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本文通过３例巨大前列腺增生的治疗经过，提出以下几点体会：术前判定前列腺的大小，对术中妥善处理有重要意义；巨大前列腺耻骨上切除时，如果一次性完整剜出，势必损伤膀胱颈和三角区，故应分叶摘除；一旦撕裂三角区，可令助手以食指伸入直肠将其顶起，便于缝合止血；窝口创缘的多个＂８＂字缝合，有助于缩小窝口和控制出血；Ｆｏｌｅｙ导尿管的水囊应压迫膀胱颈口，有利于控制腺窝内的渗血以及前列腺包膜自行收缩的止血机制的发挥。
This article through the treatment of 3 cases of huge benign prostatic hyperplasia, made the following experience: Preoperative size of the prostate to determine the importance of proper management of the intraoperative; giant prostate resection of the suprapubular, if a one-time full out, it is bound to damage the bladder Neck and triangle area, it should be divided leaf removal; Once the tearing of the triangle area, can help the index finger into the rectum to push it up, easy to suture hemostasis; Wound wound edge more than “8” suture, Reduce the fossa nest and control bleeding; Foley catheter bladder should pressure bladder neck, is conducive to control the oozing within the crypt and prostate capsule self-contraction of the bleeding mechanism to play.