全前列腺切除术后勃起功能障碍:患者的发生率、期望和生活经历

O. Montaigne , A. Descazeaud
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引用次数: 1

摘要

修复研究包含了许多关于根治性前列腺切除术后勃起功能障碍发生率的数据,以及患有性功能障碍的患者的观点。首先,80%的患者在手术前泌尿科医生会告诉他们根治性前列腺切除术对性行为的影响。在手术前的三个月里,92%和75%完成问卷调查的患者分别有过勃起和性交。采用腹腔镜或开放式技术进行根治性前列腺切除术似乎不会影响术后勃起功能障碍的发生率(92%)。与泌尿科医生在问卷中的报告相反,患者认为勃起功能障碍比泌尿系统疾病更重要。此外,61%的患者报告说,他们希望在手术后的前三个月接受勃起功能障碍治疗,这比泌尿科医生认为的要早。最后,在Repair研究中,如果患者在性功能障碍手术后及早处理,勃起功能恢复会更容易。
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Dysfonction érectile apèr s prostatectomie totale : incidence, attente et vécu des patients

The Repair study contains many data regarding the incidence of erectile dysfunction following radical prostatectomy, and the point of view of patients who undergo sexual disorders. First, it appears that 80% of patients are given information by their urologist before surgery about sexual consequences of radical prostatectomy. During the three months before surgery, 92% and 75% of patients who completed the questionnaires have had erections and sexual intercourse, respectively. Using the laparoscopic approach or the open technique for radical prostatectomy appears not to influence the incidence of erectile dysfunction following surgery that is 92%. Contrary to what the urologists report in the questionnaires, the patients consider erectile dysfunction more important than urinary disorders. In addition, 61% of patients report that they would like to be treated for erectile dysfunction during the first three months following surgery, which is earlier than the urologists consider. Finally, it appears in the Repair study that erectile function recovery is easier when patients are managed early after surgery for their sexual disorders.

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Annales D Urologie
Annales D Urologie 医学-泌尿学与肾脏学
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