Orandi A
Geriatrics. 1978 Jun;33(6):58-60, 64-5.
Since 1969, when I did the first transurethral prostatic incision on a 51-year old man with bladder neck obstruction, 245 patients have undergone this procedure; 220 have been followed for 3 months to 8 years. Almost one-half of these patients were between 70 and 90 years old. Comparison of the first 220 patients who had transurethral incision with 220 patients who had transurethral prostatic resection showed that only two who underwent incision required subsequent resection, while 8 patients in the resection group had to have repeat resection. Contracture of the bladder neck and urinary incontinence did not occur with transurethral incision, and the incidence of epididymo-orchitis and stricture is lower with this method than with resection.
自1969年我为一名患有膀胱颈部梗阻的51岁男性实施首例经尿道前列腺切开术以来，已有245例患者接受了该手术；其中220例患者接受了3个月至8年的随访。这些患者中近一半年龄在70至90岁之间。将首批220例行经尿道切开术的患者与220例行经尿道前列腺切除术的患者进行比较，结果显示，接受切开术的患者中只有2例需要后续进行切除术，而切除术组中有8例患者不得不再次接受手术。经尿道切开术未出现膀胱颈部挛缩和尿失禁的情况，而且采用这种方法，附睾炎和尿道狭窄的发生率低于切除术。
