摘要
目的研究采用钬激光前列腺剜除术(HoLEP)治疗良性前列腺增生患者对其术后射精功能和射精满意度的影响。方法采用问卷调查的方法,随访2016年10月至2019年8月云南省红河州第一人民医院泌尿外科收治的225例行HoLEP的患者作为研究对象。对其中年龄不超过75岁且手术前后有性生活史的166例患者进行问卷调查,最终纳入135例。比较患者术前术后国际勃起功能指数问卷表(IIEF)的勃起功能专项评分(IIEF-EF)。结果问卷患者中,术前勃起功能正常63例(46.7%),术后勃起功能正常84例(62.2%)。尽管术后勃起功能正常的84例患者中有60例(71.4%)有射精功能障碍,但无论射精与否,75例(89.3%)有射精快感。有射精经历患者的射精满意度明显高于没有射精经历患者。结论HoLEP术后对患者性功能有影响,问卷结果提示术后射精功能的改变可能影响射精的满意度。
Objective To study the effect of holmium laser enucleation of prostate(HoLEP)on postoperative ejaculation function and ejaculation satisfaction in patients with benign prostatic hyperplasia.Methods 225 HoLEP patients admitted to the Department of Urology of the First People′s Hospital of Honghe,Yunnan Province from October 2016 to August 2019 were selected as the research subjects and followed up.A questionnaire survey was conducted among 166 patients aged less than 75 years and with a sexual life history before and after surgery,and 135 patients were eventually included.The erectile function specific score(IIEF-EF)on the international index of erectile function(IIEF)before and after surgery was compared.Results Among the patients surveyed,63 cases(46.7%)had normal erectile function before surgery and 84 cases(62.2%)had normal erectile function after surgery.Although 60(71.4%)of 84 patients with normal erectile function had ejaculation dysfunction,75(89.3%)had ejaculation pleasure regardless of ejaculation.The ejaculation satisfaction of patients with ejaculation experience was significantly higher than that of patients without ejaculation experience.Conclusions HoLEP can affect the sexual function of patients after operation.The results of the questionnaire suggested that the changes of postoperative ejaculation function might affect the satisfaction of ejaculation.
作者
杨龙雨禾
邱学德
王跃强
张贵福
黄曦
杨智明
卫娜
YANG Longyuhe;QIU Xuede;WANG Yueqiang;ZHANG Guifu;HUANG Xi;YANG Zhiming;WEI Na(The Second Ward of the Department of Urology,the Second Affiliated Hospital of Kunming Medical University,Yunnan Province,YunnanProvince,Kunming 650032,Yunnan,China;Department of Urology,the First People′s Hospital of Honghe,Yunnan Province,Mengzi 661100,Yunnan,China)
出处
《中国性科学》
2021年第4期25-28,共4页
Chinese Journal of Human Sexuality
关键词
良性前列腺增生
钬激光前列腺剜除术
勃起功能障碍
射精功能
Benign prostatic hyperplasia
Holmium laser enucleation of prostate
Erectile dysfunction
Ejaculation function
