经尿道前列腺电切术的并发症及其防治

Complications of transurethral resection of the prostate:prevention and management

报道经尿道前列腺电切术（ＴＵＲＰ）８７５例的临床资料，年龄４７～８７岁，平均６９．２岁。主要临床表现为进行性排尿困难，夜尿次数增多和尿潴留。术中术后常见并发症的发生率分别为：ＴＵＲ综合征２．７％，包膜穿孔和尿外渗１．７％，切破静脉窦而中止手术０．６％，术中出血和术后继发性出血３．９％，暂时性尿失禁３８％，永久性尿失禁０１％，排尿不畅和尿道狭窄２．１％，阳萎１２０％，逆行射精４５０％。对上述并发症的防治进行了讨论。

Transurethral prostatectomy has been carried out for 875 patients to relieve bladder outlet obstruction.The age of the patients ranged from 47 to 87 with an average of 69.2.The main clinical manifestations were progressive dysuria,frequent nocturia and retention of urine.Complications of the procedure were as follows:TUR syndrome 2.7%,perforation and extravasation 1.7%,cutting of the venous plexus and cease of the operation 0.6%,intraoperative and postoperative bleeding 3.9%,incontinence 3.8%,voiding difficulty and urethral stricture 2.1%,impotence 12.0% and retrograde ejaculation 45.0%.Prevention and management of these complications were discussed in detail.