Obrant K O
Scand J Urol Nephrol. 1976;10(1):26-32. doi: 10.3109/00365597609179650.
In 1972 and 1973 all together 186 men were operated upon with transurethral electroresection of prostatic adenoma. During the period no adenomectomies were performed by "open" methods. All the patients were operated upon by one surgeon. The early results of the operation were analysed. The operation appeared to imply only a very small strain on the patients. None of the men died during their stay in hospital. The men spent on the average 5 days in hospital after the operation. This figure includes those men in whom the adenoma removed was large, i.e. 88 cases in which the operative specimens weighed 30 to 124 g. The need of blood transfusions was small during and after the operation. Transfusions were never necessary in those cases where the operative specimens were small. In the 88 cases where specimens were large 25% required blood transfusion. Most patients had urinary incontinence for a few days to four months after the operation. They were afterwards all continent except 4 who were completely incontinent postoperatively. In all of these cases incontinence was due, at least partly, to cerebral lesions. It is claimed that with the irrigation fluid used, i.e. isotonic water solution of sorbitol and acetic acid, there is no need to limit the operation time and therefore not the size of the adenomas which can be resected. The surgeon can work quietly and without haste until the entire adenoma has been removed.
1972年至1973年期间，共有186名男性接受了经尿道前列腺腺瘤电切术。在此期间，未采用“开放”手术方法进行腺瘤切除术。所有患者均由同一位外科医生实施手术。对手术的早期结果进行了分析。该手术似乎对患者造成的压力非常小。住院期间无一人死亡。术后患者平均住院5天。这一数字包括切除的腺瘤较大的患者，即88例手术标本重量为30至124克的病例。手术期间及术后输血需求较小。手术标本较小的病例从未需要输血。在88例标本较大的病例中，25%需要输血。大多数患者术后几天至四个月出现尿失禁。除4例术后完全失禁外，其余患者后来均恢复了控尿能力。在所有这些病例中，失禁至少部分是由脑部病变引起的。据称，使用的冲洗液，即山梨醇和醋酸的等渗水溶液，无需限制手术时间，因此也无需限制可切除腺瘤的大小。外科医生可以从容不迫地工作，直到整个腺瘤被切除。
