经尿道前列腺切开术治疗前列腺增生症疗效观察

Transurethral incision of prostate for the treatment of BPH.

目的评价经尿道前列腺切开术（TUIP）治疗年龄较轻或高龄高危的小体积前列腺增生症（BPH）的疗效。方法采用TUIP治疗BPH患者41例。结果手术时间10—30min，平均随访2年，术后国际前列腺症状评分（IPSS）由（25．9±4，2）分降至（10．3±3.1）分（P〈0.05），最大尿流率（MFR）由（6．4±2．4）ml／s上升至（13．2±3．4）ml／s（P〈0．05），剩余尿（RU）由（92．5±45．8）ml降至（24.4±16.8）ml（P〈0．05）。逆行射精发生率为7．1％（2／28）。结论对于BPH〈35g，TUIP可取得与经尿道前列腺汽化术（TUVP）相似的疗效，且逆行射精、膀胱颈挛缩及阳痿的发生率低，适用于症状明显的年龄偏小或高龄高危的小体积BPH患者。

Objective To evaluate the validity of transurethral incision of prostate （TUIP）for the treatment of BPH. Methods TUIP was carried out for 41 patients with BPH and the therapeutic efficacy was studied. Results The operation time was 10 - 30min, The patients have been followed up for a mean of 2 years, The maximum flow rate（MFR） has been elevated from（ 6. 4 ± 2. 4）ml/s to （13. 2 ± 3. 4）ml/s （P 〈 0. 05 ） , IPSS and RU being dropped from （ 25.9 ± 4.2 ） to （ 10. 3 ± 3.1 ） （ P 〈 0. 05 ） and from （92.5 ± 45.8 ） ml to （ 24.4 ± 16.8 ） ml （ P 〈 0. 05 ） respectively. The incidence of retrograde ejaculation after the operation was 7.1%. Conclusions TUIP for small volume BPH is as effective as transurethral vaporization of prostate. The procedure is especially good for prostate less than 35g and its advantages are lower incidence of retrograde ejeculation,impotance and contraction of bladder neck. TUIP is a simple, effective and safe procedure to reat BPH patients with a relatively small prostate causing marked obstructive sympotoms. It is especially indicated in the relatively young patients or the high risk elderly.