性功能检测室在特殊类型插入障碍患者诊治中的作用

Sexual function inspection room for special penile insertion disorder

目的:为了明确性功能检测室在特殊类型插入障碍患者诊治中的作用。方法:2010年9月～2011年2月上海仁济医院男科门诊主诉为无法完成性生活的夫妇6对。均为婚后2～3个月内尝试性生活3～6次,因男方无法正常勃起而无法完成性交。女方不愿意继续尝试性生活,有离婚打算。使用上海市男科学研究所性功能检测室,对患者进行检测和性指导。该检测室有内外2间房间,分割墙上有半透镜一面,通过光线的变化,可由内间单向观察外间。检测时给予患者他达拉非20 mg口服诱导阴茎勃起后在外间进行血流多普勒超声检测。同时在内间女方可透过半透镜观察到男方的阴茎勃起,获得感官认识,此时指导医师再进行相关性指导以解除女方思想包袱。最后嘱患者尝试性生活。结果:6对夫妇均为女方性格急躁,男方内向。多普勒超声结果均提示阴茎血流正常。女方获得直观感受后,表示相信男方的勃起能力。随访1个月,所有夫妇均可正常进行性生活。结论:该类型的性功能检测室可使医师直接观察患者的勃起状况,通过给予女方直观感受,解除思想包袱,有利于进一步的性生活尝试,达到夫妻和睦的目的。

Objective ： To determine the role of the sexual function inspection room in the treatment of patients with special penile insertion disorder. Methods： This study included 6 couples received at the Andrology Clinic of Shanghai Renji Hospital from September, 2010 to February, 2011, who complained of being enable to accomplish sexual intercourse, all due to the husbands＇abnormal penile erection. The couples had tried to make love 3 to 6 times after getting married, but never succeeded. Consequently the wives were planning to divorce, unwilling to attempt sexual activity again. We performed examinations and sexual education for the pa- tients in the sexual function inspection room of Shanghai Institute of Andrology. The inspection room consisted of an inner and an outer section separated by a one-way transparent glass, through which what happened in the outer section could be observed from the inner section. The husband was given 20 mg of tadalafil to induce penile erection, followed by Doppler ultrasonographie determination of pe- nile hemodynamics. Meanwhile, the wife was allowed to observe her husband~ penile erection through the glass to get sensory stimuli and relieve the mental burden. In the end, the doctor advised the couple to try sexual intercourse. Results： In nature, the 6 wives were all impatient, while their husbands were all introverted. Doppler ultrasonography displayed normal penile hemodynamics. After sensory stimulation, the wives gained confidence in their husbands＇erectile function. A one month follow-up visit showed that all the 6 couples could perform sexual intercourse normally. Conclusion： This sexual function inspection room can help doctors and wives toobserve the status of the patient＇s penile erection, and meanwhile disburden the mind of the wives by giving them sensory stimuli, which contributes much to successful attempt at sexual intercourse. NatlJAndrol, 2012, 18 （3） ： 284-287