[良性前列腺增生症手术治疗后的射精障碍]
M N Rustamov1,2,3, O F Galiullin1,2,3, A Z Vinarov1,2,3
1Institute of Urology and Human Reproductive Health, FGAOU VO I.M. Sechenov First Moscow State Medical University, Moscow, Russia.
Urologiia (Moscow, Russia : 1999)
|July 4, 2023
概括
良性前列腺增生症 (BPH) 的手术治疗显著影响射精,逆行性射精和无射精在手术后变得普遍. 这些射精障碍会对患者产生负面影响.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 男人的健康 男人的健康
- 性医学性医学性医学性医学
背景情况:
- 射精障碍影响了62%-75%的BPH手术后患者,影响了他们的生活质量.
- 对BPH的激光手术尚未完全解决高频率的射精功能障碍.
- 了解这些疾病对于患者的咨询和管理至关重要.
研究的目的:
- 在手术治疗前和后,调查下尿路症状/良性前列腺增生 (LUTS/BPH) 的患者中射精障碍的性质和患病率.
- 为了评估BPH常见手术后的射精功能变化.
主要方法:
- 对224名男性 (年龄在49-84岁) 进行前列腺激素核切除前列腺增生 (ThuLep),常规TURP或开放性前列腺切除术的前性研究.
- 使用男性性健康问卷 (MSHQ-EjD) 和手术前和后 (3个月和6个月) 的CriPS问卷评估的射精功能.
- 后性高潮尿液分析用于诊断逆行性射精和无射精.
主要成果:
- 在手术前,射精障碍包括射精体积减少 (48.2%),强度降低 (47.3%),疼痛 (17%),早泄 (15.2%) 和射精延迟 (11.6%).
- 手术后 (3个月),逆行性射精发生在34.8%的患者中,而无射精发生在40.2%的患者中.
- 在那些保持了先排精的女性中,20.5%报告体积下降,16.1%报告强度下降.
结论:
- 在BPH前的手术中,射精问题很常见,主要是减少体积和强度.
- 经BPH手术后,逆行性射精和无射精成为主要的射精障碍.
- 对BPH的手术干预显著改变了射精功能,需要进一步研究射精节约技术.
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