The diagnosis, treatment and prevention of dysuria within 6 months after suprapubic transvesicle prostatectomy
10.3760/cma.j.issn.1008-6315.2011.08.029
- VernacularTitle:良性前列腺增生症开放性手术后近期排尿困难的临床分析
- Author:
Bo YIN
;
Gang LIU
;
Peng WANG
;
Wei JIN
;
Xuewen XU
;
Renge BU
;
Xia WANG
;
Yongsheng SONG
;
Bin WU
- Publication Type:Journal Article
- Keywords:
Benign prostatic hyperplasia;
Suprapubic transvesical prostatectomy;
Dysuria
- From:
Clinical Medicine of China
2011;27(8):857-859
- CountryChina
- Language:Chinese
-
Abstract:
Objective To summarize the diagnosis,treatment and prevention of dysuria within 6 months after the suprapubic transvesical prostatectomy. Methods Twenty-four cases were retrospectively reviewed,including the data on the diagnosis, treatment and prognosis. Results Twenty-one of the 24 cases had received surgery. There were 9 cases with bladder neck stricture,9 cases with posterior urethra stricture and 3 cases with of remnant glands. Nine cases received transurethral bladder neck incision, 9 received open surgery ( bladder neck,posterior urethral incision) and 3 received transurethral resection of the prostate (TURP) plus bladder neck incision. The other 3 diagnosed as detrusor weakness were conservatively treated by indwelling catheter and they were improved one months later. None of these patients was readmitted into hospital for dysuria within 6 months after treatment. Conclusion The recurrence of dysuria post prostatectomy mostly ( 75% ) occurred within 6 months after surgery. A majority of these patients need a second surgery. To avoid a second surgery for postoperative dysuria, much attention should be paid to the operating technique and postoperative management.
