不同术式治疗良性前列腺增生症术后性功能比较

目的]比较开放与腔内不同术式治疗良性前列腺增生症(BPH)术后对性功能的影响.方法]对120例腔内经尿道前列腺电切术(TURP)与经尿道前列腺汽化电切术(TVP)和80例包括膀胱耻骨上前列腺摘除术(SPPC)与保留尿道前列腺切除术(MPC)开放手术的BPH病人进行9个月的追踪观察,总结其术后阳萎及逆行射精发生率.结果]TURP与TVP术后阳萎发生率分别是10%(4/41)和5%(2/42),逆行射精发生率分别是55%和51%.SPPC与MPC术后阳萎发生率分别是10%(3/31)和3%(1/29),逆行射精发生率分别是48%和14%.结论]治疗BPH的4种术式术后性功能损害TVP和MPC优于TURP和SPPC,逆行射精发生率MPC术式明显优于其他术式.

A Comparative Study on Sexual Function Following Different Approaches of Prostatic Surgery on Benign Prostatic Hyperplasia

To study the changes in sexual function following surgical treatment of benign prostatic hyperplasia(BPH) with open and endoscopic approaches. Followed up by nine months,the incidences of postoperative impotence and retrograde ejaculation were compared between 120 cases treated with open surgrey(TURP and TVP)and 80 cases treated with open surgery(SPPC and MPC). The incidences of impotence were 10%(4/41),5%(2/42),10%(3/31),and 3%(1/29) in cases treated with TURP,TVP,SPPC and MPC respectively.And the corresponding incidences of retrograde ejaculation were 32%,31%,25% and 5% respectively.Conclusion] In a view of postoperative sexual dysfunction after surgical treatment of BPH, TVP and MPC are superior to TURP and SPPC.The incidence of retrograde ejaculation after MPC is the lowest one among 4 different approaches.