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部分切除术和切除术对夫妇性功能的影响
Angelo Maurílio Fosse1, Mauro Romero Leal Passos1, Alex Schul1
1Serviço de Urologia do Hospital Universitário Antônio Pedro, Universidade Federal Fluminense - UFF, Niterói, RJ, Brasil.
阴茎癌手术后,性功能往往会下降,影响到夫妇. 尽管如此,许多人仍然保持活跃的性生活,尽管医疗保健提供者的支持和信息不足.
科学领域:
- 在瘤学瘤学.
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 性医学性医学性医学性医学
背景情况:
- 阴茎癌 (PC) 治疗,包括部分阴茎切除和眼切除,可以显著影响患者和伴侣的性功能.
- 了解长期性健康结果对于全面的患者护理至关重要.
研究的目的:
- 为了评估阴茎癌手术治疗后夫妇的性功能.
- 确定与手术后性活动相关的挑战和适应性策略.
主要方法:
- 一组由14对夫妇组成的队列,这些患者曾经接受过部分切除术或眼切除术,在手术后至少六个月接受了采访.
- 评估性功能是使用6项女性性功能指数 (FSFI-6) 对伴侣和勃起硬度得分 (EHS) 和国际勃起功能指数-5 (IIEF-5) 对患者进行评估.
主要成果:
- 所有男性患者保持性活跃;50%的患者经历了轻度勃起功能障碍 (IIEF-5).
- 超过85%的伴侣仍然性活跃,其中50%报告性功能障碍 (FSFI-6).
- 四名患者 (28.6%) 采用了适应性策略;夫妇表示对手术后性行为的医疗信息不满.
结论:
- 性功能障碍在阴茎癌手术后很常见,影响患者和伴侣.
- 尽管面临挑战,但大多数夫妇都保持着积极的性生活,伴侣经常达到高潮.
- 卫生保健专业人员在PC手术后对性健康进行的咨询不足.
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