良性前列腺增生症（BPH）是男性老年患者的常见疾病。耻骨上经膀胱前列腺切除术治疗BPH是较为常见的手术方式，但术中止血困难，术后尚需冲洗膀胱。自1992年6月～1997年6月，我们采用改良式耻骨上经膀胱前列腺切除术治疗BPH46例，术中、术后出血少，且不需膀胱冲洗，现报告如下 Benign prostatic hyperplasia (BPH) is a common disease in male elderly patients. The suprapubic transvesical prostatectomy for the treatment of BPH is more common surgical methods, but intraoperative bleeding difficulties, after surgery still need to flush the bladder. From June 1992 to June 1997, we used modified suprapubic transvesical prostatectomy in 46 cases of BPH, intraoperative and postoperative bleeding less, and without bladder irrigation, are reported as follows