PDF(Pubmed)
Abstract：
UNASSIGNED: Preserving the sexual function of benign prostatic hyperplasia (BPH) patients and reducing the incidence of postoperative retrograde ejaculation are critical for BPH patients with sexual needs.
UNASSIGNED: To explore the effect of complete preservation of the seminal tract during transurethral prostatectomy (TURP) on reducing retrograde ejaculation in BPH patients.
UNASSIGNED: BPH patients meeting the inclusion criteria were randomly divided into the Control group (traditional TURP) and the Experimental group (complete reserved ejaculatory duct) in a ratio of 1 : 1. Finally, data of 64 BPH patients - 34 in the Control group and 30 in the Experimental group - were analyzed. We measured the preoperative and postoperative maximum urinary flow rate (Qmax), International Prostate Symptom Score (IPSS), Quality of Life (QOL) score, semen volume, and ejaculation function.
UNASSIGNED: Compared with pre-operation values, patients in the two groups exhibited increased Qmax and decreased IPSS and QOL scores after the operation. However, there was no significant difference in Qmax, IPSS, or QOL between the Control and Experimental groups after the operation. The two groups of patients had a significant reduction in postoperative ejaculation. Compared with the Control group, the semen volume of patients was higher, and the incidence of retrograde ejaculation was lower in the Experimental group.
UNASSIGNED: Prostatectomy with complete preservation of the seminal tract is not different from conventional electrosurgical resection in improving urination symptoms, while the incidence of retrograde ejaculation is significantly lower.
UNASSIGNED: To explore the effect of complete preservation of the seminal tract during transurethral prostatectomy (TURP) on reducing retrograde ejaculation in BPH patients.
UNASSIGNED: BPH patients meeting the inclusion criteria were randomly divided into the Control group (traditional TURP) and the Experimental group (complete reserved ejaculatory duct) in a ratio of 1 : 1. Finally, data of 64 BPH patients - 34 in the Control group and 30 in the Experimental group - were analyzed. We measured the preoperative and postoperative maximum urinary flow rate (Qmax), International Prostate Symptom Score (IPSS), Quality of Life (QOL) score, semen volume, and ejaculation function.
UNASSIGNED: Compared with pre-operation values, patients in the two groups exhibited increased Qmax and decreased IPSS and QOL scores after the operation. However, there was no significant difference in Qmax, IPSS, or QOL between the Control and Experimental groups after the operation. The two groups of patients had a significant reduction in postoperative ejaculation. Compared with the Control group, the semen volume of patients was higher, and the incidence of retrograde ejaculation was lower in the Experimental group.
UNASSIGNED: Prostatectomy with complete preservation of the seminal tract is not different from conventional electrosurgical resection in improving urination symptoms, while the incidence of retrograde ejaculation is significantly lower.
摘要：
■保留良性前列腺增生（BPH）患者的性功能，降低术后逆行射精的发生率对于有性需求的BPH患者至关重要。
■探讨经尿道前列腺切除术（TURP）中完全保留精道对减少BPH患者逆行射精的影响。
■符合纳入标准的BPH患者按1:1的比例随机分为对照组(传统TURP)和实验组(完全保留射精管)。最后,分析了64例BPH患者的数据-对照组34例和实验组30例。我们测量了术前和术后的最大尿流率（Qmax），国际前列腺症状评分（IPSS）生活质量（QOL）评分，精液体积,和射精功能。
■与操作前的值相比，两组患者术后Qmax升高，IPSS和QOL评分降低。然而,Qmax无显著差异,IPSS,术后对照组和实验组之间的QOL。两组患者术后射精量均有显著降低。与对照组相比,患者的精液体积较高，实验组逆行射精的发生率较低。
■完整保留精道的前列腺切除术在改善排尿症状方面与常规电切术没有什么不同，而逆行射精的发生率明显较低。
■探讨经尿道前列腺切除术（TURP）中完全保留精道对减少BPH患者逆行射精的影响。
■符合纳入标准的BPH患者按1:1的比例随机分为对照组(传统TURP)和实验组(完全保留射精管)。最后,分析了64例BPH患者的数据-对照组34例和实验组30例。我们测量了术前和术后的最大尿流率（Qmax），国际前列腺症状评分（IPSS）生活质量（QOL）评分，精液体积,和射精功能。
■与操作前的值相比，两组患者术后Qmax升高，IPSS和QOL评分降低。然而,Qmax无显著差异,IPSS,术后对照组和实验组之间的QOL。两组患者术后射精量均有显著降低。与对照组相比,患者的精液体积较高，实验组逆行射精的发生率较低。
■完整保留精道的前列腺切除术在改善排尿症状方面与常规电切术没有什么不同，而逆行射精的发生率明显较低。
