TVP与开放手术治疗前列腺增生症术后性功能比较(英文)  

Comparision of postoperative sexual function following TVP and open surgery for benign prostatic hyperplasia

作　　者：徐慧[1] 朱凯[1] 王福利 

机构地区：[1]山东省苍山县人民医院泌尿外科,277700 [2]Department of Urology

出　　处：《中国现代医学杂志》2003年第23期40-42,共3页China Journal of Modern Medicine

摘　　要：目的　比较经尿道前列腺汽化术 (TVP)、耻骨上前列腺摘除术 (SPP)治疗良性前列腺增生症(BPH)术对性功能的影响。方法　对 10 0例TVP及 10 0例SPP术后病人进行 12个月追踪观察 ,总结其术后阳萎及逆行射精发生率。结果　TVP与SPP术后阳萎发生率分别是 4 .35 % (3/6 9)和 10 .81% (8/74 ) ,逆行射精发生率分别是 4 4 .9% (31/6 9)和 4 1.9% (31/74 )。结论　此两种术式治疗BPH产生术后性功能损害TVP优于SPP(P <0 .0 1) ,逆行射精发生率无显著性差异 (P >0 .0 5 )。Objective:To observe the effects of transurethral vaporization for prostate (TVP) and suprapubic prostatectomy (SPP) on sexual function of the patients with benign prostatic hyperplasia (BPH).Methods:Followed up for 12 months, the incidences of postoperative impotence and retrograde ejaculation in 100 cases treated with TVP were compared with those in 100 cases treated with SPP.Results:The incidences of postoperative impotence were 4.35% (3/69) and 10.8% (8/74) in those cases treated with TVP and SPP respectively. And the corresponding incidences of retrograde ejaculation were 44.9% (31/69) and 41.1% (31/74)respectively.Conclusions: As for avoidance of postoperative sexual dysfunction after surgical treatment of BPH, TVP is superior to SPP (P< 0.01). There is no obvious difference between TVP and SPP on the incidence of retrograde ejaculation(P>0.05).

关 键 词：前列腺增生症 经尿道前列腺汽化术 耻骨上前列腺摘除术 性功能 

分 类 号：R697.3[医药卫生—泌尿科学]