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应用耻骨后保留尿道前列腺切除术治疗前列腺增生症34例。结果所有患者术后首次排尿通畅,无尿失禁及血尿,平均留置尿管5天,无需膀胱冲洗。术后随访6~40个月,排尿通畅有力,保持术前性生活状况,疗效满意。对切除前列腺腺体时防止尿道损伤、减少术中出血等操作要点进行讨论,认为此手术保留了尿道完整性,术后恢复快、痛苦小,并发症少,生活质量高,是治疗前列腺增生症较理想的手术方法。
Thirty - four cases of benign prostatic hyperplasia treated with retention of urethral prosthesis after pubis. Results All patients had the first voiding after operation, no urinary incontinence and hematuria, and the average catheter was indwelling for 5 days without bladder irrigation. Follow-up 6 to 40 months after operation, voiding patency, maintain preoperative sexual life, the effect is satisfactory. On the removal of the prostate gland to prevent urethral injury, reduce intraoperative bleeding and other operating points are discussed, that the surgery to retain the integrity of the urethra, postoperative recovery fast, less pain, fewer complications, high quality of life, is the treatment of benign prostatic hyperplasia The ideal surgical method.