진행된 전립선암 환자에서 거세 후 남성발기능의 변화
Change of Sexual Function after Castration in Patients with Advanced Prostatic Carcinoma
최성, 유소진, 류현열,
소속 상세정보
최성 ( )
고신대학교 의과대학 비뇨기과학교실
유소진 ( )
고신대학교 의과대학 비뇨기과학교실
류현열 ( )
고신대학교 의과대학 비뇨기과학교실
KMID : 0358319980390020157
Abstract
결론
거세 후 대부분(84.2%)에서 현저한 성욕의 감소와 발기능의 감소가 발생함을 관찰할 수
있었다. 그러나 약 58%에서는 술후 어느 정도 발기능을 유지할 수 있었다. 또한 거세 후 발
기능의 변화에 미치는 여러인자를 조사한 결과 나이, 거세종류, 거세 후의 기간,
gynecomastia유무, 전립선암의 병기, 방사선치료유무 등에 따른 차이는 없었으나, 술후 발기
능을 유지한 군에서 그렇지 못한 군에 비해 혈중 테스토스테론치의 유의한 차이를 관찰할
수 있었다.
#초록#
Purpose: The limited information regarding preservation of erectile function following
castration is based on self-reports by castrated patients. Therefore, we evaluated the
erectile status in 38 patients with advanced prostatic cancer.
Material and Methods: Castrations were achieved by bilateral orchiectomy, estrogen
therapy of both. Patients answered the questionnaires regarding the medical status and
erectile function before and after castration, and the blood levels of testosterone were
assessed. Especially in seven patients, penile circumference and erection quality were
monitored during the visual sexual stimulation.
Results : 11 patients(58%) out of 19 potent men achieved functional erection after
castration. Mean serum testosterone level was 0.31 ±0.19ng/ml in men who were potent
after castration and 0.06± 0.04ng/m1 in those not potent(p<0.05). No statistically
significant differences were noted in age, interval after castration, method of castration,
degree of gynecomastia, stage of prostatic cancer and doing radiation therapy between
the men who did and did not achieve erection(p>0.05).
Conclusions: Following castration, sexual potency and libido decreased markedly in
most cases, but 58% retained some degree of normal sexual potency. And, statistically
significant difference was noted only in serum testosterone level between the men who
did and did not achieve erection.
키워드
Sexual funcion; Castration;
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