Delaere K P, Debruyne F M, Moonen W A
Br J Urol. 1983 Apr;55(2):225-8. doi: 10.1111/j.1464-410x.1983.tb06562.x.
Thirty-two male patients with mechanical or functional bladder outlet obstruction were treated by bilateral endoscopic bladder neck incision. In three cases a repeat incision was necessary. Subjective cure or improvement was obtained in 81%. Objective evaluation, including uroflowmetry and residual urine measurements, showed a similar improvement. Bladder neck incision takes only a few minutes, is simple and less traumatic than transurethral resection. The aetiology of impaired micturition and the value of urodynamic assessment are discussed and some attention devoted to the problem of post-operative retrograde ejaculation.
32例因机械性或功能性膀胱出口梗阻的男性患者接受了双侧内镜下膀胱颈切开术治疗。其中3例需要再次切开。主观治愈率或改善率为81%。包括尿流率测定和残余尿量测量在内的客观评估显示出类似的改善。膀胱颈切开术仅需几分钟，操作简单，创伤比经尿道切除术小。本文讨论了排尿障碍的病因及尿动力学评估的价值，并对术后逆行射精问题给予了一定关注。
