[良性前列腺增生手术后逆行射精机制及预防措施的研究进展]。

Q4 Medicine 中华男科学杂志 Pub Date : 2023-12-01
Guo-Rong Yang, Kai-Kai Lü, Yang-Yang Wu, Tao Song
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引用次数: 0

摘要

良性前列腺增生症(BPH)是中老年男性的常见疾病。它的一线疗法是药物治疗。但随着病情的发展或药物的副作用,手术治疗将成为更好的选择。然而,无论是标准的经尿道前列腺切除术,还是基于各种激光平台或等离子技术的前列腺去核或切除术,在术后随访中都会导致逆行射精的高发生率。过去,逆行射精通常被认为是良性前列腺增生手术的代价。近年来,随着手术技巧的不断提高和新技术的出现,逆行射精引起了临床医生的重视。本文主要介绍良性前列腺增生手术后逆行射精的发生机制,以及降低术后逆行射精发生率的方法。这些方法主要包括各种改良手术,以及前列腺栓塞术、前列腺尿道上提术等新型微创技术。
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[Research progress on mechanism and preventive measures of retrograde ejaculation after benign prostatic hyperplasia surgery].

Benign prostatic hyperplasia (BPH) is a common disease in middle-aged and elderly men. It's first-line therapy is drugs. But with the progression of the disease or side effects of drugs, surgical treatment will become a better choice. However, either transurethral resection of the prostate, the standard procedure, or enucleation or resection of the prostate based on various laser platforms or plasma technologies cause a high incidence of retrograde ejaculation in their postoperative follow-up. In the past, retrograde ejaculation was usually regarded as the cost of benign prostatic hyperplasia surgery. In recent years, with the continuous improvement of surgical skills and the emergence of new techniques, retrograde ejaculation has aroused the attention of clinicians. This article mainly introduces the mechanism of retrograde ejaculation after benign prostatic hyperplasia surgery and the methods to reduce the incidence of retrograde ejaculation after surgery. These methods mainly include various modified surgery, as well as novel minimally invasive techniques such as prostate embolization and prostatic urethral lift.

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来源期刊
中华男科学杂志
中华男科学杂志 Medicine-Medicine (all)
CiteScore
0.40
自引率
0.00%
发文量
5367
期刊介绍: National journal of andrology was founded in June 1995. It is a core journal of andrology and reproductive medicine, published monthly, and is publicly distributed at home and abroad. The main columns include expert talks, monographs (basic research, clinical research, evidence-based medicine, traditional Chinese medicine), reviews, clinical experience exchanges, case reports, etc. Priority is given to various fund-funded projects, especially the 12th Five-Year National Support Plan and the National Natural Science Foundation funded projects. This journal is included in about 20 domestic databases, including the National Science and Technology Paper Statistical Source Journal (China Science and Technology Core Journal), the Source Journal of the China Science Citation Database, the Statistical Source Journal of the China Academic Journal Comprehensive Evaluation Database (CAJCED), the Full-text Collection Journal of the China Journal Full-text Database (CJFD), the Overview of the Chinese Core Journals (2017 Edition), and the Source Journal of the Top Academic Papers of China's Fine Science and Technology Journals (F5000). It has been included in the full text of the American Chemical Abstracts, the American MEDLINE, the American EBSCO, and the database.
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