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目的：分析前列腺增生术后排尿困难的原因，为预防和治疗提供依据。方法：回顾性分析１４例前列腺增生术后出现排尿困难病例的临床资料。结果：９例耻骨上前列腺切除术病例中，膀胱颈梗阻６例，尿道外口狭窄、腺体残留和后尿道炎性粘连狭窄各１例；５例经尿道前列腺电切术病例中，腺体残留３例，血块堵塞和前尿道狭窄各１例。结论：膀胱颈口梗阻为耻骨上前列腺切除术后引起排尿困难的主要原因，而腺体残留则为经尿道前列腺电切术后排尿困难的重要原因。
Objective: To analyze the causes of dysuria after benign prostatic hyperplasia and provide the basis for prevention and treatment. Methods: The clinical data of 14 cases of dysuria after prostatic hyperplasia were analyzed retrospectively. Results: Among 9 cases of suprapubic prostatectomy, 6 cases were bladder neck obstruction, 1 case was urethral stricture, 1 case was gland residual and 2 cases were posterior urethral stricture. In 5 case of transurethral resection of prostate, Residual in 3 cases, clot plugging and anterior urethral stricture in 1 case. Conclusion: Bladder neck obstruction is the main cause of dysuria after suprapubic prostatectomy, while the residual of gland is the main reason of dysuria after transurethral resection of prostate.