Abstract：Objective:To evaluate the impact of transurethral plasmakinetic enucleation of the prostate (PKEP) and sildenafil treatment on sexual functions of the patients with benign prostatic hyperplasia (BPH).Methods:One hundred and sixty patients with BPH were divided into two groups randomly: plasmakinetic resection of the prostate (PKRP) group with 70 cases and PKEP group with 90 cases. Their libido, erectile function and ejaculation in the 6th and 12th month after operation were observed. For erectile dysfunction(ED) patients, therapeutic effect of long period and low dose sildenafil(25 mg,6 weeks) were evaluated.Results:The IIEF-5 of both groups decreased in the 6th and 12th month after operation, and no significant difference was found between them. In the 12th month, the incidence rate of ED and the incidence rate of RE of PKRP group and PKEP group were 7.14%(5/70), 7.78%(7/90) (P>0.05)and 52.86%(37/70), 25.56%(23/90) (P<0.05) respectively .The incidence rate of RE of PKEP group was lower than PKRP group. For 12 ED patients after long period and low dose sildenafil, no obvious side effects, 10(83.3%) had improved erections.Conclusions:Both PKRP and PKEP had influence on sexual function. There is no difference the incidence rate of ED between the two groups, but the incidence rate of RE of PKEP group was lower than PKRP group. For those ED patients, long period and low dose sildenafil may be an effective and safe way.
潘铁军, 刘波, 文瀚东, 沈国球, 涂忠, 钱卫红, 杨家荣. 保留膀胱颈的前列腺剜除术对性功能的影响及处理[J]. 微创泌尿外科杂志, 2013, 2(3): 192-194.
Pan Tiejun, Liu Bo, Wen Handong, Shen Guoqiu, Tu Zhong, Qian Weihong, Yang Jiarong. The impact of plasmakinetic enucleation of prostate with bladder neck reservation on sexual function and treatment. JOURNAL OF MINIMALLY INVASIVE UROLOGY, 2013, 2(3): 192-194.
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