良性前列腺增生患者TURP术后再次电切手术的临床分析

Clinical analysis on reoperation of transurethral resection of the prostate for benign prostatic hyperplasia

目的探讨良性前列腺增生（BPH）患者TuRP术后再次电切手术的原因和诊治方法。方法采用回顾性临床研究方法，分析本院1998年12月-2013年12月行TURP治疗BPH患者术后再次电切手术的临床资料。结果3016例BPH患者TURP术后再次电切手术102例。再次电切手术距第一次TURP时间平均1年6个月，第二次行电切手术的患者中有54例（占58．7％）在第一次TURP术后反复发生肉眼血尿，腺体残留或复发32例，膀胱颈部挛缩16例。结论BPH患者行TURP术后再次电切手术的发生率为3．4％；第二次电切手术距第一次TURP手术的平均时间为1年6个月；其原因除了膀胱颈挛缩、腺体残留所引起明显下尿路梗阻症状外，TURP术后反复发生肉眼血尿是再次电切手术的主要原因。

Objectives To analyze the probable causes of repeat transurethral resection of the prostate （TURP） and its treatment after TURP for benign prostatic hyperplasia （BHP） . Methods A retrospective study was conducted to summarize the cases who received repeat transurethral resection of prostate after TURP for BPH during December 1998 - December 2013. Results 3016 patients received TURP for BHP from 1998 to 2013. 102 patients experienced repeat TURP after a mean interval of 1 years and 6 months. 58.7% of which manifested repeat gross hematuria beforerepeat prostatectomy. Conclusions The incidence rate of repeat prostatectomy after TURP for BHP is 3.4%. The mean interval between the two procedures is 1 years and 6 months. Gross hematuria is one of the main causes for repeat TURP besides the low urinary tract symptoms.