经尿道前列腺切除术后近期排尿症状不改善的临床分析及处理

Clinical Analysis and Management of Disappointing Early Urination After TURP

目的:探讨经尿道前列腺切除术(TURP)后近期3个月内排尿症状不改善者的原因及治疗。方法:回顾性分析58例TURP术后3个月内排尿症状无明显改善者的临床资料及处理。结果:入院再手术7例(12%),门诊治疗6例(10%),余45例(78%)未予以任何治疗,1年内症状自行缓解。接受再治疗者共13例,仅占22%。结论:TURP术后近期症状不改善的原因包括膀胱颈挛缩、尿道狭窄、尿路感染等,这部分患者需积极治疗;另外,很大一部分患者存在膀胱逼尿肌不稳定,这部分患者术后1年内症状可自行改善。

Objective ： To explore the etiology and management of disappointing early urination in patients with benign prostatic hyperplasia （BPH） following transurethral resection of the prostate （TURP）. Methods： The clinical data and management of 58 cases of disappointing urination within 3 months after TURP were reviewed. Results ： Of the total number of patients with disappointing early urination after TURP, 7 （ 12% ） underwent a second operation, 6 （ 10% ） received outpatient treatment, and the other 45 （78%） showed spontaneous improvement within 1 year with no further treatment. Conclusion ： The causes of disappointing early urination after TURP included bladder neck contracture, urethral stricture and urinary tract infection, which necessitate secondary treatment. And a greater proportion of the patients showed functional lability of the bladder detrusor muscle, which could be spontaneously improved within 1 year after TURP.