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目的:探讨男性尿道狭窄手术对勃起功能以及性生活质量的影响因素。方法:回顾性分析326例行尿道重建手术男性患者的临床资料,并进行随访,分析年龄、尿道狭窄部位、长度、手术方式、手术次数、狭窄复发对术后勃起功能及性生活质量的影响。结果:共收集172例患者(52.8%)有效数据,平均随访时间28.5个月。手术后勃起功能(P=0.002)、性生活质量评分(P=0.026)较术前明显下降。术前56例(32.6%)患ED,术后88例患ED(51.2%),增加18.6%;术前勃起功能正常116例中有38例(32.8%)术后出现ED。结论:尿道狭窄部位、手术方式、术后尿道狭窄复发会降低尿道重建术后患者勃起功能、性生活质量。后尿道狭窄、采用经会阴途径尿道吻合患者术后ED发生率更大。勃起功能、性生活质量随着时间增长而逐渐改善。
Objective: To investigate the influencing factors of erectile function and sex life quality in male urethral stricture. Methods: The clinical data of 326 male patients undergoing urethroplasty were retrospectively analyzed and analyzed. The effects of age, location of urethral stricture, length, operation method, number of operations and stenosis on postoperative erectile function and sexual life quality were analyzed. RESULTS: A total of 172 patients (52.8%) were collected and the mean follow-up time was 28.5 months. Postoperative erectile function (P = 0.002), sexual life quality score (P = 0.026) decreased significantly compared with preoperative. There were 56 cases (32.6%) of preoperative ED, 88 cases of postoperative ED (51.2%), an increase of 18.6%; 38 cases (32.8%) of 116 cases with normal preoperative erectile function appeared ED after operation. Conclusion: The location of urethral stricture, operation mode and postoperative urethral stricture recurrence will reduce erectile function and sexual life quality after urethral reconstruction. Posterior urethral stricture, the adoption of the perineal urethral anastomosis in patients with a greater incidence of ED. Erectile function, sexual quality of life gradually improved with time.