目的探讨经尿道前列腺电汽化术(TVP)术后常见并发症的产生原因及预防措施。方法有症状的前列腺增生症(BPH)患者2 028例,均行TVP治疗,其中1 735例获术后随访6月以上。结果术后发生尿道狭窄者52例,急性尿潴留47例,尿路感染64例,附睾炎5例,继发性出血36例,暂时性尿失禁8例,腺体残留3例。结论术中器械损伤是引起尿道狭窄的主要原因;术后尿路感染是出血的重要原因。术前控制尿路感染、术中仔细操作可减少术后并发症的发生。 Objective To investigate the causes and preventive measures of common complications after transurethral electrovaporization of the prostate (TVP). Methods A total of 2,028 patients with benign prostatic hyperplasia (BPH) were treated with TVP, of which 1 735 were followed up for more than 6 months. Results There were 52 cases of urethral stricture, 47 cases of acute urinary retention, 64 cases of urinary tract infection, 5 cases of epididymitis, 36 cases of secondary bleeding, 8 cases of temporary urinary incontinence and 3 cases of residual glands. Conclusion The intraoperative injury is the main reason of urethral stricture. Postoperative urinary tract infection is an important cause of hemorrhage. Preoperative control of urinary tract infection, intraoperative careful operation can reduce the incidence of postoperative complications.