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首页> 外文期刊>BJU international >Erectile function, sexual drive, and ejaculatory function after reconstructive surgery for anterior urethral stricture disease.
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Erectile function, sexual drive, and ejaculatory function after reconstructive surgery for anterior urethral stricture disease.

机译：尿道前狭窄疾病重建手术后的勃起功能，性欲和射精功能。

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OBJECTIVE: To evaluate the effect of urethral reconstructive surgery on sexual drive, erectile function and ejaculation. PATIENTS AND METHODS: The study group consisted of 52 men with a median (range) age of 44 (18-79) years who underwent 59 urethral reconstructive procedures for anterior urethral stricture disease between 2001 and 2004. We evaluated sexual functioning using the O'Leary Brief Male Sexual Function Inventory (BMSFI) before and after surgery. RESULTS: The mean (sd) follow-up was 22.3 (14.8) months. The mean BMSFI scores were only statistically significantly different for an improvement in ejaculation after surgery (P = 0.04). When separated by age, only the men aged 50-59 years reported decreased erectile function after surgery (P < 0.001) and only those aged <40-49 years reported an improvement in ejaculatory function (P = 0.05). Men at <1 year after surgery reported lower sexual drive (P = 0.025) and erectile function (P = 0.05) than men with longer periods of recovery. CONCLUSIONS: TheBMFSI is useful for evaluating sexual function after urethroplasty. Overall, the men did not report a decline in erectile function or sexual drive after surgery; however, older men might have a higher incidence of erectile dysfunction after surgery. Erectile function might recover with time. Younger men had the most pronounced improvement in ejaculatory function, but further studies are necessary to evaluate the clinical significance of this.
机译：目的：评价尿道再造术对性欲，勃起功能和射精的影响。患者与方法：研究组由52位中位（范围）年龄为44（18-79）岁的男性组成，他们在2001年至2004年间接受了59例尿道重建术以治疗前尿道狭窄疾病。我们使用O'评估了性功能Leary简介手术前后的男性性功能清单（BMSFI）。结果：平均随访时间为22.3（14.8）个月。对于手术后射精的改善，BMSFI的平均得分仅有统计学差异（P = 0.04）。按年龄分开时，只有50-59岁的男性在手术后勃起功能下降（P <0.001），而只有<40-49岁的男性在手术后射精功能得到改善（P = 0.05）。术后<1年的男性报告的性欲（P = 0.025）和勃起功能（P = 0.05）低于恢复期较长的男性。结论：BMFSI可用于评估尿道成形术后的性功能。总体而言，这些男人在手术后没有报告勃起功能或性欲下降。但是，老年男性手术后勃起功能障碍的发生率可能更高。勃起功能可能会随着时间恢复。年轻男性的射精功能改善最为明显，但是有必要进行进一步研究以评估其临床意义。

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