Kelly M J, Roskamp D, Leach G E
Department of Urology, Kaiser Permanente Medical Center, Los Angeles, California.
J Urol. 1989 Dec;142(6):1507-9. doi: 10.1016/s0022-5347(17)39141-3.
The efficacy of transurethral incision of the prostate was evaluated prospectively in 26 men with urodynamic evidence of outlet obstruction secondary to small prostate glands (estimated size less than 30 gm). All men completed preoperative and postoperative symptom questionnaires and extensive urodynamic testing with a median postoperative followup of 16.25 months. There was a significant improvement in subjective symptom analysis and objective urodynamic parameters (peak and mean uroflow rates, maximal detrusor pressure at peak flow, volume at first urge and post-void residual volume) as a result of transurethral incision of the prostate with minimal postoperative morbidity. Antegrade ejaculation was preserved in 55% of the men with normal preoperative ejaculation. Based on subjective and objective criteria, transurethral incision of the prostate is an effective treatment option for selected men with outlet obstruction.
对26例因前列腺小（估计重量小于30克）导致有尿动力学证据显示出口梗阻的男性患者，前瞻性地评估了经尿道前列腺切开术的疗效。所有男性均完成了术前和术后症状问卷，并进行了广泛的尿动力学检测，术后中位随访时间为16.25个月。经尿道前列腺切开术后，主观症状分析和客观尿动力学参数（尿流率峰值和平均尿流率、排尿峰值时的最大逼尿肌压力、首次有尿意时的尿量及排尿后残余尿量）有显著改善，且术后发病率极低。术前射精功能正常的男性中，55%的人顺行射精得以保留。基于主观和客观标准，经尿道前列腺切开术是治疗特定出口梗阻男性患者的有效选择。
