良性前列腺增生行经尿道前列腺切除术后尿道狭窄发生状况及外科治疗研究进展

Research progress on the occurrence and surgical treatment of urethral stricture after transurethral resection of prostate for benign prostatic hyperplasia

经尿道前列腺切除术(TURP)是良性前列腺增生(BPH)的主要治疗方法,尿道狭窄是TURP后再入院的主要原因,无论采用何种术式治疗BPH均不能完全避免尿道狭窄发生,对患者排尿功能和生活质量造成严重影响,因此需合理选择有效的治疗策略以改善患者排尿功能。对于BPH行TURP后尿道狭窄的治疗手段与其他病因所致的尿道狭窄相同,分为开放手术和腔内治疗,不同类型手术的近期、远期效果有明显差异,且适应证人群也有严格限制。文章总结了BPH行TURP后尿道狭窄的发生状况和外科治疗方式,以指导临床医师针对患者的不同情况选择最恰当的手术方案,改善患者预后。

Transurethral resection of prostate(TURP)is the main method for retreating benign prostatic hyperplasia(BPH),and urethral stricture is the main reason for readmission after TURP.No matter what surgical method is used to treat BPH,urethral stricture cannot be completely avoided,which seriously affects the patient’s urinary function and quality of life.Only by selecting reasonable and effective treatment strategies can patients improve their urinary function.At present,the treatment methods for urethral stricture after TURP for BPH is the same as that for urethral stricture caused by other causes,which can be divided into open surgery and endovascular treatment.The short-term and long-term effects of different types of surgery vary significantly,and there are also strict limitations on suitable population.This article summarizes the occurrence and surgical treatment for urethral stricture after prostate enlargement surgery,which has certain guiding significance for clinical doctors to choose surgical plans.