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目的探讨良性前列腺增生(BPH)手术治疗后并发尿失禁的原因及对策。方法对用不同方式行前列腺摘除术后尿失禁18例患者的临床资料进行回顾性分析。结果耻骨后前列腺摘除术并发尿失禁10例,经尿道前列腺电切术(TURP)术后8例,患者经行尿动力学检查,排尿期尿道造影及尿道膀胱镜检查,明确发生尿失禁病因,并针对病因采取保守或手术治疗后,尿失禁消失或改善。结论选择正确前列腺的手术方式对预防手术后尿失禁十分关键,术中保留完整的外尿道括约肌可以有效预防术后尿失禁的发生。
Objective To investigate the causes and countermeasures of urinary incontinence after benign prostatic hyperplasia (BPH) surgery. Methods The clinical data of 18 patients with urinary incontinence after prostatectomy were retrospectively analyzed. Results Ten cases of puborectal cancer complicated with urinary incontinence were treated by transurethral resection of the prostate (TURP). Eight patients underwent urethral dynamic urethral angiography and urethral cystoscopy to identify the cause of urinary incontinence, And for the cause of conservative or surgical treatment, urinary incontinence disappeared or improved. Conclusion It is very important to choose the correct surgical method of prostate for the prevention of postoperative urinary incontinence. Surgical retention of complete external urethral sphincter can effectively prevent postoperative urinary incontinence.