前列腺增生术后排尿困难原因分析及治疗

Reasons to analysis and treatment of dysuresia after TURP

目的探讨前列腺增生(BPH)经过手术治疗后排尿困难的发生原因及处理方法。方法回顾性分析389例前列腺增生(其中经尿道前列腺电切除术325例,耻骨上经膀胱前列腺摘除术64例)术后发生排尿困难48例的原因及处理经验。结果 48例患者保守治疗30例,手术治疗18例;平均随访20个月,痊愈43例,耻骨上膀胱造瘘5例,再次经尿道行电切手术13例。结论尿道狭窄、腺体残留、前列腺再增生、膀胱功能障碍是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,可以提高手术质量,必要的术后随访,是减少排尿困难发生的关键。

Objective To investigate the reasons to analysis and treatment of dysuresia After TURP. Methods a retrospective analysis of 389 cases of benign prostatic hyperplasia （summary which transurethral resection 325, suprapubic prostatectomy ： report of 64 cases） in postoperative dysuria in 48 cases of cause and treatment experience. Results 30 cases had conservative treatment, operation treatment in 18 cases. The mean follow-up was 20 months. 43 cases were cured, 5 cases suprapubic cystostomy, again transurethral resection of transurethral operation in 13 cases. Conclusion Urethral stricture, residual gland, prostate proliferation, bladder dysfunction are the main causes of dysuria after prostatectomy. The correct preoperative diagnosis and intraoperative, postoperative management,is to improve operation quality, need for postoperative follow-up, and the key is to reduce the difficulty of urination