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报告复发性良性前列腺增生(BPH)4例,首次和复发后手术间隔时间4.5~7.5年,平均6.3年。均采用耻骨上前列腺切除术治疗,疗效满意,未再见增生复发。并就其复发原因、诊断和治疗等进行讨论.认为本病好发于腺上皮增殖为主者,并与前列腺部尿道保留过长及持续激素代谢失调有关,复发时仍以尿路梗阻和血尿为主要表现。前列腺穿刺活检为准确诊断方法。耻骨上前列腺切除术是治疗复发性BPH的较好术式。
Report of 4 cases of recurrent benign prostatic hyperplasia (BPH), the first and recurrence after surgery interval 4.5 ~ 7.5 years, an average of 6.3 years. All suprapubic prostatectomy treatment, satisfactory results, no longer see the recurrence of hyperplasia. And its causes of recurrence, diagnosis and treatment are discussed. That the disease occurs mainly in the glandular epithelial proliferation, and the prostate with the urethra to retain too long and continued hormone metabolism disorders, recurrence is still urinary tract obstruction and hematuria as the main performance. Prostate biopsy for accurate diagnosis. Suprapubic prostatectomy is a better surgical treatment of recurrent BPH.