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目的：分析耻骨上前列腺切除术后常见出血，尿失禁，膀胱无抑制痉挛，尿道及膀胱颈狭窄，５种并发症的原因及防治措施。方法：前列腺窝３～９点处半环形缝扎血管，术后尿管持续加压牵引４～６ｈ，术中避免损伤膜部尿道，缝合腺窝时不宜过紧，能容一指通过，术后普鲁木辛，泌尿灵，安定或骶管内持续给药０．１２５布比卡因，用刺激轻粗细适宜的尿管，留置尿管时间不超过一周。结果：采用以上措施治疗１３４例患者获得满意的临床效果。结论：采用以上防治措施，患者痛苦小并发症少。
OBJECTIVE: To analyze the common causes of bleeding, urinary incontinence, non-suppressive spasm in the bladder, urethral and bladder neck stenosis after the suprapubic prostatectomy, the causes of the five complications and the preventive measures. Methods: Prostate fossa 3 to 9 o’clock at the semi-annular suture blood vessels, urinary catheter continued traction 4 ~ 6h, surgery to avoid damage to the membrane urethra, suture when the gland should not be too tight, After promethazine, urinary tract, stability and caudal sustained administration of 0.125 bupivacaine, with light to stimulate the appropriate thickness of the catheter, indwelling catheter time of no more than a week. Results: The above measures were used to treat 134 patients with satisfactory clinical results. Conclusion: With the above prevention and treatment measures, patients with less painful complications.