自1988年6月起,我院采用Shafik的前列腺前连合切开术治疗7例合并心血管疾患而不能耐受前列腺摘除术的前列腺增生病人,疗效满意。现介绍如下。一、手术方法行下腹正中切口,显露膀胱颈及耻骨后前列腺部,插入导尿管排空膀胱。用手指按压确定膀胱颈部,膀胱充液100ml左右。于前列腺正中上端膀胱颈部纵行切开肌层1.5～2cm,用血管钳或小纱球分离膀胱粘膜。排空膀胱,以长弯钳在前列腺与尿道粘膜间向前列腺尖部细心潜行分离,在前连合中线两侧0.5cm处钳夹并切开连合部,断缘贯穿缝扎, Since June 1988, our hospital with Shafik prostatic anterior commissure incision in the treatment of 7 cases of cardiovascular disease can not tolerate prostatectomy in patients with benign prostatic hyperplasia, the effect is satisfactory. Now introduced as follows. First, the surgical approach to the incision in the lower abdomen, revealing the bladder neck and pubis after the prostate, insert the catheter to empty the bladder. Press with your fingers to determine the bladder neck, bladder fluid 100ml or so. In the upper middle of the prostate bladder neck longitudinal incision muscle layer 1.5 ~ 2cm, with pliers or small ball of bladder separation of bladder mucosa. Empty the bladder, with long-nosed pliers in the prostate and urethral mucosa to the prostatic apex sneak carefully separated in the anterior commissure midline 0.5cm at both sides of the clamp and cut the commissure, broken edge through the suture,