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【目的】比较开放与腔内不同术式治疗良性前列腺增生症 (BPH)术后对性功能的影响。【方法】对 12 0例腔内经尿道前列腺电切术 (TURP)与经尿道前列腺汽化电切术 (TVP)和 80例包括膀胱耻骨上前列腺摘除术 (SPPC)与保留尿道前列腺切除术 (MPC)开放手术的BPH病人进行 9个月的追踪观察 ,总结其术后阳萎及逆行射精发生率。【结果】TURP与TVP术后阳萎发生率分别是 10 % (4 /41)和 5 % (2 /42 ) ,逆行射精发生率分别是 5 5 %和 5 1%。SPPC与MPC术后阳萎发生率分别是 10 % (3/31)和 3% (1/2 9) ,逆行射精发生率分别是 48%和 14%。【结论】治疗BPH的 4种术式术后性功能损害TVP和MPC优于TURP和SPPC ,逆行射精发生率MPC术式明显优于其他术式
【Objective】 To compare the effects of open and intraoperative different surgical treatment of benign prostatic hyperplasia (BPH) on sexual function. 【Methods】 TURP and TVP (transurethral resection of the prostate) were performed in 120 cases, including 80 cases of prostatic prostatectomy (SPPC) and retained urethral prostatectomy (MPC) BPH patients undergoing open surgery were followed up for 9 months to summarize the incidence of postoperative impotence and retrograde ejaculation. 【Results】 The incidence of impotence after TURP and TVP was 10% (4/41) and 5% (2/42) respectively. The incidence of retrograde ejaculation was 55% and 51% respectively. The incidence of impotence after SPPC and MPC was 10% (3/31) and 3% (1/2 9) respectively, and the incidence of retrograde ejaculation was 48% and 14%, respectively. 【Conclusion】 Four kinds of surgical treatment of BPH postoperative sexual dysfunction TVP and MPC better than TURP and SPPC, the incidence of retrograde ejaculation MPC surgery was significantly better than other procedures