经尿道柱状水囊前列腺扩裂术对良性前列腺增生症患者尿道功能及性功能的影响

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Abstract Objective To explore the influence of transurethral columnar balloon dilation of prostate on urethral function and sexual function in patients with benign prostatic hyperplasia.Methods A total of 96 elderly patients with benign prostatic hyperplasia admitted to the Department of Urology of People′s Hospital of Hechuan District in Chongqing City from May 2017 to July 2019 were selected and divided into the control group(n=48)and the observation group(n=48)according to random number table method.The control group was treated with transurethral plasmakinetic resection of prostate,and the observation group was treated with transurethral columnar balloon dilation of prostate.The operation time,intraoperative blood loss,hospitalization time,postoperative indwelling catheter time,continuous bladder irrigation time,residual urine volume(RUV),maximum urinary flow rate(Qmax),quality of life(QOL)score,international prostate symptom score(IPSS),international erectile function index(IIEF-5)and sexual function improvement were compared between the two groups.Results The operation time,hospitalization time,indwelling catheter time and continuous bladder irrigation time in the observation group were shorter than those in the control group,and the amount of bleeding during operation in the observation group was less than that in the control group,and the differences were statistically significant(P＜0.05).The RUV,QOL and IPSS scores of the two groups after operation were lower than those before operation,and the Qmax of the two groups after operation was higher than that before operation(P＜0.05).There were no significant differences in IPSS,QOL,RUV and Qmax between the two groups after operation(P＞0.05).The IIEF-5 score of the observation group after operation was better than that of the control group,and the incidence rates of erectile rigidity,sexual dysfunction and retrograde ejaculation of the observation group after operation were lower than those of the control group(P＜0.05).Conclusion Transurethral columnar balloon dilation of prostate can improve the therapeutic effect of patients with benign prostatic hyperplasia,with less damage and quicker recovery.It is helpful for retention of male sexual function,and improve the patients quality of life,so it can be used for a better choice in the trement of patients with benign prostatic hyperplasia.

Key words： Transurethral columnar balloon dilation of prostate Benign prostatic hyperplasia Urethral function Sexual function

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	Articles by authors
	ZHANG Si-zhou
	XU Shi-tian
	PAN Jun-cheng
	HUANG Xiao-long

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ZHANG Si-zhou,XU Shi-tian,PAN Jun-cheng, et al. Influence of transurethral columnar balloon dilation of prostate on urethral function and sexual function in patients with benign prostatic hyperplasia[J]. 中国当代医药, 2021, 28(13): 112-115.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2021/V28/I13/112

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