TURP术后排尿困难的临床分析及处理

Cause and treatment of dysuria post trans-urethral resection of prostate

目的:探讨经尿道前列腺电切术(trans-urethral resection of prostate,TURP)后排尿困难的病因及处理。方法:回顾性分析22例TURP术后出现排尿困难患者的临床资料及治疗方法。结果:术后发生腺体及异物残留3例,尿道狭窄5例,膀胱颈挛缩和逼尿肌无力各7例,均经治疗后恢复。结论:腺体残留、尿道狭窄、膀胱颈挛缩、逼尿肌无力是TURP术后排尿困难的主要原因。正确的术前诊断及术中、术后处理是预防TURP术后发生排尿困难的关键。

Objective To evaluate the cause and treatment of dysuria post trans-urethral resection of prostate （ TURP ）. Methods The clinical data and the treatment of 22 cases of dysuria post TURP were analyzed retrospectively. Results All cases including 3 cases of glandular and extraneous material residual, 5 cases of urethrostenosis, 7 cases of bladder neck contracture, and 7 cases of detrusor muscle weakness, were cured after the treatment. Conclusion The main causes of dysuria post TURP were glandular residual, urethrostenasis, bladder neck contracture, and detrusor muscle weakness. Correct preoperative diagnosis and treatment during/post operation are the key to the prevention of dysuria post TURP.