前列腺增生术后排尿困难原因分析(附14例报告)

The causes of dysuria after operation for benign prostate hypertrophy(Report of 14 cases)

目的：分析前列腺增生术后排尿困难的原因，为预防和治疗提供依据。方法：回顾性分析１４例前列腺增生术后出现排尿困难病例的临床资料。结果：９例耻骨上前列腺切除术病例中，膀胱颈梗阻６例，尿道外口狭窄、腺体残留和后尿道炎性粘连狭窄各１例；５例经尿道前列腺电切术病例中，腺体残留３例，血块堵塞和前尿道狭窄各１例。结论：膀胱颈口梗阻为耻骨上前列腺切除术后引起排尿困难的主要原因，而腺体残留则为经尿道前列腺电切术后排尿困难的重要原因。

Purpose: The causes of dysuria after operation for benign prostate hypertrophy (BPH) were analysed so as to provide evidences for prevention and treatment. Methods: Clinical data of postoperative dysuria in 14 cases of BPH were analysed retrospectively.ZResults: In 9 case of suprapubic prostatectomy,there were 6 complicated with bladder neck obstruction,and each 1 with urethral meatus stricture,residual gland and inflammatory stricture of posterior urethra.In 5 cases of transurethral resection of prostate (TURP),there existed 3 with residual gland,each 1 with blood clot and anterior urethral stricture. Conclusions:Postoperative dysuria is mainly attributed to bladder neck obstruction in suprapubic prostatectomy and to residual gland in TURP.