Gómez Areces R, Pérez Rodríguez J, Fernández Fernández M
Servicio de Urología, Hospital Docente Clínico Quirúrgico, Joaquín Albarrán, La Habana, Cuba.
Arch Esp Urol. 1998 Jan-Feb;51(1):29-33.
To analyze the results achieved with transurethral resection in the treatment of benign prostatic hyperplasia.
We analyzed the results achieved with transurethral resection in 400 patients with benign prostatic hyperplasia who had been treated at the Joaquín Albarrán teaching hospital. The procedure was utilized for prostates weighing up to 50 gm and middle lobe involvement independent of its size. Sterile water was used as irrigant since it permits excellent vision, it is low-cost and carries a low risk of complications associated with intraoperative osmotic diuresis.
4.75% of the cases required blood transfusion (not more than two units). The intraoperative complication rate was 2.75%; hemorrhage (2%), capsular perforation (0.5%), and one death from myocardial infarction (0.25%). Hematuria resolved within 48 h postoperatively in 83.75% and the urethral catheter was removed in 82.75% within the first 72 h. Urinary tract infection was the most common postoperative complication; 8.5% were acute and 3.25% presented late. Urethral stenosis was observed in 2.25% and sclerosis of the neck was observed in 1.75%. Good results were achieved in 360 patients (90%). The mean length of hospital stay was 3.8 days. There were two deaths (0.5%); both were due to myocardial infarction.
Transurethral resection in the treatment of benign prostatic hyperplasia achieved good results in 90% of our patients. The length of hospital stay was short and the mortality rate was low.
分析经尿道前列腺切除术治疗良性前列腺增生症的效果。
我们分析了在华金·阿尔瓦兰教学医院接受治疗的400例良性前列腺增生症患者经尿道前列腺切除术的效果。该手术适用于重量达50克且中叶受累（无论其大小）的前列腺。使用无菌水作为灌洗液，因为它能提供极佳的视野，成本低且与术中渗透性利尿相关的并发症风险低。
4.75%的病例需要输血（不超过两个单位）。术中并发症发生率为2.75%；出血（2%）、包膜穿孔（0.5%）以及1例因心肌梗死死亡（0.25%）。83.75%的患者术后48小时内血尿消失，82.75%的患者在最初72小时内拔除尿道导管。尿路感染是最常见的术后并发症；8.5%为急性，3.25%为迟发性。观察到尿道狭窄的发生率为2.25%，颈部硬化的发生率为1.75%。360例患者（90%）取得了良好效果。平均住院时间为3.8天。有2例死亡（0.5%）；均死于心肌梗死。
经尿道前列腺切除术治疗良性前列腺增生症在我们90%的患者中取得了良好效果。住院时间短，死亡率低。
