{"title":"评估下尿路症状伴良性前列腺增生患者性功能障碍的发生率以及各种治疗方法对性功能的影响。","authors":"Jagamohan Mishra, Sunirmal Choudhury, Subham Sinha, Gourab Kundu, Partha Protim Mondal, Malay Bera","doi":"10.1177/03915603241254717","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>Sexual dysfunction affects a couple's relationship and quality of life of the patient and the partner irrespective of age. In Lower urinary tract symptoms (LUTS) with benign prostatic hyperplasia (BPH), sexual dysfunction is highly prevalent. This study aims to evaluate prevalence of sexual dysfunction in patients having LUTS with BPH and effect of various treatment on it.</p><p><strong>Materials and methods: </strong>The study is hospital based prospective cross-sectional study. Total 106 patients were included in this study. Fifty-six patients underwent medical treatment and 50 patients underwent transurethral resection of prostate (TURP) according to lower urinary tract symptom score along with grades of prostate. We measured prevalence of lower urinary tract symptoms, erectile dysfunction (ED), ejaculatory dysfunction (EJD).We compared the pre and post treatment ED, EJD scores in both medical and TURP group.</p><p><strong>Result: </strong>In our study, 11 (10.4%) patients had very mild ED, 12 (11.3%) had mild ED, 54 (50.9%) had moderate ED and 23 (21.7%) had severe ED. In our study, 11 (10.4%) patients had very mild EJD, 7 (6.6%) had mild EJD, 28 (26.4%) had moderate EJD and 2 (1.9%) had severe EJD. In medical group, ED pre-treatment versus ED post treatment was statistically significant (<i>p</i> = 0.0046), treatment of LUTS improves ED. EJD pre-treatment versus EJD post treatment was not statistically significant (<i>p</i> = 0.8368), treatment of LUTS associated with deterioration of EJD. In TURP group association of ED pre-treatment versus ED post treatment was statistically significant (<i>p</i> = 0.0319). Post TURP patients shows improvement in ED Association of EJD pre-treatment versus EJD post-treatment was statistically significant (<i>p</i> = 0.03000). Post TURP EJD deteriorate.</p><p><strong>Conclusion: </strong>We concluded that the severity of sexual dysfunction correlates with severity of LUTS. Ejaculatory function deteriorates after treatment of TURP compared to medical.</p>","PeriodicalId":23574,"journal":{"name":"Urologia Journal","volume":" ","pages":"715-719"},"PeriodicalIF":0.8000,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Assessment of prevalence of sexual dysfunction in patients having lower urinary tract symptoms with benign prostatic hyperplasia and effect of various treatment modalities on sexual function.\",\"authors\":\"Jagamohan Mishra, Sunirmal Choudhury, Subham Sinha, Gourab Kundu, Partha Protim Mondal, Malay Bera\",\"doi\":\"10.1177/03915603241254717\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Introduction: </strong>Sexual dysfunction affects a couple's relationship and quality of life of the patient and the partner irrespective of age. In Lower urinary tract symptoms (LUTS) with benign prostatic hyperplasia (BPH), sexual dysfunction is highly prevalent. This study aims to evaluate prevalence of sexual dysfunction in patients having LUTS with BPH and effect of various treatment on it.</p><p><strong>Materials and methods: </strong>The study is hospital based prospective cross-sectional study. Total 106 patients were included in this study. Fifty-six patients underwent medical treatment and 50 patients underwent transurethral resection of prostate (TURP) according to lower urinary tract symptom score along with grades of prostate. We measured prevalence of lower urinary tract symptoms, erectile dysfunction (ED), ejaculatory dysfunction (EJD).We compared the pre and post treatment ED, EJD scores in both medical and TURP group.</p><p><strong>Result: </strong>In our study, 11 (10.4%) patients had very mild ED, 12 (11.3%) had mild ED, 54 (50.9%) had moderate ED and 23 (21.7%) had severe ED. In our study, 11 (10.4%) patients had very mild EJD, 7 (6.6%) had mild EJD, 28 (26.4%) had moderate EJD and 2 (1.9%) had severe EJD. In medical group, ED pre-treatment versus ED post treatment was statistically significant (<i>p</i> = 0.0046), treatment of LUTS improves ED. EJD pre-treatment versus EJD post treatment was not statistically significant (<i>p</i> = 0.8368), treatment of LUTS associated with deterioration of EJD. In TURP group association of ED pre-treatment versus ED post treatment was statistically significant (<i>p</i> = 0.0319). Post TURP patients shows improvement in ED Association of EJD pre-treatment versus EJD post-treatment was statistically significant (<i>p</i> = 0.03000). Post TURP EJD deteriorate.