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目的 比较3种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40例经尿道前列腺电切术(TURP)和60例耻骨上前列腺切除术(SPPC)与40例改良保留尿道前列腺切除术(MMPC)患者进行9个月的追踪观察,总结其术后勃起功能障碍(ED)及逆行射精发生率。结果 TURP组术后ED发生率增加了35％(14/40),逆行射精的发生率为50％;SPPC组和MMPC组术后ED的发生率分别增加了为33.33％(20/60)、7.5％(3/40),逆行射精的发生率分别为62.5％和16％。结论 在治疗前列腺增生症3种术式中,术后性功能损害MMPC组优于TURP组和SPPC组,逆行射精发生率MMPC组也优于其他术式。
Objective To compare the effects of three different surgical procedures on benign prostatic hyperplasia (BPH) after surgery. Methods Totally 40 cases of TURP and 60 cases of suprapubic prostatectomy (SPPC) and 40 cases of modified retained urethroplasty (MMPC) were followed up for 9 months. The postoperative erection Dysfunction (ED) and retrograde ejaculation incidence. Results The incidence of postoperative ED in TURP group increased by 35% (14/40) and that of retrograde ejaculation was 50%. The incidence of postoperative ED in SPPC group and MMPC group increased by 33.33% (20/60) 7.5% (3/40), the incidence of retrograde ejaculation were 62.5% and 16%. Conclusions Among the three surgical procedures for the treatment of benign prostatic hyperplasia, postoperative sexual dysfunction in MMPC group is superior to that in TURP group and SPPC group. The incidence of retrograde ejaculation is also superior to other surgical procedures in MMPC group.