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目的:研究前列腺增生(BPH)术后病理组织学类型和性功能的关系。方法:回顾性研究从2003年1月至2003年11月已行不同手术式前列腺增生手术治疗的患者67例,主要以病历资料和勃起功能国际问卷5(IIEF5)评价患者手术前后性功能的变化。结果:BPH合并前列腺腺炎41例,其中5例术后IIEF5评价分增加,并且1例前列腺局部呈急性化脓性炎症的患者,术前重度勃起功能障碍(ED),术后恢复正常(>21分)。合并前列腺上皮内瘤10例,术后4例发生ED。16例BPH患者的性功能并无明显改变。结论:前列腺增生症术后病理组织学与性功能关系很明确。
Objective: To study the relationship between histopathological type and sexual function after benign prostatic hyperplasia (BPH). Methods: A retrospective study was performed on 67 patients who underwent different surgeries of benign prostatic hyperplasia from January 2003 to November 2003. The changes of sexual function before and after surgery were evaluated mainly by the medical history data and International Questionnaire for Erectile Function 5 (IIEF5) . Results: There were 41 cases of BPH complicated with prostatitis and 5 cases of postoperative IIEF5 score were increased. One case of acute purulent inflammation of the prostate was preoperative severe erectile dysfunction (ED), and the postoperative recovery was normal (> 21 Minute). 10 cases of prostate intraepithelial neoplasia, ED occurred in 4 cases. 16 cases of BPH patients with no significant change in sexual function. Conclusion: The relationship between histopathology and sexual function of benign prostatic hyperplasia is very clear.