前列腺扩裂术对良性前列腺增生患者性功能的影响

Effect of dilatation surgery of prostate on sexual function in benign prostatic hyperplasia patients

  • 摘要: 目的 探讨经尿道前列腺扩裂术对良性前列腺增生患者性功能的影响。 方法 选取良性前列腺增生患者93例随机分为对照组与研究组,对照组采用经尿道前列腺等离子电切术治疗,研究组采用经尿道前列腺扩裂术治疗,比较2组患者手术前后的勃起硬度评估(EHS)结果、早泄指数量表(IPE)评分、勃起功能评分及分度(ⅡEF-5)、逆行射精发生情况评分、射精疼痛发生情况评分。 结果 术后,研究组EHS评分(3.19±0.25)分、IPE评分(37.12±10.10)分、ⅡEF-5评分(17.91±4.82)分、逆行射精发生情况评分(1.86±0.51)分、射精疼痛发生情况评分(1.77±0.64)分均优于对照组,差异有统计学意义(P<0.05)。 结论 相较于经尿道前列腺等离子电切术,前列腺扩裂术对患者术后性功能的影响显著更小。

     

    Abstract: Objective To investigate the effect of dilatation surgery of prostate on sexual function in patients with benign prostatic hyperplasia. Methods A total of 93 patients with benign prostatic hyperplasia were divided into observation group and study group. The control group was treated with transurethral prostate plasma electrotomy, and the study group was transurethral prostate dilatation surgery. Results of erectile stiffness assessment(EHS), premature ejaculation index(IPE), erectile function score and indexing(ⅡEF-5), incidence of retrograde ejaculation, and ejaculation pain rate before and after surgery were compared. Results The postoperative EHS of the study group scored(3.19±0.25)points, IPE scored(37.12±10.10)points, ⅡEF-5 scored(17.91±4.82)points, retrograde ejaculation scored(1.86±0.51)points, ejaculation pain scored(1.77±0.64)points, which were significantly better than the control group, the differences were statistically significant(P<0.05). Conclusion Compared with transurethral plasma resection of prostate, the effect of dilatation surgery of prostate has minor impact on sexual function.

     

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