical Journal of Qilu

摘　　要：①目的　探讨传统的根治性膀胱切除术对男性勃起功能的影响。②方法　对因膀胱癌行根治性膀胱切除术手术前性功能正常 2 8例男性病人 (或其配偶 )进行手术前后性活动问卷调查 ,分析手术后的勃起功能状况、性功能障碍的原因以及性功能障碍与病人年龄、肿瘤分期的关系。③结果　 2 8例中 2 3例完全丧失性能力 ;2例保留一定的性活动能力 ;3例维持阴茎勃起 ,可以进行性交并获得性高潮 ,其接受手术时年龄分别为 36 ,43和 44岁 ,病理分期为T1期或T2 期。④结论　传统根治性膀胱切除术可以导致绝大多数男性病人勃起功能丧失 。Objective\ To study the influence of radical cystectomy on male erectile function. \ Methods\ 28 male patients , with normal sexual function before operation, undergoing radical cystectomies from 1990 to 1999 were interviewed and asked the patients and/or their wifes to fill a questionnaire about their pre opreative and post operative sexual activity. The erectile function after operation, the causes of sexual dysfunction as well as its correlation with patients age, pathologic stage of the cancer at operation were analysed. \ Results\ 23 of 28 patients failed to achieve any form of sexual activity ;2 cases continued to have some sexual ability ; only 3 cases had penile erection sufficient enough to have intercourse and orgasm. The ages of the 3 cases at operation were 36, 43 and 44 years with the pathologic stage of T 1 or T 2 respectively. \ Conclusion\ Nearly all patients were impotent after classic radical cystectomies . The erectile dysfunction mainly arised from injury to the branches of pelvic nerve plexus cavernous nerves.

关 键 词：膀胱肿瘤 膀胱切除术 男性 性功能障碍 

分 类 号：R737.14[医药卫生—肿瘤] R698[医药卫生—临床医学]