良性前列腺增生合并轻度尿道狭窄的治疗  

Treatment of benign prostate hyperplasia combined with mild urethra stenosis

作　　者：黄建文[1,2] 罗志强 曹乃龙 胡晓勇[1,2] 张炯 郭辉[1,2] 宋鲁杰 傅强[1,2] Huang Jianwen;Luo Zhiqiang;Cao Nailong;Hu Xiaoyong;Zhang Jiong;Guo Hui;Song Lujie;Fu Qiang(Department of Urology,Shanghai Jiaotong University Affiliated Sixth People’s Hospital,Shanghai Eastern Urological Reconstruction and Repair Institute,Shanghai 200233,China)

机构地区：[1]上海交通大学附属第六人民医院泌尿外科 [2]上海东方泌尿修复重建研究所,上海200233

出　　处：《中华泌尿外科杂志》2022年第8期616-617,共2页Chinese Journal of Urology

基　　金：徐汇区重要疾病联合攻关项目(XHLHGG202109);上海市第六人民医院院级科学研究基金(YNLC201816)。

摘　　要：本文回顾性分析我院收治的21例良性前列腺增生(BPH)合并轻度尿道狭窄患者的临床资料。21例行前列腺手术时,先行尿道扩张或尿道内切开。12例行经尿道前列腺钬激光剜除术(HoLEP),术后3例出现严重尿道狭窄而接受再次手术,9例排尿通畅;4例逆向射精;2例暂时性尿失禁。9例行腹腔镜前列腺剜除术,术后均排尿通畅,无严重尿道狭窄、暂时性尿失禁和逆向射精。腹腔镜前列腺剜除术治疗合并轻度尿道狭窄的BPH较HoLEP能降低尿道狭窄的风险。We retrospectively analyzed the clinical data of 21 patients diagnosed with BPH combined with mild urethra stenosis from January 2018 to December 2020.12 patients underwent holmium laser enucleation of prostate(HoLEP).There were 3 cases of serious urethra stenosis requiring repeat surgical treatment after surgery,9 cases of unobstructed voiding,4 cases of reverse ejaculation and 2 cases of temporary urinary incontinence.9 patients underwent laparoscopic simple prostatectomy(LSP)and all patients had unobstructed voiding.There were no cases of severe urethral stricture,temporary urinary incontinence and retrograde ejaculation in LSP group.LSP has reduced the risk of a repeat urethral surgery because of transurethral operation increasing the degree of urethra stenosis.

关 键 词：良性前列腺增生 尿道狭窄 钬激光 剜除 腹腔镜 

分 类 号：R699.8[医药卫生—泌尿科学]