摘要
目的探讨小体积前列腺增生经尿道电切方法。方法回顾性分析32例体积小于15g的良性前列腺增生患者经尿道电切加膀胱颈切开术的临床资料。结果32例术后症状缓解,排尿通畅。术前IPSS评分24.7±4.8,术后降至12.9±2.4;术前Qmax(8.2±3.4)ml/s,术后升至(13.1±3.8)ml/s,无出血、漏尿、尿失禁及水中毒等并发症发生。结论小体积前列腺增生开放手术很难剥离、单纯经尿道前列腺切除及单纯经尿道膀胱颈切开术术后膀胱颈挛缩发生率较高,经尿道前列腺电切术加膀胱颈切开术是治疗小体积前列腺增生的理想术式。
Objective: To evaluate the technique of TUR for Benign Prostatic Hyperplasia with small volume. Methods: 32 cases with BPH who were underwent TUR and bladder neck incision were analysed. Results: All cases were cured and micturate well while IPSS descent from (24.7±4.8) to (12.9±2.4) and Qmax ascend from (8.2±3.4)ml/s to (13.1±3.8)ml/s after operation. Complications as bleeding, leakage and urinary incontinence were not found. Conclusion: It is difficult to strip a small prostate in suprapubic prostatectomy, and the incidence of bladder neck fibrotic constracture is higher after simple TURP or simple bladder neck incision. TuRP with bladder neck incision are consider to be effective treatment for BPH with small volume.
出处
《中国内镜杂志》
CSCD
2004年第9期52-53,共2页
China Journal of Endoscopy
关键词
小体积
前列腺增生
经尿道电切
small volume
benign prostatic hyperplasia
transurethral resection
