经尿道HoLEP 对患者勃起功能的影响

Effect of retaining urethral mucosa of proximal part of verumontanum in holmium laser enucleation of prostate

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。

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.