Abstract：
BACKGROUND: The increasing number of subjects with benign prostate obstruction (BPO) has become a worldwide concern. The sexual problem after benign prostate enlargement (BPE) surgery that has received the most attention in the literature is ejaculation disorder. However, there appears to be a change in orgasmic sensation independent of ejaculation retention. The objective of our study is to explore the influence of BPE surgery on orgasmic function.
METHODS: We evaluated the prospective, multicenter clinical data of 104 patients undergoing BPE surgery who reported maintaining sexual activity from January 2016 to November 2020. The endpoint of this study was to decipher the percentage of patients with an orgasm disorder as assessed by the difference between pre-and-postoperative question 10 of the IIEF 15 questionnaire.
RESULTS: Orgasm function was stable, improved, and degraded in 34% (n=35), 30% (n=31), and 36% (n=38) respectively. A deterioration in orgasm was statistically significant in men who maintained quality ejaculation with retained force preoperatively and a high IIEF15 scale values preoperative of orgasmic function, overall and intercourse patient satisfaction.
CONCLUSIONS: To enable the patient to maintain a satisfying and healthy sex life after any BPE surgery, urologist physicians should know the prevalence of orgasmic side effects after surgical treatment to provide appropriate counseling to patients.
METHODS: Grade 4.
METHODS: We evaluated the prospective, multicenter clinical data of 104 patients undergoing BPE surgery who reported maintaining sexual activity from January 2016 to November 2020. The endpoint of this study was to decipher the percentage of patients with an orgasm disorder as assessed by the difference between pre-and-postoperative question 10 of the IIEF 15 questionnaire.
RESULTS: Orgasm function was stable, improved, and degraded in 34% (n=35), 30% (n=31), and 36% (n=38) respectively. A deterioration in orgasm was statistically significant in men who maintained quality ejaculation with retained force preoperatively and a high IIEF15 scale values preoperative of orgasmic function, overall and intercourse patient satisfaction.
CONCLUSIONS: To enable the patient to maintain a satisfying and healthy sex life after any BPE surgery, urologist physicians should know the prevalence of orgasmic side effects after surgical treatment to provide appropriate counseling to patients.
METHODS: Grade 4.
摘要：
背景：越来越多的良性前列腺梗阻（BPO）患者已成为全世界关注的问题。文献中最受关注的良性前列腺肿大（BPE）手术后的性问题是射精障碍。然而,高潮感觉似乎有变化，与射精保留无关。我们的研究目的是探讨BPE手术对性高潮功能的影响。
方法：我们评估了前瞻性，从2016年1月至2020年11月，接受BPE手术的104例患者的多中心临床数据报告性活动维持。这项研究的终点是通过IIEF15问卷的前和术后问题10之间的差异来评估性高潮障碍患者的百分比。
结果：性高潮功能稳定，改进,并降解34%(n=35)，30%(n=31)，分别为36%(n=38)。在术前保留力且性高潮前IIEF15量表值较高的男性中，性高潮的恶化具有统计学意义。总体和性交患者满意度。
结论：为了使患者在任何BPE手术后保持满意和健康的性生活，泌尿科医师应了解手术治疗后性高潮副作用的发生率，以便为患者提供适当的咨询。
方法：4级。
方法：我们评估了前瞻性，从2016年1月至2020年11月，接受BPE手术的104例患者的多中心临床数据报告性活动维持。这项研究的终点是通过IIEF15问卷的前和术后问题10之间的差异来评估性高潮障碍患者的百分比。
结果：性高潮功能稳定，改进,并降解34%(n=35)，30%(n=31)，分别为36%(n=38)。在术前保留力且性高潮前IIEF15量表值较高的男性中，性高潮的恶化具有统计学意义。总体和性交患者满意度。
结论：为了使患者在任何BPE手术后保持满意和健康的性生活，泌尿科医师应了解手术治疗后性高潮副作用的发生率，以便为患者提供适当的咨询。
方法：4级。
