目的提高良性前列腺增生症(BPH)开放手术治疗效果。方法对106例BPH患者采用Madigan前列腺切除术进行治疗,并随访6~48个月。结果本组均手术成功,术中尿道损伤27例,膀胱颈部损伤2例,术后IPSS平均评分4分,QOL评分0~2分,最大尿流率18~21ml/s。术后出血少,恢复快,无尿道狭窄、尿失禁等并发症。结论Madigan手术是治疗BPH较理想的手术方法 Objective To improve the therapeutic effect of open surgery for benign prostatic hyperplasia (BPH). Methods 106 patients with BPH were treated with Madigan prostatectomy and were followed up for 6 to 48 months. Results The operation was successful in this group. There were 27 cases of intraoperative urethral injury and 2 cases of bladder neck injury. The average postoperative IPSS score was 4, the QOL score was 0 ~ 2, and the maximal uroflow rate was 18 ~ 21ml / s. Less postoperative bleeding, rapid recovery, no urethral stricture, urinary incontinence and other complications. Conclusion Madigan surgery is a better surgical treatment of BPH