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中華民國泌尿科醫學會雜誌

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篇名 A Study of Subsequent Transurethral Resection of Prostate (TURP) after Transurethral Incision of Prostate (TUIP)
卷期 1:1
並列篇名 經尿道攝護腺切開術後再次接受經尿道攝護腺切除術之研究
作者 徐生龍陳光國張心湜陳明村黃榮慶林登龍李瀛輝
頁次 55-58
關鍵字 transurethral incision of prostate transurethral resection of prostate benign prostatic hyperplasia TSCI
出刊日期 199003

中文摘要

在過去的八年中,本院總共為341位輕度攝護腺肥大的病患施行經尿道攝護切開術(transurethral incision of prostate)來解決他們的尿道阻塞症狀。在99位追蹤的病患當中,術後結果較差的僅有15例 <佔15.2%>,其中有7例 <佔7%> 因尿路症狀復發再次接受了經尿道攝護腺切除術(transurethral incision of prostate)。於本院再次接受手術的病患中沒有一例發現是惡性的,平均標本的重量是12.3公克,再次接受手術的間隔平均是33.0個月。通常在經尿道攝護腺切開術後6個月之內並不需要再次的手術,而於經尿道攝護腺切開術後射精時無精液者佔29.7%,陰莖勃起功能有影響佔23.9%。所以我們認為經尿道攝護腺切開術是一項簡單、安全而且有效的手術,對於經度的攝護腺增生,不失為一個取代經尿道攝護腺切除術的一種方法。

英文摘要

Three hundred and forty-one patients with mild benign prostatic hyperplasia (BPH) underwent transurethral incision of prostate (TUIP) for their obstructive symptoms within the previous 8 years. Poor results were experienced in 15 of 99 patients (15.2%) after TUIP and 7 of 99 patients (7.0%) received subsequent transurethral resection of prostate (TURP) for the relapsing urinary symptoms. There was no cancer of prostate found by pathology in any of our patients who underwent subsequent TURP after TUIP. The mean weight of resected prostate is 12.3g. The mean interval between TUIP and subsequent TURP is 33.0 months. Usually subsequent TURP was not necessary within 6 months post TUIP. The incidence of dry ejaculation after TUIP was 29.7% (19/64) and the incidence of sexual dysfunction was 23.9% (11/46).

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