摘要
目的 探讨慢性前列腺炎（chronic prostatitis,CP）与勃起功能障碍（erectile dysfunction,ED）的临床相关性.方法 回顾性分析2005年7月至2012年7月云南省第一人民医院（昆明理工大学附属医院）泌尿外科和中山大学附属第一医院泌尿外科门诊就诊的CP患者的临床资料.患者结合临床表现、国际前列腺炎症状评分指数表、前列腺液常规、尿液常规、B超等检查诊断为CP.门诊问询并记录患者的勃起功能状况.结果 4 315例CP患者年龄17～ 64岁,平均31岁.其中61例（1.41％）伴随有中重度ED（国际勃起功能指数-5评分≤11）,42例（0.97％）患CP后出现ED.4 315例患者中435例（10.08％）出现CP不适症状后伴随明显性欲下降,其中426例患者在前列腺炎症状缓解后性欲明显好转.结论 与普通人群相比,CP患者ED发病率并无明显增高;部分CP患者性欲下降较明显,可能因患前列腺炎后并发局部不适及焦虑所致.
Objective To discuss the clinical correlation between chronic prostatitis （CP） and erectile dysfunction （ED）.Methods A retrospective analysis was made on the clinical data from patients who were diagnosed as CP in urology department of the First People＇s Hospital of Yunnan Province and the First Affiliated Hospital of Sun Yat-sen University.Patients＇ data were collected from July 2005 to July 2012.All the patients were diagnosed as CP based on their clinical manifestation,the NIH Chronic Prostatitis Symptom Index,prostatic fluid examination,routine urine examination and ultrasonography.The condition of erectile function was inquired on every patient and recorded.Results There were 4 315 patients diagnosed as CP in present study,while their age ranged from 17 to 64 years （average,31 years）.Sixty-one （1.41%） patients were identified as moderate and severe types of ED （International Index of Erectile Function 5 ≤ 11）,while 42 （0.97%） patients were confirmed as ED after they got CP.435/4 315 patients （10.08%）felt obviously sexuality descent after they got CP,and the sexuality was reported improved in 426/435 pa-tients after prostatitis symptomatic relief.Conclusions The incidence rate of ED in CP patients is not ob-viously higher than that in common community.And sexuality descent in patients might be caused by localindisposition and anxiety after CP.
出处
《中华泌尿外科杂志》
CAS
CSCD
北大核心
2015年第4期304-306,共3页
Chinese Journal of Urology
