经尿道前列腺电切术治疗良性前列腺增生后再次前列腺切除术的临床分析

[Clinic analysis of repeat prostatectomy after transurethral prostatectomy for benign prostatic hyperplasia].

作者信息

Mao Quan-zong, Rong Shi, Li Han-zhong, Ji Zhi-gang, Xia Ming, Zang Mei-fu

机构信息

Department of Urology, Peking Union Medical College Hospital, Beijing 100730, China.

出版信息

Zhonghua Yi Xue Za Zhi. 2004 Mar 2;84(5):372-4.

PMID:15061986

Abstract

OBJECTIVE

To analyze the incidence rate of repeat transurethral prostatectomy (TURP) and its probable causes after TURP for benign prostatic hyperplasia (BHP).

METHODS

A retrospective study was conducted to summarize the cases who received repeat transurethral resection of prostate after TURP for benign prostatic hyperplasia in recent 20 years. The data were compared with the data of the cases who just received once TURP for BPH.

RESULTS

1225 patients received TURP for BHP from 1981 to 2001. Fifty-seven patients experienced repeat transurethral resection of the prostate after a mean interval of 3 years and 2 months with an incidence rate of 4.65%. 69.8% of which manifested repeat gross hematuria before repeat prostatectomy, with a rate significantly higher than the general gross hematuria rate and the gross hematuria rate at the first admission (P < 0.005 and P < 0.01).

CONCLUSION

The incidence rate of repeat prostatectomy after TURP for BHP is 4.65%. The mean interval between the two procedures is 3 years and 2 months. Gross hematuria is one of the main causes for repeat TURP besides the low urinary tract symptoms.

摘要

目的

分析经尿道前列腺电切术（TURP）治疗良性前列腺增生（BHP）后再次行经尿道前列腺电切术的发生率及其可能原因。

方法

进行一项回顾性研究，总结近20年因良性前列腺增生接受TURP术后再次行经尿道前列腺切除术的病例。将这些数据与仅接受一次TURP治疗BPH的病例数据进行比较。

结果

1981年至2001年期间，1225例患者接受了TURP治疗BHP。57例患者在平均间隔3年零2个月后经历了再次经尿道前列腺切除术，发生率为4.65%。其中69.8%在再次前列腺切除术前出现反复肉眼血尿，该发生率显著高于一般肉眼血尿发生率及首次入院时的肉眼血尿发生率（P<0.005和P<0.01）。