前立腺肥大症に対する経尿道的前立腺切除後の生活の質調査

Abstract

performance status (PS)に対する影響は, 手術前後で認められなかった。尿流測定やAUA symptom indexの結果と同様に夜間頻尿, 頻尿, 排尿困難の改善に対する満足度は高かった。精神的評価として心配事, 精神的ストレスが, また肉体的評価として睡眠の改善がみられた。術前の性交の頻度は年齢とともに減少しており, それに伴い性生活に対する不満が増加した。術前後の性機能は, 手術前後で射精能および性交時の満足度が有意に低下し, 早朝勃起, 接触性欲, 陰茎硬度, 性生活の満足度は変らなかった。経尿道的前立腺切除術(TURP)による社会的支障, 家族的支障や精神的不快感は少ないと思われたが, 肉体的不快感は21例とやや多いと思われた。TURPに対する全般的満足度は86例中67例と高かった

The quality of life (QOL) after transurethral resection of the prostate (TURP) was studied. A total of 113 patients were operated and released, and 86 (76%) cases responded to the TURP follow-up survey. The average age was 69 years and the average time elapsed after the operation was 220 days. Data regarding the patients undergoing TURP was gathered from a questionnaire consisting of 22 questions concerning the preoperative condition and 28 about the post-operative state. Performance status was not changed post-TURP. The patients showed improvements in nocturia, pollakisuria and dysuria. These urological symptoms were in accordance with the findings of uroflowmetry and American Urological Association Symptom Index. Ten questions addressing the patients mental and physical conditions revealed that good quality was generally retained. Sexual activity showed a tendency of gradual decrease in relation to increasing age. Ejaculatory function and actual satisfaction with the sexual act were obviously damaged by the operation. TURP showed no changes in regard to morning erection, sexual desire in an arousing atmosphere, penile hardness at sex and total satisfaction with the sexual life. Social life, family life and mental status were not influenced, but the physical status of 21 (26%) of the patients was decreased by the operation and hospital stay. Over all, 78% of the patients could maintain a good quality of life in post-TURP.