经尿道前列腺电汽化术后并发症及防治对策(附920例报告)

Observation and Preventative Strategies of Complications in Transurethral Electrovaporization of the Prostate: Report of 920 Cases

目的:探讨经尿道前列腺电汽化术(TVP)术后并发症及其防治对策.方法:对920例良性前列腺增生(BPH)患者行TVP,分析术后并发症.结果:术后并发症包括:大出血30例(3.3%),经尿道电切综合征(TURS)6例(0.7%),下尿路感染16例(1.7%),急性附睾炎11例(1.2%),急性尿潴留34例(3.7%),尿失禁35例(3.8%),尿道狭窄26例(2.8%),复发22例(2.4%).随机选取TVP术前性功能正常的44例患者(51～65岁),术后逆行射精占54.5%(24/44),勃起功能障碍占9.1%(4/44).结论:TVP是治疗BPH的理想术式,但应注意其并发症.

Objective： To investigate the post-operative complications and preventative strategies of them in transurethral electrovaporization of the prostate（TVP）. Methods： Nine hundred and twenty patients with symptomatic benign prostatic hyperplasia （BPH） were treated by TVP. Results： Post-operative complications included severe hameurine in 30 cases（3.3% ）, transurethral resection syndrome（TURS） in 6 cases（ 0.7% ） , acute lower urinary tract infection in 16 cases（ 1.7 ）, acute epididymitis in 11 cases（ 1.2% ）, acute urinary retention in 34 cases（3.7% ） , incontinence in 35 cases（3.8% ） , urethral stricture in 26 cases（2.8% ）, recurrence in 22 cases（ 2.4% ） . There were retrograde ejaculation in 54.5% （24/44） and impotence in 9.1% （4/44）. Conclusion ： Although TVP is more effective than standard TURP in the treatment of lower urinary tract symptoms caused by BPH, complications during TVP procedures require special consideration. Natl J Androl,2005 ,11 （12） ：922-924