耻骨上前列腺切除术后排尿困难的原因分析

Analysis of the cause of dysuria after suprapubic prostatectomy

目的 探讨耻骨上前列腺切除术后排尿困难的原因,为预防提供依据。方法 对16例耻骨上前列腺切除术后排尿困难的临床资料进行分析。 结果 后尿道狭窄9例,前尿道狭窄3例,腺体残留2例,不稳定膀胱1例,腺体增生复发1例。结论 尿道狭窄为耻骨上前列腺切除术后排尿困难的主要原因,采用提高手术技巧、预防尿路感染、术前尿动力学的筛选是预防这类并发症的有效措施。

AIM The cause of dysuria after suprapubic prostatectomy was analysed so as to provide evidence for prevention. METHODS 16 cases of dysuria after suprapubic prostatectomy were analysed retrospectively. RESULTS It was found that,9 cases were posterior urethral sticture,3 cases were anterior urethral stricture,2 cases were adenomatous remnant, 1 case was recurrence of prostatic hyperplasia,1 case was unstable bladder. CONCLUSION Urethral stricture was a major cause of the dysuria after suprapublic prostatectomy, it can be prevented effectively by improving operating skills, preventing urithral infections,examing urodynamics to select patients.