膀胱镜下尿道调整与早期端对端吻合术对球根性尿道破裂患者勃起功能的影响不同。

J J Yu, Y M Xu, Y Qiao, B J Gu
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引用次数: 7

摘要

本研究的目的是比较膀胱镜下尿道调整与早期端到端吻合术治疗球根性尿道破裂对勃起功能的影响。选择58例,行尿道膀胱镜调整32例(I组),行尿道端对端吻合术26例(II组)。比较两组术后6个月P-CDU(阴茎彩色双超)、NPT(夜间阴茎肿胀)、IIEF-5(国际勃起功能指数)参数。IIEF I组高于II组(21 vs 14),差异有统计学意义。使用p - cdu,我们观察到第一组阴茎血管化的改善,通过检测到峰值收缩速度(PSV)的增加(26cm /s vs 16cm /s, p
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Urethral cystoscopic realignment and early end-to-end anastomosis develop different influence on erectile function in patients with ruptured bulbous urethra.

The objective of this study is to compare the influence on erectile function between urethral cystoscopic realignment and early end-to-end anastomosis treating ruptured bulbous urethra. 58 cases were selected, 32 had urethral cystoscopic realignment (group I) and 26 cases had urethral end-to-end anastomosis (group II). The parameters of P-CDU (Penile Color Duplex Ultrasound), NPT (Nocturnal Penile Tumescence), and IIEF-5 (International Index of Erectile Function) were compared between the two groups 6 months after operation. Group I was higher than group II in IIEF (21 vs 14) with significant differences. With P-CDU we observed an improvement in penile vascularization in group I as confirmed by the detection of an increase in peak systolic velocity (PSV) (26 cm/s vs 16 cm/s, p<0.01) and a decrease in end diastolic velocity (EDV) (3 cm/s vs 6 cm/s p<0.05), resulting in an increase in resistive index (RI) (0.85 vs 0.56, p<0.05). The parameters of NPT showed a significant increase compared to group II (p<0.01) in satisfactory erection number (5 vs 1.5), maximum rigidity (80% vs 42%), and total time that the increase in circumference was greater than 30% of baseline during sleep (100 sec vs 30 sec). Urethral cystoscopic realignment treating ruptured bulbous urethra can reduce the incidence of erectile dysfunction [ED]. A long term follow-up should be studied.

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