Martov A G, Gorilovskiĭ M L, Kamalov A A, Gushchin B L
Urol Nefrol (Mosk). 1995 Jul-Aug(4):29-31.
Transurethral endoscopic incision of the neck of the bladder and the prostate was conducted for elimination of infravesical obstruction due to benign prostatic hyperplasia (BPH) of a small size and sclerosis of the bladder neck or prostate. 37 patients aged 22-85 years were treated: 17 had BPH and 20 had bladder neck sclerosis (primary in 2 and secondary in 18 patients). In 4 cases the incision was combined with internal urethrotomy, in 4 with cystolithotripsy and in 2 with transurethral resection of the bladder. The diagnosis was made basing on routine blood counts, urinalysis, x-ray, ultrasonic, uroflowmetry and pathomorphological investigations. The last stage of the examination was urethrocystoscopy made shortly before operation. The symptoms were evaluated according to answers in the J-PSS questionnaire. Anesthesia was only intravenous or epidural. A spicular Collins electrode cut at 5 and 7 of the assumed dial. After hemostasis an urethral catheter was inserted for 24-48 hours. The intervention lasted 15 minutes, no lethal outcomes occurred. Marked symptomatic improvement was achieved in 36 patients (97%). BPH cut was uneffective in one patient who subsequently underwent transurethral resection.
对膀胱颈和前列腺进行经尿道内镜切开术，以消除因小体积良性前列腺增生（BPH）以及膀胱颈或前列腺硬化导致的膀胱下梗阻。对37例年龄在22至85岁的患者进行了治疗：17例患有BPH，20例患有膀胱颈硬化（2例为原发性，18例为继发性）。4例患者的切开术与尿道内切开术联合进行，4例与膀胱碎石术联合进行，2例与经尿道膀胱切除术联合进行。诊断基于常规血常规、尿液分析、X线、超声、尿流率测定和病理形态学检查。检查的最后阶段是在手术前不久进行尿道膀胱镜检查。根据J-PSS问卷中的回答评估症状。麻醉仅采用静脉或硬膜外麻醉。使用在假定刻度5和7处切割的针状柯林斯电极。止血后插入尿道导管24至48小时。手术持续15分钟，无死亡病例发生。36例患者（97%）症状明显改善。1例BPH患者切开术无效，随后接受了经尿道切除术。
