Daughtry J D, Rodan B A, Bean W J
Department of Urology, Palm Beach Martin County Medical Center, Jupiter, Florida.
Urology. 1990 Sep;36(3):203-9. doi: 10.1016/0090-4295(90)80255-l.
Retrograde balloon catheter dilation of the prostatic urethra was performed for the management of bladder outlet obstruction secondary to prostatic hyperplasia. Of the 55 patients in our series, 43 were treated entirely as outpatients and 12 were inpatients for unrelated conditions. The patient selection was limited to older, high-risk patients who were poor surgical candidates for transurethral resection of the prostate or suprapubic prostatectomy because of underlying medical problems. Twenty-two of these patients had Foley catheters for relief of their outflow obstructions. The procedures were performed under local anesthesia or intravenous sedation. Successful results were noted in 46 of 55 patients with relief of symptoms for up to twenty-six months. In 9 cases the procedures were unsuccessful and transurethral resection of the prostate was required.
采用逆行球囊导管扩张前列腺尿道治疗前列腺增生继发的膀胱出口梗阻。在我们的55例患者系列中，43例完全作为门诊患者接受治疗，12例因其他无关疾病而住院。患者选择限于因基础疾病而不适合经尿道前列腺切除术或耻骨上前列腺切除术的老年高危患者。其中22例患者留置了Foley导尿管以缓解其流出道梗阻。手术在局部麻醉或静脉镇静下进行。55例患者中有46例取得了成功结果，症状缓解长达26个月。9例手术未成功，需要进行经尿道前列腺切除术。
