Tansu Akdağ, Abdullah Akdağ, Mustafa Özkan, Osman Enver Aydın
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引用次数: 0
摘要
背景：男性乳房发育症患者可能会出现激素失衡和性功能障碍，如勃起和射精障碍。目的：本研究评估男性乳房发育手术后激素参数和性功能的变化。方法：32例无系统性或遗传性合并症的男性患者（15-65岁）接受了男性乳房发育手术。评估术前和术后激素参数游离和总睾酮、雌激素、催乳素、促卵泡激素（FSH）、促黄体生成素（LH）、性激素结合球蛋白（SHBG）和性功能评分（国际勃起功能指数（IIEF）、早泄诊断工具（PEDT））。一名对研究不知情的泌尿科医生对患者进行了男性方面的评估。结果：患者平均年龄25.69±10.37岁。术后催乳素、雌激素水平显著降低（p=0.03, p < 0.05）。结论：手术治疗后男性乳房发育症患者的激素指标及性功能均有明显改善。这些益处应在手术计划中加以考虑。
Evaluating the Role of Gynecomastia Surgery in Improving Sexual Function and Hormonal Profiles.
Background: Patients with gynecomastia may experience hormonal imbalances and sexual dysfunctions, such as erectile and ejaculatory disorders.
Objectives: This study evaluates the changes in hormonal parameters and sexual function following gynecomastia surgery.
Methods: Thirty-two male patients (aged 15-65) without systemic or genetic comorbidities underwent gynecomastia surgery. Preoperative and postoperative hormonal parameters free and total testosterone, estrogen (EST), prolactin (PRL), follicle-stimulating hormone, luteinizing hormone, sex hormone-binding globulin, and sexual function scores (International Index of Erectile Function [IIEF], Premature Ejaculation Diagnostic Tool [PEDT]) were assessed. A urologist blinded to the study evaluated patients andrologically.
Results: The mean age of the patients was 25.69 ± 10.37 years. Postoperative PRL and EST levels significantly decreased (P = .03 and P < .001, respectively). All IIEF subscale scores showed significant postoperative improvements (P-values ranging from <.001 to .006). PEDT scores significantly decreased postoperatively (P < .001).
Conclusions: Surgical treatment of gynecomastia leads to significant improvements in hormonal parameters and sexual function. These benefits should be considered in surgical planning.
期刊介绍：
Aesthetic Surgery Journal is a peer-reviewed international journal focusing on scientific developments and clinical techniques in aesthetic surgery. The official publication of The Aesthetic Society, ASJ is also the official English-language journal of many major international societies of plastic, aesthetic and reconstructive surgery representing South America, Central America, Europe, Asia, and the Middle East. It is also the official journal of the British Association of Aesthetic Plastic Surgeons, the Canadian Society for Aesthetic Plastic Surgery and The Rhinoplasty Society.
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