心理治疗对前列腺电汽化术后勃起功能恢复的价值

Improvement of penile erectile function following transurethral electrovaporization of the prostate by psychotherapy

目的探讨心理治疗对前列腺电汽化术后勃起功能恢复的作用。方法共183例患者,其中治疗组81例,对照组102例,通过问卷调查的方式,用勃起功能国际问卷-5(IIEF-5)对TUVP患者心理治疗组以及对照组术前、术后(3、6、12月)阴茎勃起功能情况进行评分。结果随访1年,两组患者手术前后IIEF-5评分均有明显下降,治疗组由术前平均14.7分降至11.8分(P<0.05),对照组由术前平均15.1分降至8.5分(P<0.05),虽然术后3月两组间的IIEF-5评分没有差异性,但是在术后6月及12月治疗组患者阴茎勃起功能恢复状况明显高于对照组(P<0.05)。结论前列腺电汽化术后勃起功能的下降是多因素引起的,但通过对患者的心理治疗与心理调节对手术后阴茎勃起功能恢复有积极的促进作用。

Objective To investigate the effect of psychotherapy in improvement of penile erectile function following transurethral electrovaporization of the prostate（TUVP）. Methods All patients were divided into two groups, 81 cases in therapy group and 102 cases in control group. Penile erectile function was to surveyed preoperative and postoperative （3, 6, 12, months） respectively in patients undergoing TUVP by the International Index of Erectile Function 5 （HEF-5）. Results After 1 year, the score of postoperative HEF-5 was lower than preoperative significantly （P〈0.05） in both groups. The HEF-5 scores were not significant different between therapy group and control group in 3 months postoperation, but the improvement of penile erectile function in therapy group was better than that in control group after 6 and 12 months postoperation respectively （P〈0.05）. Conclusion There are a lot of factors to induce erectile dysfunction postoperatively, but erectile dysfunction can be improved by psychotherapy.