【摘要】 目的探讨保留精阜近端尿道黏膜在经尿道前列腺钬激光剜除术(HoLEP)中对患者勃起功能的影响。方法将2016年6月—2017年6月于江苏省盐城市第一人民医院收治的50例前列腺增生(BPH)患者随机分为两组,分别采用传统HoLEP和改良的HoLEP。检测其手术前后勃起功能的变化。结果两组患者术后勃起功能障碍(ED)发生率比较,差异有统计学意义(P<0.05)。结论改良的保留精阜近端尿道粘膜的HoLEP能够降低患者术后的ED发生率。更多还原

【Abstract】 Objective To study the effect of retaining the urethral mucosa of the prostate apex in transurethral holmium laser enucleation of prostate(HoLEP) on erectile function of the patients. Methods A total of 50 patients with benign prostatic hyperplasia(BPH) underwent conventional HoLEP or improved HoELP with retaining of urethral mucosa of the proximal part of verumontanum area in Yancheng First People’s Hospital from June 2016 to June 2017. The incidences of erectile dysfunction(ED) before and after surgery were measured. Results Compared to the conventional HoLEP, the improved HoLEP significantly reduced the ED rate after surgery(P < 0.05). Conclusions The improved HoLEP can reduce the ED rate after surgery. It is safe and easy to learn, and can be propagated in the future.更多还原