经尿道前列腺电汽化术后并发症及防治对策(附920例报告)

目的:探讨经尿道前列腺电汽化术(TVP)术后并发症及其防治对策。方法:对920例良性前列腺增生(BPH)患者行TVP,分析术后并发症。结果:术后并发症包括:大出血30例(3.3%),经尿道电切综合征(TURS)6例(0.7%),下尿路感染16例(1.7%),急性附睾炎11例(1.2%),急性尿潴留34例(3.7%),尿失禁35例(3.8%),尿道狭窄26例(2.8%),复发22例(2.4%)。随机选取TVP术前性功能正常的44例患者(51~65岁),术后逆行射精占54.5%(24/44),勃起功能障碍占9.1%(4/44)。结论:TVP是治疗BPH的理想术式,但应注意其并发症。

Observation and Preventative Strategies of Complications in Transurethral Electrovaporization of the Prostate: Report of 920 Cases

Objective: To investigate the post-operative complications and preventative strategies of them in transurethral electrovaporization of the prostate(TVP).Methods: Nine hundred and twenty patients with symptomatic benign prostatic hyperplasia(BPH) were treated by TVP.Results: Post-operative complications included severe hameurine in 30 cases((3.3)%),transurethral resection syndrome(TURS) in 6 cases((0.7)%),acute lower urinary tract infection in 16 cases((1.7)),acute epididymitis in 11 cases((1.2)%),acute urinary retention in 34 cases((3.7)%), incontinence in 35 cases((3.8)%),urethral stricture in 26 cases((2.8)%),recurrence in 22 cases((2.4)%).There were retrograde ejaculation in(54.5)%(24/44) and impotence in(9.1)%(4/44). Conclusion: Although TVP is more effective than standard TURP in the treatment of lower urinary tract symptoms caused by BPH,complications during TVP procedures require special consideration.