论文部分内容阅读
目的探讨在经尿道前列腺电切术中保留精阜近端部分前列腺尖部组织对低龄良性前列腺增生患者射精功能的保护作用。方法回顾性分析在本院接受前列腺电切术的患者,按照具体手术方式分为传统手术组和改良手术组(保留精阜近端部分前列腺尖部组织),分析其手术前后排尿情况的改变,包括最大尿流率(Q_(max))、残余尿量(PVR)、国际前列腺症状评分(IPSS),并观察其性功能情况的改变,包括逆行射精发生率、IIEF-5评分。结果共纳入低龄良性前列腺增生患者101例,术后随访6个月,Q_(max)、PVR、IPSS评分差异均有统计学意义(P<0.01),手术前后ⅡEF-5评分无显著差异,经典手术组逆行射精发生率为92.3%(n=48),改良手术组逆行射精发生率为12.2%(n=6),组间比较差异有统计学意义。结论经尿道前列腺等离子电切术中保存精阜近端部分前列腺尖部组织能够保护患者的射精功能,并且仍然能够有效地缓解患者的排尿症状。
Objective To investigate the protective effect of preserving the erectile function of benign prostatic hyperplasia (BPH) patients in patients with benign prostatic hyperplasia (BPH) by transurethral resection of the prostatic apex. Methods The patients undergoing prostatectomy in our hospital were retrospectively analyzed. According to the specific surgical methods, the patients were divided into two groups: the conventional surgery group and the modified surgery group (preserving the prostatic apex in the proximal part of Jingfu), and analyzing the changes of urination before and after surgery. Including the maximum flow rate (Q max), residual urine volume (PVR), International Prostate Symptom Score (IPSS), and observed changes in sexual function, including the incidence of retrograde ejaculation, IIEF-5 score. Results A total of 101 patients with benign prostatic hyperplasia (BPH) were enrolled in this study. The Q-max, PVR and IPSS scores were significantly different between the two groups (P <0.01). There was no significant difference between the two groups The incidence of retrograde ejaculation in the operation group was 92.3% (n = 48), and the incidence of retrograde ejaculation in the modified surgery group was 12.2% (n = 6). The difference between the two groups was statistically significant. Conclusions The transurethral resection of prostatic prostate with preservation of the prostatic apex in the proximal part of Jingfu can protect the patient’s ejaculation function and still be able to effectively relieve the patient’s urination symptoms.