腹腔镜下保留后尿道床的膀胱颈楔形切除成形术(附8例报告)

Wedge-resection of bladder neck with posterior urethral bed preserved under laparoscope(Report of 8 cases)

目的:探讨前列腺增生患者行经尿道前列腺电切术后膀胱颈口顽固性狭窄的治疗方法。方法:回顾8例前列腺增生患者行经尿道前列腺电切术后膀胱颈口顽固性狭窄的临床资料,均行腹腔镜下保留部分后尿道床的膀胱颈楔形切除成形术。结果:8例患者均手术成功,术后均排尿通畅,最大尿流率均大于15 mL/s,控尿正常。随访4~15个月,未再复发。结论:腹腔镜下保留部分后尿道床的膀胱颈楔形切除成形术是TURP术后膀胱颈口顽固性狭窄的有效治疗方法。

Objective:To explore the treatment of intractable bladder neck stenosis in patients with benign prostatic hyperplasia(BPH)after transurethral resection of prostate(TURP).Method:The clinical data of 8 patients with BPH who underwent TURP were reviewed.Result:All of the 8 patients were operated successfully,and urination was unobstructed.The maximum flow rate of urine was more than 15 mL/s,and urine control was normal.After 4 to 15 months of follow-up,there was no recurrence.Conclusion:Laparoscopic wedge-resection of the bladder neck with partial posterior urethral bed preserved is an effective treatment for intractable bladder neck stenosis after TURP.