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目的:评价使用前列腺剥离器(专利号为No:200420024030.8;No:200430015609.3)剥离式经尿道前列腺切除术(TUER-P)对前列腺增生(BPH)患者性功能的影响。方法:用勃起功能国际问卷(IIEF-15)评价患者术前术后性功能变化。选取146例患者,年龄在53~75岁,术前IIEF-15评分在29~68分的BPH患者,用专门的前列腺腺体剥离器行TUER-P,分别记录患者术后2、12个月的IIEF-15评分,对结果进行分析。结果:术后IIEF-15总分以及其中的5个领域中4个(性欲评分、勃起评分、总体满意度评分、相互满意度评分)有升高,与术前比较差异有统计学意义。性高潮满意度评分术后较术前有显著下降,主要是由于术后逆向射精的原因。结论:根据IIEF评分表,TUER-P对BPH患者的总体性功能有所改善,但是由于术后逆向射精的原因,患者术后性高潮满意度评分有显著降低。
PURPOSE: To evaluate the effect of TUER-P on the sexual function of patients with benign prostatic hyperplasia (BPH) using a prostate dissector (Patent No: 200420024030.8; No: 200430015609.3). Methods: The erectile function questionnaire (IIEF-15) was used to evaluate the changes of sexual function before and after operation. A total of 146 patients aged 53-75 years with preoperative IIEF-15 score of 29-68 were enrolled in this study. TUER-P was performed with a special prostate gland dissector to record the patients’ postoperative 2,12 months IIEF-15 score, the results were analyzed. Results: The postoperative total score of IIEF-15 and four of the five fields (sexual desire score, erection score, overall satisfaction score and mutual satisfaction score) increased, which was significantly different from preoperative. Orgasm satisfaction score was significantly decreased after surgery compared with preoperative, mainly due to postoperative ejaculation reasons. CONCLUSION: According to the IIEF score, TUER-P improves general function in patients with BPH, but because of postoperative ejaculation, the score of postoperative climax satisfaction is significantly lower.