前列腺增生并前尿道狭窄的诊断与治疗

Diagnosis and treatment of benign prostate hyperplasia with anterior urethral stricture

目的 :探讨前列腺增生 (BPH)并前尿道狭窄的临床特点和处理方法。方法 :回顾性分析我院 1994年1月～ 2 0 0 0年 1月收治的 32例 BPH并前尿道狭窄患者的诊断及治疗情况。结果 :术前明确诊断率为 43.8% (14/32 ) ,余为 TURP术中发现。采用尿道扩张或冷切加 TURP者 2 1例 ,采用冷切加开放前列腺切除术处理者 2例 ,仅采用冷切术处理者 9例。 2 6例平均随访 34.2个月 ,有效率为 6 1.5 % (16 / 2 6 )。结论 :对 BPH并前尿道狭窄者应明确尿道梗阻原因 ,首选腔内治疗 ,术后定期作尿道扩张 。

Purpose:To discuss the diagnosis and treatment of benign prostate hyperplasia (BPH) associated with anterior urethral stricture (AUS).Method:32 cases of BPH with AUS treated from 1994 to 2000 were reviewed and analyzed. Results:Correct diagnosis has been achieved in 14 of 32 cases preoperatively ( 43.8 %). Among the 32 cases, 21 underwent dilatation or transurethral urethrotomy before TURP, 2 underwent transurethral urethrotomy and prostatectomy, the rests underment urethrotomy only. 26 cases had been followed up for a average period of 34.2 months. The effective rate was 61.5 %(16/26).Conclusions:It was necessary to be aware of the cause of urethral stenosis in BPH patients. Endoscopic treatment was one of the effective way for those cases. Postoperative urethral dilatation could decrease the reccurance of urethral stenosis.