超腺前列腺活检是否会影响性功能? 来自前性队列研究的结果
Kursat Kucuker1, Alper Simsek2, Mehmet Kirdar3
1Department of Urology, School of Medicine, Pamukkale University, Kınıklı, Denizli 20070, Türkiye.
Journal of clinical medicine
|February 13, 2026
概括
跨关前列腺活检通常可以保持性功能. 然而,在被诊断为前列腺癌的男性中,在手术后,勃起和射精功能可能会暂时下降.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 性健康 性的健康
- 在瘤学瘤学.
背景情况:
- 跨关节 (TP) 前列腺活检比跨直肠方法提供更低的并发症率.
- 有限的前性数据存在于TP活检对性功能的影响.
研究的目的:
- 在TP前列腺活检后前性评估短期勃起和射精功能.
- 在接受TP活检的性活跃男性中评估性健康结果.
主要方法:
- 对249名接受TP前列腺活检的男性进行前性观察性队列研究.
- 在基线,1个月和3个月使用IIEF-5,PEDT和MSHQ-EjD-SF评估的性功能.
- 活检指示包括PSA水平,DRE发现,或PI-RADS在MRI上的≥3个病变.
主要成果:
- 在整体队列中,勃起功能或射精功能没有显著变化.
- 132名被诊断为前列腺癌的男性在1个月和3个月后IIEF-5,PEDT和MSHQ-EjD-SF得分显著下降 (p < 0.001).
结论:
- 在一般人群中,TP前列腺活检对性功能的影响很小.
- 前列腺癌患者可能经历过时性功能的恶化活检后.
- 长期跟踪对于前列腺癌患者来说至关重要,以了解恢复模式.
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