从减少并发症的角度评估良性前列腺增生手术方式的选择

Achievement of satisfactory outcomes of benign prostatic hyperplasia surgery based on avoiding complications

良性前列腺增生(BPH)的手术治疗是一项经过长时间检验的治疗选择,并发症的发生率低,但如果出现并发症则会显著影响患者的生活质量,故泌尿外科医生需要结合患者的身体状况、治疗预期、临床症状、前列腺体积、不同术式的优缺点以及医生对不同术式的掌握程度,对BPH患者进行个体化治疗,进而减少压力性尿失禁(SUI)、尿道狭窄(US)以及膀胱颈挛缩(BNC)等术后并发症的发生。本文从手术安全及减少尿失禁和术后US等并发症的角度来谈BPH手术方式的选择,以期尽可能提高BPH手术治疗的满意度。

The outcomes of surgical treatment of benign prostatic hyperplasia(BPH)has been verified as it causes few complications.However,if complications develop,they will have significant impacts on patients quality of life.Therefore,in order to provide individualized treatments,patients general condition,expectations of treatment,clinical symptoms,prostate volume,advantages and disadvantages of different operative methods and operators mastery of operative methods should be considered to reduce the incidence of postoperative complications such as stress incontinence,urethral stricture and bladder neck contracture.This article discusses the choices of surgical interventions of BPH from the perspective of surgical safety and reduction of complications so as to improve the satisfaction of patients.