摘要
目的:探讨经尿道前列腺切除术后逆行射精的发生原因及治疗方法。方法:选择行经尿道前列腺切除术的患者40例,分为常规手术组和保留膀胱颈组,比较两组患者术后逆行射精的发生率,并探讨应用米多君治疗的疗效。结果:常规手术组和保留膀胱颈组分别有15(75%)例和8(40%)例术后出现逆行射精,两组间差异有统计学意义(P<0.05);应用米多君治疗后总有效率为73.9%,常规手术组有效率为60%,保留膀胱颈组有效率为100%,两组间差异有统计学意义(P<0.05)。结论:保留膀胱颈完整性可减少经尿道前列腺切除术后逆行射精的发生;米多君治疗可取得良好的临床疗效,对保留膀胱颈完整性的患者效果更优。
Objective The aim of this study was to explore the causes and treatment of retrograde ejaculation after transurethral resection of prostate.Method 40 patients undergoing transurethral prostatectomy were randomly divided into two groups:the conventional operation group and the bladder neck preserving group.The incidence of retrograde ejaculation after operation was compared between the two groups,and the effect of midodrine treatment was discussed.Results There were 15(75%)cases of retrograde ejaculation and 8(40%)cases of retrograde ejaculation in the routine operation group and the bladder neck preserving group,respectively,the difference between the two groups was statistically significant(P<0.05).The total effective rate after midodrine treatment was 73.9%,60%in the routine operation group and 100%in the bladder neck preserving group,the difference between the two groups was statistically significant(P<0.05).Conclusion Retention of bladder neck integrity can reduce the incidence of retrograde ejaculation after transurethral resection of prostate.Midodrine treatment can achieve good clinical effect,especially for patients with retention of bladder neck integrity.
作者
林英立
彭华
LING Ying-li;PENG Hua(Department of Urology,Xuzhou Cancer Hospital(The Third People’s Hospital of Xuzhou),Xuzhou 221005,China)
出处
《吉林医学》
CAS
2020年第7期1562-1564,共3页
Jilin Medical Journal
基金
江苏省青年医学重点人才项目[项目编号:QNRC2016395]。
关键词
前列腺增生
逆行射精
经尿道前列腺切除术
Benign prostatic hyperplasia
Retrograde ejaculation
Transurethral resection of prostate
