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前列腺尺寸及其对LUTS和勃起功能的影响:长度是缺失的环节吗?

Daniel Porav-Hodade^1,2,3, Mihai Dorin Vartolomei⁴, Toader Septimiu Voidazan⁵

¹Department of Urology, George Emil Palade University of Medicine, Pharmacy, Science, and Technology of Târgu Mureș, 540139 Târgu Mureș, Romania.

Journal of clinical medicine

|December 17, 2024

概括

前列腺长度与下泌尿道症状 (LUTS) 和勃起功能 (IIEF) 相相关. 虽然前列腺体积随着年龄的增长而增加,影响LUTS和IIEF,但高血压和糖尿病等常见风险因素没有显著影响,除了心血管疾病.

科学领域:

泌尿器科泌尿器科泌尿器科泌尿器科
安德罗学与人类学
老年学是一门学科.

背景情况:

前列腺健康显著影响男性的生活质量,影响尿路和性功能.
与前列腺体积和相关症状的年龄相关的变化在老年男性中很常见.
了解前列腺尺寸,下泌尿道症状 (LUTS) 和勃起功能 (IIEF) 之间的相关性对于患者管理至关重要.

研究的目的:

为了研究前列腺体积,尺寸 (宽度,高度,长度),LUTS和IIEF之间的关系.
评估风险因素 (高血压,糖尿病,心血管疾病,吸烟,酒精,PSA) 对LUTS和IIEF的影响.
为了确定哪些前列腺尺寸与LUTS和性功能相关.

主要方法:

对943名40岁以上的男性患者进行了回顾性多中心研究.
使用IPSS和QoL问卷对LUTS进行评估.
通过超声波评估IIEF-15,PSA水平和前列腺尺寸的性功能.

主要成果:

前列腺特异性抗原 (PSA),IPSS和前列腺体积随着年龄的增长而增加,而IIEF则下降.
IPSS与前列腺体积和年龄正相关;IIEF与前列腺体积和年龄负相关.
前列腺长度与IPSS显著相关 (p=0.011),而宽度和长度与IIEF相关.
心血管疾病对中度至严重症状的患者显著影响IPSS和IIEF.

结论:

前列腺体积,IPSS和IIEF是相关的,前列腺长度是两者的重要因素.
PSA 水平随着年龄的增长而增加,前列腺体积影响尿路和性功能.
高血压,糖尿病,吸烟和饮酒并没有显著影响LUTS或勃起功能,与心血管疾病不同.

关键词:

在IIEF中,它是IIEF.在IPSS中,我们可以使用IPSS.路特斯 (Luts) 是一个这就是为什么PSAPSAPSA.酒精消费酒精消费酒精消费心血管疾病心血管疾病在糖尿病中,糖尿病是血糖性糖尿病.勃起功能勃起功能的功能这种高血压,高血压.这是前列腺的长度.前列腺的体积,前列腺的体积.吸烟是为了吸烟.

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