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耻骨后前列腺被膜切开减张术主要适用于治疗高龄、体弱的前列腺增生者。我们为10例前列腺侧叶增生所致尿潴留患者施行此术,近期效果良好。另为5例前列腺中叶增生所致尿潴留施行此术,近期排尿困难有改善。现将手术方法及体会报告如下: 1.手术方法:取下腹部正中切口,由耻骨后间隙显露膀胱颈及前列腺,轻轻游离前列腺两侧,缝合前列腺表面血管;取0.5%普鲁卡因15ml加肾上腺素1～2滴(高血压病人勿用)注入前列腺被膜下,使前列腺被膜与腺体分离,并可止血,于前列腺下方正中向上至膀胱颈纵形切开前列腺被膜全层,此时可见灰白色腺体组织,如有出血,可用温盐水或明胶海绵压迫止血。自尿道外口插入F18普通导尿管,耻骨后放置硅胶管引流。
Prostate pubis after incision and decompression is mainly used for the treatment of elderly, frail prostatic hyperplasia. We performed this procedure on 10 patients with urinary retention caused by benign prostatic hyperplasia, with good results recently. Another 5 cases of urinary retention caused by prostatic hyperplasia of the implementation of this technique, recent dysuria have improved. Now surgical methods and experience report as follows: 1. Surgical methods: remove the incision in the middle of the abdomen, bladder neck and prostate exposed by the retropubic space, gently free prostate on both sides, suture the surface of the prostate blood vessels; take 0.5% procaine 15ml Addition of 1 to 2 drops of adrenaline (hypertensive patients do not use) into the prostate capsule, the prostate capsule and gland separation, and to stop bleeding in the prostate under the median up to the bladder neck longitudinal incision of prostate full thickness, this When visible gray gland tissue, if bleeding, warm saline or gelatin sponge can be used to stop the bleeding. From the urethral orifice into the F18 common catheter, placed after the pubic bone silicone drainage.