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目的：评价Ｍａｄｉｇａｎ 前列腺切除术（ＭＰＣ）的疗效。方法：对２１ 例接受ＭＰＣ的前列腺增生症（ＢＰＨ）患者术前及术后分别进行症状评分及压力－流率测定，客观评价其手术疗效，并与２２ 例耻骨上经膀胱前列腺切除术（ＳＰＰＣ）患者结果对比。结果：ＭＰＣ术后症状评分明显降低、各项压力－流率测定参数及诊断梗阻的百分率明显改善，但改善程度不及ＳＰＰＣ，且残留梗阻率高于ＳＰＰＣ；ＭＰＣ的手术并发症、出血量、血尿时间、导尿管引流时间及住院时间均低于ＳＰＰＣ。结论：ＭＰＣ能够有效地解除膀胱出口梗阻，具有一些ＳＰＰＣ所不及的优点，并发症较少，但其解除梗阻的效果不及ＳＰＰＣ
Objective: To evaluate the efficacy of Madigan prostatectomy (MPC). Methods: Twenty-one patients with benign prostatic hyperplasia (BPH) who underwent MPC were evaluated for symptom score and pressure-flow rate before and after operation, and objectively evaluated their curative effect. In addition, 22 patients with suprapubic transvesical bladder resection (SPPC) ) Comparison of patient results. Results: The symptom scores of MPC decreased significantly, the parameters of pressure-flow rate and the percentage of diagnosis obstruction improved obviously, but the degree of improvement was less than that of SPPC, and the residual obstruction rate was higher than that of SPPC. The operative complications, hemorrhage, hematuria Time, catheter drainage time and hospital stay were lower than SPPC. Conclusion: MPC can effectively relieve the bladder outlet obstruction, which has the advantages of less than SPPC, with less complications, but its effect of relieving the obstruction is less than that of SPPC