Hellström P, Lukkarinen O, Kontturi M
Scand J Urol Nephrol. 1986;20(3):187-92. doi: 10.3109/00365598609024492.
Transurethral electroresection of the prostate (TURP) was compared with bladder neck incision (BNI) in the treatment of 24 patients with urinary obstruction caused by a small benign prostate. An evaluation of the urodynamic findings and subjective symptoms was undertaken before the operation and 6 months afterwards. Thirteen patients underwent TURP and 11 BNI. All patients except one in the BNI group subjectively considered the result good. The urodynamic evaluation showed that the detrusor pressure at maximum flow rate decreased more in the TURP group than in the BNI group and the urethral pressure profile was shorter after the operation. The maximum flow rates after the operation were similar in both groups. Retrograde ejaculation developed in 62% of the patients after TURP but none after BNI. BNI is recommended for men under 60 years with minimal prostatic hypertrophy and with an active sexual life.
对24例由小的良性前列腺导致尿路梗阻的患者，比较经尿道前列腺电切术（TURP）与膀胱颈切开术（BNI）的治疗效果。在手术前及术后6个月对尿动力学检查结果和主观症状进行了评估。13例患者接受了TURP，11例接受了BNI。除BNI组1例患者外，所有患者主观上都认为效果良好。尿动力学评估显示，TURP组最大尿流率时的逼尿肌压力下降比BNI组更多，且术后尿道压力曲线更短。两组术后的最大尿流率相似。TURP术后62%的患者出现逆行射精，而BNI术后无一例出现。对于60岁以下前列腺增生轻微且性生活活跃的男性，推荐采用BNI。
