耻骨上前列腺切除术后排尿困难的原因

目的　探讨耻骨上前列腺切除术后排尿困难的原因 ,为预防提供依据。方法　对 1 6例耻骨上前列腺切除术后排尿困难的临床资料进行分析。结果　后尿道狭窄 9例 ,前尿道狭窄 3例 ,腺体残留 2例 ,不稳定膀胱 1例 ,腺体增生复发 1例。结论　尿道狭窄为耻骨上前列腺切除术后排尿困难的主要原因 ,采用提高手术技巧 ,预防尿路感染 ,术前尿动力学测定是预防这类并发症的有效措施

Analysis of Cause of Dysuria after Suprapubic Prostatectomy

Objective To provide evidence for prevention based on the cause o dysuria after suprapubic prostatectomy was analyzed. Methods 16 cases of dysuria after suprapubic prostatectomy were analyzed retrospectively. Results 9 cases were posterior urethral stricture, 3 were anterior urethral stricture, 2 were adenomatous remnant, 1 was recurrence of prostatic hyperplasia and 1 was unstable bladder. Conclusion Urethral stricture was a major cause of the dysuria after suprapubic prostatectomy. It could be prevented effectively by improving operative skill, urethral infection and examing urodynamic to select patient.