Management for late complications after transurethral resection of the prostate

蒲军; 吴小候; 唐伟; 梁思敏; 陈刚

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Management for late complications after transurethral resection of the prostate

更新时间：2026-01-09

- Management for late complications after transurethral resection of the prostate
- Journal of Army Medical University Vol. 29, Issue 19, Pages: 1900-1901(2007)
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  CLC： R697.320.5;R699.806
- Published：2007
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蒲军,吴小候,唐伟,梁思敏,陈刚.前列腺电切术后远期并发症及处理[J].陆军军医大学学报(原第三军医大学学报),2007,29(19):1900-1901.

　PU Jun,WU Xiao-hou,TANG Wei,LIANG Si-min,CHEN Gang.Management for late complications after transurethral resection of the prostate[J].J Amry Med Univ (J Third Mil Med Univ),2007,29(19):1900-1901.
蒲军,吴小候,唐伟,梁思敏,陈刚.前列腺电切术后远期并发症及处理[J].陆军军医大学学报(原第三军医大学学报),2007,29(19):1900-1901. DOI：

　PU Jun,WU Xiao-hou,TANG Wei,LIANG Si-min,CHEN Gang.Management for late complications after transurethral resection of the prostate[J].J Amry Med Univ (J Third Mil Med Univ),2007,29(19):1900-1901. DOI：

摘要

目的分析前列腺电切术后因并发症再入院患者的原因及治疗方法。方法回顾性分析102例前列腺电切术后因并发症再入院患者的临床资料。结果 102例患者中有残留腺体增生32例（31.37％），膀胱颈挛缩22例（21.57％），尿道狭窄18例（17.65%），血尿15例(14.71%)，附睾炎6例(5.88%)，尿路感染4例(3.92%)，前列腺癌3例(2.94%)，神经原性膀胱功能障碍2例(1.96%)。所有患者经相应治疗，效果满意。结论残留腺体增生、膀胱颈挛缩、尿道狭窄、血尿是前列腺电切术后患者再入院的主要并发症。治疗其远期并发症应针对病因选择最佳治疗方案。

Abstract

Objective To analyze the causes and management of the late complications after transurethral resection of the prostate (TURP) for benign prostatic hyperplasia. Methods The clinical data of 102 patients who were hospitalized for the late complications after TURP were analyzed retrospectively. Results The causes of readmission were residual prostatic hyperplasia for 32 patients (31.37%)

bladder neck restriction for 22 patients (21.57%)

urethral stricture for 18 patients (17.65%)

hematuria for 15 patients (14.71%)

epididymitis for 6 patients (5.88%)

urinary tract infection for 4 patients (3.92%)

carcinoma of prostate for 3 patients (2.94%)

and neuropathic bladder dysfunction for 2 patients (1.96%). All patients were satisfied with their therapeutic efficacy after different treatments. Conclusion The main complications after TURP include residual prostatic hyperplasia

bladder neck restriction

urethral stricture and hematuria. Best therapeutic approach should be chosen according to different causes of the late complications after TURP.

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