Mangin P, Beurton D, Cukier J
J Urol (Paris). 1982;88(2):117-23.
The authors report a retrospective study of 320 primary resections for benign prostatic hypertrophy yielding a mean weight of 30 grams, only 5% exceeding 50 grams. Routine internal urethrotomy of the penible urethra carried out in 62 patients did not prevent urethral stenosis in 2 of them. There were no cases of fluid absorption syndrome, but the relatively frequent nature of the immediate (5 cases) or early (10 cases) abundant bleeding should be noted. Only one third of the patients required a transfusion. Seventeen developed a septicaemia and six epididymitis. Septicaemia (2 cases), pulmonary embolism (1 case) and cardiac insufficiency (1 case), were the causes of the 4 deaths (1.25%). There were 14 cases of urethral stenosis, 19 of incomplete resection, 1 fibrosis of the prostatic bed and 6 fibrosis of the bladder neck. There were 3 cases of complete incontinence (0.9%). In this retrospective series, spread over 7 years and involving 16 different surgeons, 80% of the patients undergoing resection had a perfect result, to which could be added 7%, following minor endoscopic re-operation for urethral stenosis or incomplete prostatic resection. The experience of the surgeon and the improvements in equipment appeared to be the two essential factors in the improvement of results of endoscopic resection for benign prostatic hypertrophy.
作者报告了一项对320例因良性前列腺增生而进行初次切除术的回顾性研究，前列腺平均重量为30克，只有5%超过50克。62例患者进行了常规的阴茎尿道内切开术，但其中2例仍发生了尿道狭窄。未出现液体吸收综合征病例，但应注意到即刻（5例）或早期（10例）大量出血较为常见。只有三分之一的患者需要输血。17例发生败血症，6例发生附睾炎。败血症（2例）、肺栓塞（1例）和心功能不全（1例）是4例死亡（1.25%）的原因。有14例尿道狭窄、19例切除不完全、1例前列腺床纤维化和6例膀胱颈纤维化。有3例完全性尿失禁（0.9%）。在这个历时7年、涉及16位不同外科医生的回顾性系列研究中，80%接受切除术的患者效果理想，因尿道狭窄或前列腺切除不完全而进行小型内镜再次手术的患者，其理想结果比例可再增加7%。外科医生的经验和设备的改进似乎是提高良性前列腺增生内镜切除效果的两个关键因素。
