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目的 :探讨经膀胱前列腺摘除术后发生排尿困难及尿失禁的原因及防治。方法 :经膀胱前列腺摘除术 2 80例 ,其中 14例发生并发症 ,分析术后并发症发生的原因 ,提出防治措施。结果 :6例出现排尿困难的原因有 :膀胱颈狭窄 2例 ,尿道狭窄 3例 ,膀胱颈水肿 1例。 8例尿失禁的原因有 :前列腺窝或膀胱感染 5例 ,尿道膜部损伤 3例。经手术和非手术治疗均治愈。结论 :经膀胱前列腺摘除术后出现排尿困难及尿失禁主要由医源性因素引起 ,只要高度重视并发症的发生原因 ,术后发生排尿困难及尿失禁是可以避免的。
Objective: To investigate the causes and prevention of dysuria and urinary incontinence after transurethral resection of prostate. Methods: Two hundred and seventy cases of prostatectomy underwent bladder resection, of which 14 cases had complications. The causes of postoperative complications were analyzed and the prevention and treatment measures were put forward. Results: Six cases of dysuria due to bladder neck stenosis in 2 cases, urethral stricture in 3 cases, 1 case of bladder neck edema. 8 cases of urinary incontinence are: prostate or bladder infection in 5 cases, 3 cases of urethral membrane injury. After surgery and non-surgical treatment were cured. CONCLUSION: Dysuria and urinary incontinence after transurethral resection of the prostate are mainly caused by iatrogenic factors. As long as the complication is highly valued, dysuria and urinary incontinence may be avoided.