目前對良性前列腺肥大症的手術治療大部分都是採用經尿道前列腺切除術。從民國78年1月到79年12月，在台大醫院泌尿科共有302位前列腺肥大患者接受經尿道前列腺切除，術後追蹤2到4年不等，並以病歷整理及問卷追蹤來做評估。這些患者的症狀評分(按照美國泌尿科醫學會前列腺肥大症狀評分表)從術前的19 ± 8.4改善到術後的8 ± 6.6。其最大尿流速從術前的平均10.5進步到術後的平均16.2 (毫升/秒)。百分之八十四的病人對手術的結果感到滿意。並無患者因手術而死亡。有28.1%的病人術後發燒超過38°C，產生泌尿道敗血症的有2位病人，有一位患者發一急性副睪丸炎。有6位人(2%)發生”經尿道切除症候群”。57位(18.8%)患者在術後有失禁的情形，但其中大部分屬於急迫性失禁或應力性失禁，而且大都自然痊癒。有34位(11.3%)病人在手術後第一次拔除尿管時無法自解。6位患者有續發性出血的情形。6位病人術後發現有膀胱頸攣縮的情形。術後尿道狹窄的病人有14位。32.5%的病人術後有逆行性射精的情形，而16.9%的患者報告術後勃起的情況比術前還差。

The major surgery for patients with benign prostatic hyperplasia (BPH) is transurethral resection of the prostate (TURP). From January 1989 to December 1990, 302 BPH patients receiving TURP here and had 2 to 4 year-follow-up. They were evaluated by chart review and questionnaires. Preoperative American Urological Association BPH symptom in dex dropped from 19 ± 8.4 to 8 ± 6.6 postoperatively. Maximal flow rate increased from a mean of 10.5 ± 7.7 ml/sec, preoperatively, to 16.2 ± 7.6 ml/sec, postoperatively. Eighty-four percent of the patients were satisfied with the results of operations. There was no operative mortality. Perioperative blood transfusion was necessary in 46 patients (15.2%). Fever occurred in 28.1% of the patients. Urosepsis was noted in two cases (0.7%), and acute epididymitis in one. TUR syndrome was noted in six cases (2%). Fifty-seen patients (18.8%) had postoperative incontinence, but most of them were of urgency or stress type. Failure to void after first removal of Foley catheter occurred in 34 patients (11.3%). Secondary bleeding was observed in six patients (2%). Bladder neck contracture occurred in six patients (2%). Urethral stricture was noted in 14 patients (4.6%). Retrograde ejaculation occurred in 32.5% of the patients, and 16.9% of the patients had postoperative deterioration in sexual performance.