不同术式治疗前列腺增生症对性功能影响的观察  

A comparative study on sexual function following different approaches of prostatic surgery on benign prostatic hyperplasia

作　　者：周林玉[1] 诸禹平[1] 肖峻[1] 吴斌[1] 吴奎[1] 张祖明[1] 陈友辉[1] 沈法林[1] 

机构地区：[1]安徽省立医院泌尿外科,合肥230001

出　　处：《中国男科学杂志》2003年第4期244-246,共3页Chinese Journal of Andrology

摘　　要：目的 比较3种不同术式治疗良性前列腺增生症(BPH)术后对性功能的影响。方法 对40例经尿道前列腺电切术(TURP)和60例耻骨上前列腺切除术(SPPC)与40例改良保留尿道前列腺切除术(MMPC)患者进行9个月的追踪观察,总结其术后勃起功能障碍(ED)及逆行射精发生率。结果 TURP组术后ED发生率增加了35％(14/40),逆行射精的发生率为50％;SPPC组和MMPC组术后ED的发生率分别增加了为33.33％(20/60)、7.5％(3/40),逆行射精的发生率分别为62.5％和16％。结论 在治疗前列腺增生症3种术式中,术后性功能损害MMPC组优于TURP组和SPPC组,逆行射精发生率MMPC组也优于其他术式。Objective To study the changes in sexual function following surgical treatment of benign prostatic hyperplasia with different approaches. Methods Followed-up by nine months, the incidences of postoperative erectile dysfunction and retrograde ejaculation were compared among 40 cases treated with transurethral electroresection of the prostate(TURP), 60 cases treated with suprapubic prostatectomy (SPPC) and 40 cases treated with modified Madigan prostatectomy (MMPC). Results The incidence of erectile dysfunction increases 35% (14/40), 33.33% (20/60) and 7.5% (3/40) in cases treated with TURP, SPPC and MMPC respectively. And the corresponding incidences of retrograde ejaculation were 50%, 62.5% and 16% respectively. Conclusions In a view of postoperative sexual dysfunction after surgical treatment of BPH, MMPC are superior to TURP and SPPC. The incidence of retrograde ejaculation after MMPC is the lowest one among three different approaches.

关 键 词：前列腺增生症 勃起功能障碍 射精 

分 类 号：R697.32[医药卫生—泌尿科学] R698[医药卫生—外科学]