The reason analysis and prevention measures of urethral stricture following transurethral resection of prostate
Hu Sen1,Zeng Xiaoyong2
1Department of Urology, Qinghai Red Cross Hospital, Xining 810000, China; 2Department of Urology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology
Abstract:Objective:To analyze and explore the reasons and prevention of urethral stricture following transurethral resection of prostate (TURP). Methods:The clinical data of 28 cases of urethral stricture following TURP were collected.The urethral stricture was excluded by cystoscopy before TURP in all cases. After the operation dysuria occurred and urethral stricture was diagnosed by transurethral angiography or urinary tract endoscopy. Of the 28 cases, there were 2 (7.1%) cases of external orifice strictures, 5 (17.9%) cases of corpus spongiosum department strictures, 8 (28.6%) cases of ball membrane department strictures, 12 (42.9%) cases of prostate strictures, 1 (3.6%) case of the bladder neck strictures. Twenty-two patients were subjected to conventional urethral dilation, 5 patients to urethral incision operation, and 1 patient to urethral mouth plasty. Results:After average follow-up period of 14.6 months (12-24 months), all the patients had no difficulties in voiding. Conclusions:Urethral stricture is a common complication following TURP. Urinary infection, urethral catheterization and trauma are the most important risk factors. Prevention, closely regular follow-up, and early intervention play crucial roles in the management of TURP.
胡森,曾晓勇. 经尿道前列腺电切术后尿道狭窄原因分析及防治[J]. 微创泌尿外科杂志, 2014, 3(2): 118-119.
Hu Sen,Zeng Xiaoyong. The reason analysis and prevention measures of urethral stricture following transurethral resection of prostate. JOURNAL OF MINIMALLY INVASIVE UROLOGY, 2014, 3(2): 118-119.