不同前列腺增生手术对男性性功能的影响

Effects of different prostatic hyperplasia operation on male sexual function

目的研究前列腺增生症（BPH）不同手术方式对男性性功能的影响。方法收集2007年2月～2014年3月本院收治的BPH接受手术治疗且有配偶的患者253例，其中单纯经尿道前列腺电切手术（TURP）98例、经尿道前列腺气化电切（TUVP）76例、耻骨上经膀胱前列腺摘除术（SPPC）79例，追踪患者手术前、后性功能情况，以了解不同手术方式对性功能的影响。结果三种手术方式对患者性功能皆有不同程度的影响，其中经尿道前列腺电切手术对性功能的影响最小。结论TURP为对性功能影响最小的前列腺增生症最佳手术方式。

Objectives To study the different surgical methodsffect of benign prostatic hyperplasia（BPH） on male sexual function. Methods Collection of 253 BPH cases from our hospital who have spouses and also have undergone surgery treatments from February 2007 to March 2014. Among the 253 cases, 98 cases are traMs urethral resection of prostate（ TURP）, 76 cases are transurethral electrovaporization of prostate （TVP）, and 79 cases of su- prapubic transvesical prostatectomy. In this study, we compare their sexual functions before and after surgery treat- ments, so as to understand the impact of different surgical methods on sexual function. Results The three surgical methods all have varying degrees of impact on sexual function, of which TURP has the minimal impact. Conclu- sions TURP is the best surgical approach for prostatic hyperplasia which has the minimal impact on male sexual function.