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首页> 外文期刊>The journal of sexual medicine >Orgasmic dysfunction after open radical prostatectomy: clinical correlates and prognostic factors.
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Orgasmic dysfunction after open radical prostatectomy: clinical correlates and prognostic factors.

机译：根治性前列腺切除术后高潮功能障碍：临床相关因素和预后因素。

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INTRODUCTION: Erectile function after radical retropubic prostatectomy (RRP) is extensively discussed in literature. However, less is known about orgasm after RRP. AIM: To analyze sexual function, in particularly orgasmic function, in men before and after RRP. METHODS: Between 1977 and 2007 a RRP was performed in 1,021 men. All men were interviewed by their follow-up physician using a standardized interview about sexual function before and after RRP at regular intervals during a 2-year follow-up. The questions were related to sexual interest, sexual activity, spontaneous erections, and orgasmic function. MAIN OUTCOME MEASURES: Sexual function, in particularly orgasmic function, before and after RRP. Factors potentially influencing orgasmic function, such as patients age, type of operation, pathological stage and continence status were analyzed for their predictive value. Results. Information about preoperative and postoperative sexual activity and spontaneous erection was available in 596 and 698 men, respectively. Additional questions were asked on sexual interest (N = 425) and orgasmic function (N = 458). Pre-operatively, sexual interest, sexual activity, spontaneous erections and orgasmic function were normal in 99%, 82.1%, 90.0% and 90% of men, respectively. After operation these values decreased to 97.2%, 67.3%, 29.4% and 66.8%, respectively. Orgasmic function was preserved in 141 of 192 men (73.4%) after a bilateral nerve sparing procedure, in 90 out of 127 men (70.9%) after a unilateral nerve-sparing procedure and in 75 of 139 men (54.0%) after non-nerve sparing technique. Postoperatively, orgasm was present in 123 (77.4%) men below the age of 60 years and in 183 (61.2%) men of 60 years and older (P < 0.0001). Orgasmic function was significantly affected by age >or=60 years, non-nerve sparing procedure and severe incontinence (more than two pads/day). CONCLUSIONS: After RRP, orgasmic function is still present in the majority of men. A non-nerve sparing operation, age, and severe urinary incontinence are risk factors for orgasmic dysfunction after RRP.
机译：简介：根治性耻骨后前列腺切除术（RRP）后的勃起功能已在文献中广泛讨论。但是，对RRP后的性高潮知之甚少。目的：分析RRP前后男性的性功能，特别是性高潮功能。方法：在1977年至2007年之间，对1,021名男性进行了RRP。在2年的随访中，所有男性均由其随访医师在RRP之前和之后定期接受有关性功能的标准化访谈，以进行性功能检查。这些问题与性兴趣，性活动，自发勃起和性高潮功能有关。主要观察指标：RRP前后的性功能，特别是性高潮功能。分析了可能影响性高潮功能的因素，例如患者年龄，手术类型，病理分期和节制状态，以预测其价值。结果。有关术前和术后性活动和自发勃起的信息分别在596和698名男性中提供。还询问了有关性兴趣（N = 425）和性高潮功能（N = 458）的其他问题。术前，男性的性兴趣，性活动，自发性勃起和性高潮功能正常，分别为99％，82.1％，90.0％和90％的男性。手术后，这些值分别降至97.2％，67.3％，29.4％和66.8％。双侧神经保留手术后192名男性中有141名（73.4％）保持了性高潮功能，单侧保留神经后127名男性中有90名（70.9％）保持了性高潮，139名男性中有75名（54.0％）的性高潮得以保留。保留神经的技术。术后，60岁以下男性中有123名（77.4％）高潮发生，60岁及以上男性中有183名（61.2％）高潮发生（P <0.0001）。性高潮功能受年龄大于或等于60岁，非神经保留程序和严重失禁（每天超过两个护垫）的影响。结论：RRP后，大多数男性仍存在性高潮功能。非神经保留手术，年龄和严重尿失禁是RRP后高潮功能障碍的危险因素。

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