TURP术后排尿困难或尿潴留原因分析

Analysis of dysuria and urinary retention after transurethral prostatectomy

目的:对TURP术后排尿困难或尿潴留的原因进行分析,同时探讨其预防和处理方法。方法:对21例TURP术后排尿困难或尿潴留患者的病因和处理进行分析。结果:尿道水肿4例;前列腺组织残留2例;前列腺增生复发7例;尿道狭窄2例;膀胱颈口瘢痕挛缩2例;膀胱逼尿肌收缩乏力4例。结论:TURP术后排尿困难或尿潴留的原因有尿道水肿、组织残留、前列腺增生复发、尿道狭窄、膀胱颈口瘢痕挛缩和膀胱逼尿肌收缩乏力等。提高手术技巧和术前尿动力学检查对避免发生术后排尿困难和预测疗效有重要意义。

Objective： To analyze the causes of dysuria and urinary retention after transurethral prostatectomy （TURP） and the treatment. Methods： Twenty one cases of dysuria or urinary retention after TURP were analyzed. Results： Acute urethral edema in 4 cases, remaining of prostatic tissue in 2 cases, recurrence of benign prostate hyperplasia in 7 cases, urethral stricture in 2 cases, bladder neck contracture in 2 cases and acontractile detrusor in 4 cases. Conclusions： The causes of dysuria or urinary retention after TURP includes acute urethral edema, remaining of prostatic tissue, recurrence of benign prostate hyperplasia, urethral stricture, bladder neck contracture, acontractile detrusorand,and so on. Improving the operating technique and urodynamic examination has important meaning to reduce the occurring of dysuria after TURP and predict the effect.