目的探讨经尿道前列腺电切(TURP)术后出现排尿困难的原因及防治措施。方法对28例TURP术后出现排尿困难或尿潴留的患者进行分析并总结出相应的处理措施。结果引起术后排尿困难的常见原因有术后出血,尿道狭窄,腺体残留或复发,膀胱逼尿肌无力和膀胱逼尿肌-尿道外扩约肌协调失调等。通过止血,扩张尿道,再行切除,药物等方法可解决。结论充分的术前准备,术中膀胱颈和前列腺尖部的慎重处理及术后及时有效的措施可解决排尿困难。 Objective To investigate the causes and prevention measures of dysuria after transurethral resection of prostate (TURP). Methods Twenty-eight patients with dysuria or urinary retention after TURP were analyzed and the corresponding treatment measures were summarized. Results The common causes of postoperative dysuria were postoperative bleeding, urethral stricture, residual or recurrent glands, detrusor instability and detrusor contractility in the bladder. Through hemostasis, expansion of the urethra, resection, drugs and other methods can be resolved. Conclusions Adequate preoperative preparation, careful treatment of intraoperative bladder neck and prostatic apex, and timely and effective measures after operation can solve the dysuria.