PKRP与TURP前列腺电切术对性功能的影响程度

Comparative study on sexual function of patients after PKRP and TURP

目的:探讨等离子双极电切(PKRP)与前列腺单极电切(TURP)治疗前列腺增生(BPH)术后对性功能的影响程度及其它相关影响因素。方法:将我院2008年至2013年经尿道前列腺电切术后的患者226例分为PKRP105例、TURP121例两组,采用勃起功能国际问卷(IIEF25)调查和阴茎硬度测试患者术前术后性功能变化,对术前与术后包括性欲、阴茎勃起硬度、逆行性射精等情况进行比较,分析两种手术对性功能的影响程度。结果:两组病例显示经尿道前列腺等离子切除术(PKRP)与经尿道前列腺电切术(TURP)均对性功能有一定的影响,但两组之间有差异(P<0.05)。结论:两种手术方法对性功能都有不同程度的影响,PKRP对性功能的影响小于TURP,术前术后心理干预也十分重要。

Objectives： To study the changes in sexual function and the influencing factors of penile erectile fimetion after surgical treatment of Benign Prostate Hyperplasia （BPH） using Trans Urethral Resection of Prostate （TURP） and Plasmakinetic Resection of the Prostate （PKRP）. Methods： 226 patients with BPH in our hospital from 2008 to 2013 were randomized into two groups： group one （n = 105 ） was treated with TURP and group two （n = 121 ） was treated with PKRP. The sexual function of both groups was compared using the International Index of Erectile Function （IIEF- 5 ） score and tumescence and rigidity assessment before and after operation three months later. Results： Either PKRP or TURP affected the sexual function of patients, with a significant difference in sexual function between two groups （ P 〈 0.05 ）. Conclusions： In terms of sexual function after surgical treatment of BPH, PKRP is superior to TURP, and the mental intervention before and after operation is also very important.