[Influence of photoselective vaporization of the prostate on the sexual function of the patient]

n recent years, photoselective vaporization of the prostate (PVP) has gained a wide clinical application in the treatment of benign prostatic hyperplasia (BPH) for its satisfactory effect, high safety, and low incidence of complications. With the improvement of living conditions, BPH patients are paying more attention to their sexual function, especially erectile function and ejaculatory problems instead of just focusing on the alleviation of lower urinary tract symptoms. Few studies of PVP, however, relate to its association with the sexual function of the patient and there is a certain controversy over the influence of PVP on it in the existing literature. Prevailing views hold that the uprated power in PVP does not affect erectile function or increase the risk of retrograde ejaculation (REj) and that PVP is even better than transurethral resection of the prostate (TURP) in avoiding the risk of REj.近年来绿激光前列腺汽化术（PVP）被广泛应用于临床，其良好的疗效、较高的安全性及较低的并发症已得以证实。随着生活条件的改善，患者对BPH的治疗已不再满足于下尿路症状的改善，对男性性功能尤其是勃起功能和射精的影响也愈发重视。但相关的研究并不多，且各研究之间存在一定的争议。大部分观点认为，绿激光功率的增加不影响勃起功能和不增加逆行射精（REj）的风险，在预防REj方面PVP比经尿道前列腺电切术(TURP)更具优势。本文就近年发表的有关绿激光前列腺汽化术对性功能影响的文献作一综述。.