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目的 回顾性总结 Madigan前列腺切除术治疗良性前列腺增生症 (BPH)的经验。方法 经耻骨后在前列腺背膜 T形切开后 ,在背膜下钝性分离前列腺及与尿道粘连处直至腺体切除。结果 33例尿道完整 ,3例膀胱颈和 7例尿道损伤后均缝合修复。术后随访 6～ 2 9个月 ,无尿道狭窄 ,尿失禁及性功能障碍等并发症。结论 本术式适应于以侧叶增生为主 ,无明显中叶增生 ,无膀胱内疾病 ,未接受过射频 ,微波 ,注射及电切等治疗的 BPH患者。术后出血少、恢复快 ,并发症少 ,住院时间短为其显著优点。
Objective To retrospectively summarize the experience of Madigan prostatectomy in treating benign prostatic hyperplasia (BPH). Methods After the pubis after the T-shaped incision in the prostate, after the back of the diaphragm blunt dissection of the prostate and urethral adhesions until the gland resection. Results 33 cases of urethral integrity, 3 cases of bladder neck and 7 cases of urethral injury were sutured repair. The patients were followed up for 6 to 29 months without complications of urethral stricture, urinary incontinence and sexual dysfunction. Conclusions This procedure is suitable for patients with BPH mainly with lateral lobe hyperplasia, no obvious middle lobe hyperplasia, no bladder disease, no radiofrequency, microwave, injection and resection. Less postoperative bleeding, rapid recovery, fewer complications, shorter hospital stay for its significant advantages.