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慢性前列腺炎合并勃起功能障碍研究进展
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Abstract:
慢性前列腺炎(CP/CPPS)是泌外男科常见慢性疾病，多发于中青年男性，临床表现为下尿路症状(LUTS)与盆腔疼痛，部分伴发性功能障碍，包括不育以及勃起功能障碍(ED)、早泄(PE)等。CP/CPPS合并ED近些年逐渐成为临床关注重点，其发病机制目前尚未阐述明确，一般考虑与解剖结构、心理因素、神经内分泌因素、炎症反应、LUTS等有关。当前CP/CPPS合并ED的治疗方案还未确定，但是西医药在治疗该疾病引发的LUTS、盆腔疼痛及勃起硬度等疗效明显，此外，我国传统医学在治疗CP/CPPS合并ED等方面疾病具有较久的历史，且效果明显。本文主要就慢性前列腺炎合并勃起功能障碍流行病学、发病原因机制以及中西医治疗概况进行综述。
Chronic prostatitis (CP/CPPS) is a common chronic disease in exocrine andrology, mostly in young and middle-aged men. The clinical manifestations are lower urinary tract symptoms (LUTS) and pelvic pain, some associated with sexual dysfunction including infertility and erectile dysfunction (ED), premature ejaculation (PE) and so on. CP/CPPS combined with ED has gradually become the focus of clinical attention in recent years, and its pathogenesis has not been clarified yet. Generally, it is related to anatomical structure, psychological factors, neuroendocrine factors, inflammatory reaction, LUTS, etc. At present, the treatment scheme of CP/CPPS combined with ED has not been determined, but Western medicine has obvious curative effect on LUTS, pelvic pain and erectile hardness caused by this disease. In addition, Chinese medicine has a long history and obvious effect on treating CP/CPPS combined with ED and other diseases. This article mainly reviews the epidemiological pathogenesis and mechanism of chronic prostatitis complicated with erectile dysfunction and the general situation of traditional Chinese and western medicine treatment.
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