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目的评价经尿道双极等离子体前列腺汽化术(TUBVP)对良性前列腺增生症(BPH)患者性功能的影响。方法将符合条件的60例患者随机分成TUVP术组(28例)及TUBVP术组(32例)进行比较。用勃起功能国际问卷-5(ⅡEF-5)评估患者的勃起功能,分别统计两组术后6、9个月勃起功能障碍(ED)与逆行射精(RE)的发生率。结果获完整随访的患者TUVP组27例、TUBVP30例。两组患者的ED发生率在术后6个月分别为:TUVP组18.5%(5/27)、TUBVP组6.7%(2/30),术后9个月分别为11.1%(3例)、3.3%(1例);RE发生率在术后6个月和9个月均为TUVP组55.6%(15例)、TUBVP组53.3%(16例)。结论TUVP与TUBVP手术对阴茎勃起功能均有一定的影响,但TUBVP明显小于TUVP,两组RE发生率无明显差异。
Objective To evaluate the effect of transurethral bipolar plasma prostatic vaporization (TUBVP) on the sexual function of patients with benign prostatic hyperplasia (BPH). Methods Sixty eligible patients were randomly divided into TUVP group (n = 28) and TUBVP group (n = 32). The erectile function of the patients was evaluated by the International Erectile-Function Questionnaire-5 (ⅡEF-5). The incidences of erectile dysfunction (ED) and retrograde ejaculation (RE) were calculated at 6 and 9 months after operation. Results In the complete follow-up of TUVP group, 27 cases were treated with TUBVP, 30 cases. The incidence of ED in the two groups were 18.5% (5/27) in TUVP group and 6.7% (2/30) in TUBVP group at 6 months after operation, respectively, and 11.1% (3 cases) at 9 months after operation. 3.3% (1 case). The incidence of RE was 55.6% (15 cases) in TUVP group and 53.3% (16 cases) in TUBVP group at 6 months and 9 months after operation. Conclusions Both TUVP and TUBVP have some effects on penile erection, but TUBVP is obviously less than TUVP, and there is no significant difference in the incidence of RE between the two groups.