| Background: Most of the middle-aged and elderly male patients in BPH are affected by LUTS and sexual function.Most patients are treated by surgery.The prostate has functions such as controlling urination and ejaculation,endocrine,exocrine,and sexual excitement.However,the surgical method has an impact on sexual function after releasing the urinary tract.Especially for patients with sexual life less than 65 years of age,it is important to improve the impact of sexual function and postoperative sexual dysfunction caused by BPH.It is currently believed that TUERP is significantly more effective than TURP in the recovery of urination,but its incidence of retrograde ejaculation is higher and other aspects of sexual function have a greater impact.Therefore,many scholars have proposed to adopt multiple ways to improve TUERP to reduce retrograde ejaculation.On this basis,this article proposes a combination of various improvement measures,proposes PSF-PKRP,protective function while removing urinary tract obstruction,and TUERP Perform comparative analysis.Objective: To explore the effect of PSF-PKRP and TUERP on sexual function in patients with BPH under 65 years of age.Methods: In this study,BPH patients under 65 years of age were selected,after screening by inclusion and exclusion criteria,40 patients in the PSF-PKRP group and42 patients in the TUERP group were randomly included.Surgical operations were performed by specialist physicians who independently completed more than 100 cases of prostate surgery,and were followed up and evaluated 6 months after surgery.Data items include patient age,PV,grams of bladder flushing time,Qmax、IPSS and IIEF-5before and after surgery,mshq-EJD.Results: 1.The results showed that there was no statistically significant difference in the age of the patients during operation,the bladder irrigation time after surgery,preoperative IPSS,preoperative IIEF-5,Qmax,and prostate volume.2.Six months postoperative IPSS(values were 4.58 ± 1.47 in PSF-PKRP group and 6.36 ± 2.02 in TUERP group),the difference between the two was statistically significant.Six months after operation,IIEF-5(values were 22.7 ± 1.34 in the PSF-KRP group and 20.69 ± 1.957 in the TUERP group),the difference was statistically significant.The Qmax at 6 months after surgery(values were 25.89 ±1.29 in the PSF-PKRP group and 22.85 ± 1.21 in the TUERP group),the difference was statistically significant.Analysis of both groups before and after surgery showed that IPSS,IIEF-5 and Qmax all improved significantly after surgery.4.The MSHQ-EJD questionnaire was used to evaluate ejaculation.In the case of postoperative reduction in semen volume,6/40(15%)in the PSF-KRP group and22/42(52.4%)in the TUERP group.Statistical significance.In the case of no postoperative semen injection,5/40(12.5%)in the PSF-KRP group and 20/42(47.6%)in the TUERP group,the two groups were statistically significant.5.A single factor analysis of age,IPSS score and IIEF-5 score,P value <0.05,it can be shown that age and IPSS score are independent influencing factors of IIEF-5score.Conclusion: Postoperative IPSS and IIEF-5 in both groups were lower than those before operation,and Qmax was significantly higher than before operation.The improvement of IPSS,IIEF-5,and Qmax in the PSF-PKRP group was more obvious than that in the TUERP group,and the difference was statistically significant.Therefore,both can improve urination and erectile function.Retrograde ejaculation occurred in both groups after surgery,but the probability of PSF-PKRP was significantly lower than that of the TUERP group,and it was statistically significant.This study shows that PSF-PKRP has a better therapeutic effect for patients under 65 years of age with a prostate volume of about 60 ml and has an impact on postoperative sexual function,which has less effect on retrograde ejaculation and helps urination And the recovery of erectile function,but still need multi-center,large sample cases,and long-term follow-up analysis. |
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