PKRP、TUVP、SPP 3种前列腺切除术对阴茎勃起和射精功能的影响

目的 比较经尿道前列腺等离子双极电切术(PKRP)、经尿道前列腺汽化术(TUVP)和耻骨上前列腺切除术(SPP) 3种手术方式对BPH患者性功能的影响.方法 将符合此条件的121例前列腺切除患者进行随访,对手术前、后IPSS、性生活、勃起功能(IIEF-5)和射精情况(有无逆行射精、)予以评估.结果 (1)术后3个月3组IPSS评分均有显著下降;(2)3组术后的IIEF-5均有降低,其中SPP组有差异显著的统计学意义;(3) PKRP、TUVP、SPP 3组阴茎勃起功能障碍(ED)发生率分别为:8%、20%、30%:(4)TUVP组和SPP组术后逆行射精(RE)的发生率同术前比较有显著差异.结论 PKRP、TUVP、SPP术对患者性功能均有不同程度的影响,表现在阴茎勃起功能障碍 (ED) 和逆行射精 (RE),而PKRP对性功能的影响较轻.

Influences of SPP,TUVP and PKRP on sexual function of BPH patients

Objective To assess the effects of three types of prostatectomy such as transurethal plasma kinetic resection of prostate (PKRP),transuretheral vaporization of prostate (TUVP) and suprapubic prostatectomy(SPP) on sexual function of BPH patients.Methods Sexual function of 121 consecutive patients with BPH treated by three types of prostatecomy were followed-up and analyzed including IPSS,sexual life,erectile function (IIEF-5),ejaculatory function (retrograde ejaculation).Results (1) The score of IPSS in three groups all decreased significantly 3 months after operation;(2).Decrease of IIEF-5 of 3 groups were all found.But only SPP groups was found to be a significant difference in IIEF-5.(3) The incidence of erectile dysfunction in PKRP,TUVP and SPP group was 8%,20% and 30% respectively,there was a significant difference in the incidence of retrograde ejaculation before and after operation in TUVP and SPP group.Conclusion PKRP was superior to TUVP and SPP in erectile dysfuntion and retrograde ejaculation for BPH patients.