Richard L, Devoldere G, Tourneur G, Hakami F, Dahmani F, Abourachid H
Service d'Urologie, Hôpital Sud, Amiens.
Prog Urol. 1994 Aug-Sep;4(4):541-6.
Fifty-seven bladder neck incisions were studied with a minimum follow-up of 5 years. The results published after one year were very satisfactory, but became more disappointing after 5 years, with a 38.7 reoperation rate. The weight of the prostate appears to be the determining factor. The indications, 5 years ago, were much wider than they are today, with prostate weights of up to 45 g on digital rectal examination. This type of operation should now be reserved for young subjects wishing to retain antegrade ejaculation with a prostate not exceeding 20 to 30 g and in high surgical risk patients unsuitable for transurethral resection.
对57例膀胱颈切开术患者进行了研究，最短随访时间为5年。术后1年公布的结果非常令人满意，但5年后则变得更加令人失望，再次手术率为38.7%。前列腺重量似乎是决定性因素。5年前，适应症比现在广泛得多，直肠指检时前列腺重量可达45克。现在，这种手术类型应保留给希望保留顺行射精、前列腺重量不超过20至30克的年轻患者，以及不适宜经尿道切除术的高手术风险患者。
