摘要
目的 探讨前列腺增生伴结石术后顽固性症状的病因及治疗方法.方法 回顾性分析2011年1月～2012年12月本院收治的前列腺增生（BPH）伴结石患者行经尿道前列腺电切（transurethral resection of the prostate,TURP）或绿激光汽化术后出现顽固性尿痛5例,伴尿频、尿急.门诊给予抗感染、止痛及降低膀胱过度活动药物治疗1个月后,尿频、尿急症状明显改善,而尿痛症状未改善,复查B超提示前列腺残留结石,再次行TURP术,清除残余结石.结果 5例患者全部顺利完成手术,拔除尿管后尿痛消失.无排尿困难、尿潴留、发热等并发症.复查B超示无残留结石.结论 前列腺结石残留是前列腺增生术后顽固性尿痛症状重要原因,再次行TURP术是治疗的首选方法,安全、有效.
Objectives To explore the cause and the treatment method of intractable symptoms after prostectomy for benign prostatic hyperplasia （BPH） with calculus.Methods The data of BPH with stones were retrospectively analyzed in our hospital.The 5 cases of them complined of symptoms of intractable urodynia after transurethral resection or photoselective vaporization of prostate,accompanied with frequent micturition,urgent micturition.Patients were treated with anti-infective,Analgesic therapy and reduce bladder excessive activity drug after 1 month.The symptoms of frequent micturition,urgent micturition have improved significantly.But urodynia has no obvious improvement.Reviewing type-B ultrasound showed residual stones.5 cases underwent reoperation and remove residual stones.Results All patients were successfully completed the operation.The urodynia disappears after catheter removal.No adverse reactions of Dysuria,urinary retention,fever have been found.Reviewing type-B ultrasound showed no residual stones.Conclusions The residual stones after prostatectomy is an important cause of intractable urodynia.Reoperative TURP is a safe and effective procedure in treatment of it.
出处
《国际泌尿系统杂志》
2014年第4期496-498,共3页
International Journal of Urology and Nephrology
关键词
经尿道前列腺切除术
结石
Transurethral Resection of Prostate
Calculi
