中华小儿外科杂志
中華小兒外科雜誌
중화소인외과잡지
CHINESE JOURNAL OF PEDIATRIC SURGERY
2009年
4期
202-205
,共4页
尿道下裂%阴茎%随访研究
尿道下裂%陰莖%隨訪研究
뇨도하렬%음경%수방연구
Hypospadias%Penis%Follow-up studies
目的 远期随访手术治疗的尿道下裂病例.评价阴茎外观、性功能,探讨二者的关系.方法 通过信访、电话采访及面访,随访1984至1992年间在我院手术治疗的174例尿道下裂患者,做统计学分析.结果 仅43例获得完整的随访资料,受访者平均年龄21.6岁,53.5%的受访者不满意阴茎外观,主要嫌阴茎短小或下弯,83.7%的受访者对性功能满意,76.7%勃起质量优良,23.3%勃起不良,主要为勃起时阴茎短小或下弯,39.5%射精不良.主要为射精无力,已经历性生活者18例,88.9%无性交障碍,依患者自己对阴茎外观满意程度作比较,"满意组"的勃起(P<0.025)和射精(P<0.025)不良问题较少.有性经历的比例高(P<0.05).阴茎外观与性功能的总体评价呈正相关(r=0.469,P<0.01).结论 尿道下裂患者对阴茎外观的关注程度高,阴茎大小影响阴茎外观和性功能的满意度.部分患者成年后存在勃起、射精或性交问题,但多数人性功能状况良好.阴茎外观越好,性功能越好.
目的 遠期隨訪手術治療的尿道下裂病例.評價陰莖外觀、性功能,探討二者的關繫.方法 通過信訪、電話採訪及麵訪,隨訪1984至1992年間在我院手術治療的174例尿道下裂患者,做統計學分析.結果 僅43例穫得完整的隨訪資料,受訪者平均年齡21.6歲,53.5%的受訪者不滿意陰莖外觀,主要嫌陰莖短小或下彎,83.7%的受訪者對性功能滿意,76.7%勃起質量優良,23.3%勃起不良,主要為勃起時陰莖短小或下彎,39.5%射精不良.主要為射精無力,已經歷性生活者18例,88.9%無性交障礙,依患者自己對陰莖外觀滿意程度作比較,"滿意組"的勃起(P<0.025)和射精(P<0.025)不良問題較少.有性經歷的比例高(P<0.05).陰莖外觀與性功能的總體評價呈正相關(r=0.469,P<0.01).結論 尿道下裂患者對陰莖外觀的關註程度高,陰莖大小影響陰莖外觀和性功能的滿意度.部分患者成年後存在勃起、射精或性交問題,但多數人性功能狀況良好.陰莖外觀越好,性功能越好.
목적 원기수방수술치료적뇨도하렬병례.평개음경외관、성공능,탐토이자적관계.방법 통과신방、전화채방급면방,수방1984지1992년간재아원수술치료적174례뇨도하렬환자,주통계학분석.결과 부43례획득완정적수방자료,수방자평균년령21.6세,53.5%적수방자불만의음경외관,주요혐음경단소혹하만,83.7%적수방자대성공능만의,76.7%발기질량우량,23.3%발기불량,주요위발기시음경단소혹하만,39.5%사정불량.주요위사정무력,이경력성생활자18례,88.9%무성교장애,의환자자기대음경외관만의정도작비교,"만의조"적발기(P<0.025)화사정(P<0.025)불량문제교소.유성경력적비례고(P<0.05).음경외관여성공능적총체평개정정상관(r=0.469,P<0.01).결론 뇨도하렬환자대음경외관적관주정도고,음경대소영향음경외관화성공능적만의도.부분환자성년후존재발기、사정혹성교문제,단다수인성공능상황량호.음경외관월호,성공능월호.
Objective The aim of this study was to assess the long-term cosmetic appearance and sexual function after hypospadias surgery.Methods One hundred and seventy four patients who underwent hypospadias repair in this institute between 1984 and 1992 were contacted via email or telephone.Results Only forty-three patients completed the study. The mean patient age at follow-up was 21. 5 years.Twenty-three patients (53. 5%) were dissatisfied with their penile appearance. The main concern was small penile size and curvature. Thirty-six (83. 7%) of 43 patients were satisfied with overall sexual function.of the 43 patients. 76. 7% reported satisfactory erection whereas the remaining 23.3% reported problems with erectioa 17 patients (39.5%) complained of ejaculation problems.Sixteen (88. 9%) of the 18 patients who had experienced sexual intercourse reported no problems during intercourse.Those patients who were satisfied with penile appearance had less problems in achieving erection (P<0. 025) and ejaculation (P<0. 025) and were more likely to experience sexual intercourse (P<0. 05), compared to those who were dissatisfied.The self-rated satisfaction scale correlates positively with the penile appearance and sexual function (r=0.469, P<0. 01).Conclusions Patients who had been operated on for hypospadias have a significant penile image problem.Penile size apparently influences sexual function. While some patients have erection, ejaculation and intercourse problems in adulthood, the majority of them have a normal sexual functioa The better cosmetic outcome is related with better sexual outcome.
