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前列腺增生(BPH)是以排尿困难为主要特征的老年男性常见病、多发病。随着生活水平提高、平均寿命延长,人们对生活质量要求也与日俱增。耻骨上前列腺切除术(TVP)是一种治疗前列腺增生症常用和有效的手术。以往采用缝缩颈口,水囊压迫腺窝或膀胱颈口等措施预防出血,但往往由于缝缩膀胱颈太紧而发生膀胱出口梗阻(BOO)等问题,有报道用Hryntschak法关闭缝合膀胱颈部狭窄发生率为10%～18%[1]。为了减少手术并发症,我们对常规耻骨上前列腺切除术作了一些改良,取得了较满意地效果。现报告如下:
Prostate hyperplasia (BPH) is a common and frequently-occurring disease in elderly men with dysuria as the main feature. With the improvement of living standards, the average life expectancy, people’s quality of life is also increasing. Suprapubic prostatectomy (TVP) is a commonly used and effective surgical treatment of benign prostatic hyperplasia. In the past the use of suture necks, sac compression or gland neck bladder outlet and other measures to prevent bleeding, but often due to tight bladder neck obstruction and bladder outlet obstruction (BOO) and other issues, there are reports of Hryntschak method to close the suture bladder neck Department of stenosis rate of 10% to 18% [1]. In order to reduce the complications of surgery, we made some improvements to the conventional suprapubic prostatectomy, and achieved satisfactory results. The report is as follows: