Analysis of sexual dysfunction condition and its influencing factors in benign prostatic hyperplasia patients with postoperative urinary infection
Objective To analyze the sexual dysfunction condition and its influencing factors in benign prostatic hyperplasia(BPH)patients with postoperative urinary infection.Methods A total of 475 BPH patients with postoperative urinary infection who visited Department of Urology,Danzhou People's Hospital from January 2020 to January 2023 were selected as the study subjects.The baseline data and laboratory indexes of patients were collected.The international index of erectile function questionnaire-5(ⅡEF-5)and symptom checklist-90(SCL-90)were used to evaluate the sexual dysfunction,anxiety and depression condition of the patients.According to the ⅡEF-5 evaluation criteria,the patients were divided into the dysfunction group and the normal group.Logistic regression analysis was performed to analyze the influencing factors of sexual dysfunction in BPH patients with postoperative urinary infection.Results At 3 months after operation,98 of the 475 patients were evaluated as having sexual dysfunction(dysfunction group),accounting for 20.63％.There were statistically significant differences between the two groups in the proportion of diabetes history,hypertension history,testosterone,nitric oxide(NO),combined with anxiety and combined with depression(P＜0.05).Multivariate Logistic regression analysis showed that the history of diabetes,hypertension,decreased levels of NO and testosterone,combined with anxiety and combined with depression were the influencing factors of sexual dysfunction in BPH patients postoperative with urinary infection(P＜0.05).The area under the curve of the above indicators combined prediction for sexual dysfunction was 0.897(95％CI:0.863-0.931),which had certain predictive value.Conclusions Some of BPH patients with postoperative urinary infection are accompanied by sexual dysfunction,and the history of diabetes,hypertension,decreased testosterone and NO,and negative emotions are the influencing factors of sexual dysfunction.Clinical intervention can be strengthened for related factors to reduce the risk of sexual dysfunction.
万方数据
维普