</p><p><strong>Conclusion: </strong>We concluded that the severity of sexual dysfunction correlates with severity of LUTS. Ejaculatory function deteriorates after treatment of TURP compared to medical.</p>\",\"PeriodicalId\":23574,\"journal\":{\"name\":\"Urologia Journal\",\"volume\":\" \",\"pages\":\"715-719\"},\"PeriodicalIF\":0.8000,\"publicationDate\":\"2024-11-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Urologia Journal\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1177/03915603241254717\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2024/7/26 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q4\",\"JCRName\":\"UROLOGY & NEPHROLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Urologia Journal","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1177/03915603241254717","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/7/26 0:00:00","PubModel":"Epub","JCR":"Q4","JCRName":"UROLOGY & NEPHROLOGY","Score":null,"Total":0}
引用次数: 0
摘要
导言无论年龄大小，性功能障碍都会影响夫妻关系以及患者和伴侣的生活质量。在伴有良性前列腺增生症（BPH）的下尿路症状（LUTS）患者中，性功能障碍非常普遍。本研究旨在评估伴有良性前列腺增生的下尿路症状患者中性功能障碍的发病率以及各种治疗方法对其的影响：本研究是一项基于医院的前瞻性横断面研究。本研究共纳入 106 名患者。根据下尿路症状评分和前列腺分级，56 名患者接受了药物治疗，50 名患者接受了经尿道前列腺切除术（TURP）。我们测量了下尿路症状、勃起功能障碍（ED）和射精功能障碍（EJD）的发病率，并比较了药物治疗组和经前列腺切除术组治疗前后的 ED 和 EJD 评分：结果：在我们的研究中，11 名患者（10.4%）有极轻度 ED，12 名患者（11.3%）有轻度 ED，54 名患者（50.9%）有中度 ED，23 名患者（21.7%）有重度 ED。在我们的研究中，11（10.4%）名患者有非常轻微的 EJD，7（6.6%）名患者有轻微的 EJD，28（26.4%）名患者有中度的 EJD，2（1.9%）名患者有严重的 EJD。在医疗组中，治疗前的 ED 与治疗后的 ED 相比具有统计学意义（P = 0.0046），治疗 LUTS 可改善 ED。治疗前 EJD 与治疗后 EJD 的比较无统计学意义（p = 0.8368），治疗 LUTS 与 EJD 的恶化有关。在 TURP 组中，治疗前的 ED 与治疗后的 ED 相比具有统计学意义（p = 0.0319）。TURP 术后患者的 ED 有所改善，EJD 治疗前与治疗后的关联具有统计学意义（p = 0.03000）。结论：我们得出结论，性功能障碍的严重程度与 LUTS 的严重程度相关。与药物治疗相比，TURP治疗后射精功能会恶化。
Assessment of prevalence of sexual dysfunction in patients having lower urinary tract symptoms with benign prostatic hyperplasia and effect of various treatment modalities on sexual function.
Introduction: Sexual dysfunction affects a couple's relationship and quality of life of the patient and the partner irrespective of age. In Lower urinary tract symptoms (LUTS) with benign prostatic hyperplasia (BPH), sexual dysfunction is highly prevalent. This study aims to evaluate prevalence of sexual dysfunction in patients having LUTS with BPH and effect of various treatment on it.
Materials and methods: The study is hospital based prospective cross-sectional study. Total 106 patients were included in this study. Fifty-six patients underwent medical treatment and 50 patients underwent transurethral resection of prostate (TURP) according to lower urinary tract symptom score along with grades of prostate. We measured prevalence of lower urinary tract symptoms, erectile dysfunction (ED), ejaculatory dysfunction (EJD).We compared the pre and post treatment ED, EJD scores in both medical and TURP group.
Result: In our study, 11 (10.4%) patients had very mild ED, 12 (11.3%) had mild ED, 54 (50.9%) had moderate ED and 23 (21.7%) had severe ED. In our study, 11 (10.4%) patients had very mild EJD, 7 (6.6%) had mild EJD, 28 (26.4%) had moderate EJD and 2 (1.9%) had severe EJD. In medical group, ED pre-treatment versus ED post treatment was statistically significant (p = 0.0046), treatment of LUTS improves ED. EJD pre-treatment versus EJD post treatment was not statistically significant (p = 0.8368), treatment of LUTS associated with deterioration of EJD. In TURP group association of ED pre-treatment versus ED post treatment was statistically significant (p = 0.0319). Post TURP patients shows improvement in ED Association of EJD pre-treatment versus EJD post-treatment was statistically significant (p = 0.03000). Post TURP EJD deteriorate.
Conclusion: We concluded that the severity of sexual dysfunction correlates with severity of LUTS. Ejaculatory function deteriorates after treatment of TURP compared to medical.
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