Erectile dysfunction after transurethral prostatectomy for lower urinary tract symptoms:results from a center with over 500 patients

瞄准：为良性的职业人员静电干扰增生(BPH ) 在前列腺(TURP ) 的经尿道切除术以后为可勃起的机能障碍(编辑) 识别可能的风险因素。方法：在 1999 年 3 月和 2004 年 3 月之间， 629 个病人为征兆的 BPH 的治疗在我们的部门经历了 TURP。所有病人经历了 transrectal 超声检查。另外，流动率，尿残余，国际前列腺症状分数(IPSS ) 和生命(QOL ) 的质量为没有一根导管，介绍了的那些被记录。最后，病人的可勃起的功能根据可勃起的功能仪器(IIEF-5 ) 问询表的国际索引被评估。在哪儿有不到 21 的一个全部的分数，被决定编辑存在。流动率， IPSS 和 QOL 评价在 3 和 6 个月被执行处理以后。IIEF-5 评价在 6 月的后续被重复。逻辑回归分析被用来鉴别潜力为编辑结果冒因素的风险：在基线， 522 (83%) 病人们回答了 IIEF-5 问询表。吝啬的耐心的年龄是(63.7+/-9.7 ) 年。编辑率是 65% 。在 6 个月以后，(88%) 459 从 522 个病人归还了 IIEF 问询表。这个组的其余部分从统计分析被排除。在 TURP 以后的六个月，报导编辑的病人的率增加了到 77% 。统计分析表明在 TURP 以后与最新报导的编辑联系的唯一的重要因素是糖尿病(P = 0.003， r = 3.67 ) 并且观察 intraoperative 胶囊的穿孔(P = 0.02， r = 1.12 ) 。结论：在 TURP 以后的手术后的、最新报导的编辑的发生是 12% 。为它的出现的风险因素是糖尿病和 intraoperative 胶囊的穿孔。

Aim： To identify possible risk factors for erectile dysfunction （ED） after transurethral resection of prostate （TURP） for benign prostatic hyperplasia （BPH）. Methods： Between March 1999 and March 2004, 629 patients underwent TURP in our department for the treatment of symptomatic BPH. All patients underwent transrectal ultrasound examination. In addition, the flow rate, urine residue, International Prostate Symptom Score （IPSS） and quality of life （QOL） were recorded for those who presented without a catheter. Finally, the erectile function of the patient was evaluated according to the International Index of Erectile Function Instrument （IIEF-5） questionnaire. It was determined that ED existed where there was a total score of less than 21. The flow rate, IPSS and QOL assessment were performed at 3 and 6 months post-treatment. The IIEF-5 assessment was repeated at a 6-month follow-up. A logistic regression analysis was used to identify potential risk factors for ED. Results： At baseline, 522 （83 %） patients answered the IIEF-5 questionnaire. The mean patient age was （63.7 ± 9.7） years. The ED rate was 65%. After 6 months, 459 （88%） out of the 522 patients returned the IIEF questionnaire. The rest of the group was excluded from the statistical analysis. Six months after TURP, the rate of patients reporting ED increased to 77 %. Statistical analysis revealed that the only important factors associated with newly reported ED after TURP were diabetes mellitus （P = 0.003, r = 3.67） and observed intraoperative capsular perforation （P = 0.02, r = 1.12）. Conclusion： The incidence of postoperative, newly reported ED after TURP was 12%. Risk factors for its occurrence were diabetes mellitus and intraoperative capsular perforation. （Asian J Androl 2006 Jan; 8： 69-74）