目的 :总结改良的Madigan前列腺切除术的手术方法以便更好用于临床。方法 :根据不同BPH患者的特点选用改良的Madigan前列腺切除术 ,近膀胱颈部横切口显露尿道 ,或联合膀胱切开行增生腺体切除术并膀胱结石取出术 ,对3 1例前列腺增生患者行手术治疗。结果 :3 1例手术均顺利完成 ,2 6例完整保留尿道 ,5例尿道或膀胱颈部粘膜损伤均一期修复愈合。术中出血 110～ 60 0ml,平均 15 0ml,均未输血。手术时间 90～ 15 0min ,平均 12 0min。 2 1例随访 2～ 6个月 ,IPSS由术前平均 2 7.1分降至术后 8.3分。结论 :利用改良的Madigan术可提高手术前列腺切除术的治疗效果 ,简化Madi gan术式的技术难点 ,拓宽Madigan术式的手术适应证 OBJECTIVE: To summarize the surgical modalities of the modified Madigan prostatectomy for better clinical use. Methods: According to the characteristics of different BPH patients, the modified Madigan prostatectomy was used. The urethra was revealed by transverse incision of the bladder neck or combined with cystotomy and bladder stone removal. Of 31 benign prostatic hyperplasia patients Surgical treatment. RESULTS: Thirty - one cases of operation were successfully completed. Twenty - six cases of intact urethra and five cases of urethral or bladder neck mucosal injury were repaired in one phase. Intraoperative bleeding 110 ~ 60 0ml, an average of 15 0ml, were not transfused. Surgery time 90 ~ 15 0min, an average of 120min. Twenty-one cases were followed up for 2 to 6 months. The mean IPSS decreased from 21.1 points preoperatively to 8.3 points postoperatively. Conclusion: The use of modified Madigan surgery can improve the surgical treatment of prostatectomy, to simplify the technical difficulties of Madi gan surgery, to broaden Madigan surgical indications