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首页> 外文期刊>BJU international >Urinary symptoms, quality of life and sexual function in patients with benign prostatic hypertrophy before and after prostatectomy: a prospective study.
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Urinary symptoms, quality of life and sexual function in patients with benign prostatic hypertrophy before and after prostatectomy: a prospective study.

机译：前列腺切除术前后良性前列腺肥大患者的泌尿症状，生活质量和性功能：一项前瞻性研究。

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OBJECTIVE: To evaluate urinary symptoms, sexual dysfunction and quality of life in patients with benign prostatic hypertrophy (BPH) before and after open prostatectomy, using the International Prostate Symptom Score (IPSS), the International Continence Society (ICS)-"BPH" (ICS-male, ICS-sex and ICS-QoL) and International Index of Erectile Function (IIEF) questionnaires. PATIENTS AND METHODS: Sixty men with BPH (mean age 68 years) underwent a digital rectal examination, transurethral ultrasonography, measurement of total prostatic specific antigen serum level and uroflowmetry. Their urinary symptoms, sexual function and quality of life were fully evaluated using the IPSS, ICS-"BPH" and IIEF before and 6 months after suprapubic prostatectomy. The body mass index (BMI) was also calculated for each patient. Univariate analysis was used to examine the relationship between symptom scores and age, tobacco use, alcohol intake and BMI. RESULTS: In a univariate analysis, age was the most important prognostic factor for both urinary and sexual symptoms. Prostatectomy resulted in a significant improvement in obstructive (mean 9.68 to 3.38) and irritative symptom (6.70 to 3.06), and quality-of-life scores (3.41 to 1.34). ICS-male scores were both significantly decreased, the mean voiding score from 13.72 to 10.28 and the incontinence score from 10.43 to 7.81. There was also a significant decrease in the ICS-QoL symptom score (from 9.20 to 7.27). Comparative results between IIEF and ICS-sex showed no improvement in sexual scores after open surgery, but there was a significant increase in sexual desire and overall satisfaction (both P = 0.035). CONCLUSIONS: The combined use of the IPSS, ICS-"BPH" and IIEF allows an evaluation of the relationship between age, prostatic symptoms and sexual dysfunction. Age may be considered both a direct and indirect (BPH-related) prognostic factor for sexual activity. Suprapubic prostatectomy resolves obstructive symptoms, and maintains sexual desire, overall sexual satisfaction and animprovement in quality of life. However, irritative symptoms, erection, orgasm and sexual intercourse satisfaction are not significantly altered.
机译：目的：使用国际前列腺症状评分（IPSS），国际自律学会（ICS）-“ BPH”（开放式前列腺切除术）评估前列腺增生症（BPH）开放前后前列腺癌患者的泌尿症状，性功能障碍和生活质量。 ICS-男性，ICS-性和ICS-QoL）和国际勃起功能指数（IIEF）问卷。患者与方法：60名BPH男性（平均年龄68岁）接受了直肠指检，经尿道超声检查，总前列腺特异性抗原血清水平的测定和尿流法。在耻骨上前列腺切除术之前和之后6个月，使用IPSSS，ICS-“ BPH”和IIEF对他们的泌尿症状，性功能和生活质量进行了全面评估。还为每位患者计算了体重指数（BMI）。单因素分析用于检查症状评分与年龄，吸烟，酒精摄入和BMI之间的关系。结果：在单因素分析中，年龄是泌尿和性症状的最重要预后因素。前列腺切除术可显着改善阻塞性（平均9.68至3.38）和刺激性症状（6.70至3.06）和生活质量评分（3.41至1.34）。 ICS男性得分均显着降低，平均排尿得分从13.72降低到10.28，尿失禁得分从10.43降低到7.81。 ICS-QoL症状评分也显着降低（从9.20降低到7.27）。 IIEF和ICS-sex之间的比较结果表明，开放手术后的性得分没有改善，但性欲和总体满意度显着提高（均为P = 0.035）。结论：IPSSS，ICS-“ BPH”和IIEF的联合使用可以评估年龄，前列腺症状和性功能障碍之间的关系。年龄可被认为是性活动的直接和间接（BPH相关）预后因素。耻骨上前列腺切除术可消除阻塞性症状，并保持性欲，总体性满意度和生活质量的改善。但是，刺激性症状，勃起，性高潮和性交满意度没有明显改变。

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