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首页> 外文期刊>The journal of sexual medicine >Recovery of Erectile Function after Nerve-Sparing Laparoscopic Radical Prostatectomy in Japanese Patients Undergoing Both Subjective and Objective Assessments
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Recovery of Erectile Function after Nerve-Sparing Laparoscopic Radical Prostatectomy in Japanese Patients Undergoing Both Subjective and Objective Assessments

机译：接受主观和客观评估的日本患者神经保留腹腔镜根治性前列腺切除术后勃起功能的恢复

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Introduction. The sexual potency rate following a radical prostatectomy can vary. In Japanese patients, sexual activity after nerve-sparing prostatectomy seems especially unfavorable. Most studies have assessed potency status subjectively using questionnaires. Aims. The aim of this study is to evaluate the recovery of potency in Japanese patients after nerve-sparing laparoscopic prostatectomy (nsLRP) both subjectively and objectively. Methods. Twenty-seven patients operated on with nsLRP (bilateral sparing in four patients, unilateral in 23 patients) were enrolled. The mean age of the patients was 60.1 years. Seventeen of 27 patients used type 5 phosphodiesterase inhibitors on demand at least 3 months after surgery. Main Outcome Measures. Subjective erectile function was examined by the International Index of Erectile Function (IIEF)-15 and by the Erection Hardness Score (EHS) questionnaires before and at 3, 6, and 12 months after surgery. Objective erectile function, with measurement of rigidity and tumescence of the penis, was evaluated by RigiScan-Plus as the erectile response to audio-visual stimulation. Results. IIEF erectile function domain, IIEF-total, and EHS scores decreased significantly after surgery; they were almost half of pretreatment levels at 12 months after surgery. On the other hand, penile rigidity and tumescence measured by RigiScan also decreased significantly 3 months after surgery. However, these values gradually improved, and head nearly recovered at 12 months after surgery. At 12 months after surgery, recovery rates of penile rigidity and tumescence from baseline were rigidity 92.6% at tip and 96.3% at base, with tumescence of 87% at tip and 76% at base. Conclusions. Discrepancies were found between results of subjective and objective assessments of erectile function. From an objective viewpoint, the recovery of erectile function in Japanese patients after nsLRP was not bad.
机译：介绍。前列腺癌根治术后的性效能可能会有所不同。在日本患者中，保留神经的前列腺切除术后的性活动似乎特别不利。大多数研究使用问卷主观评估了效能状态。目的这项研究的目的是主观和客观地评估保留神经的腹腔镜前列腺切除术（nsLRP）后日本患者的效能恢复。方法。纳入了nsLRP手术的27例患者（双侧保留4例，单侧保留23例）。患者的平均年龄为60.1岁。 27名患者中有17名在手术后至少3个月内按需使用5型磷酸二酯酶抑制剂。主要观察指标。在手术前和手术后3、6和12个月，通过国际勃起功能指数（IIEF）-15和勃起硬度评分（EHS）问卷对主观勃起功能进行检查。 RigiScan-Plus评估了客观勃起功能，并测量了阴茎的刚度和肿胀，以评估其对视听刺激的勃起反应。结果。手术后IIEF勃起功能域，IIEF总得分和EHS得分明显降低;他们在手术后12个月时几乎达到了预处理水平的一半。另一方面，RigiScan测量的阴茎刚度和肿胀在术后3个月也显着下降。但是，这些值逐渐提高，并且在术后12个月时头部几乎恢复了。手术后12个月，阴茎刚度和肿胀从基线的恢复率分别为：尖端的刚度为92.6％，基础为96.3％，尖端的肿胀为87％，基础为76％。结论。发现勃起功能的主观和客观评估结果之间存在差异。从客观的角度来看，nsLRP后日本患者的勃起功能恢复还不错。

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