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近年来钬激光与铥激光前列腺剜除术被广泛地应用于临床,其显著的疗效、较好的安全性以及较低的并发症发生率均已被证实。随着生活水平的提高,患者对于BPH的治疗已经不仅仅满足于下尿路症状的改善。这两种术式对男性性功能尤其是勃起功能的影响越来越受到重视,而相关研究并不是很多,且不同的研究之间也存在着一定的争议。大部分观点认为,这两种术式不影响患者勃起功能。也有一些研究表明少数患者术前勃起功能正常,术后出现了一定程度的勃起功能下降。虽然患者对勃起功能障碍的关注不多,但是心理因素也可能是影响勃起功能的一个重要因素,术前应当和患者充分沟通,了解手术对性功能产生不良影响的风险程度。本文就近年来发表的有关钬激光与铥激光前列腺剜除术对勃起功能影响的文献做一综述。
In recent years, holmium laser and 铥 laser prostatectomy is widely used in clinical, its significant effect, better safety and lower incidence of complications have been confirmed. With the improvement of living standards, the treatment of BPH patients has not only satisfied with the improvement of lower urinary tract symptoms. The effects of these two surgical procedures on male sexual function, especially erectile function, are paid more and more attention, and there are not many related researches. There are also some controversies among different researches. Most of the views that these two surgical procedures do not affect the erectile function in patients. There are some studies have shown that a small number of patients with normal preoperative erectile function, postoperative erectile dysfunction appeared to some extent. Although patients are less concerned with erectile dysfunction, psychological factors may also be an important factor affecting erectile function. Patients should be fully communicated before surgery to understand the risk of adverse effects of sexual operation on the operation. This article reviews the recent literature on the effects of holmium laser and 铥 laser prostatectomy on erectile function.