四十六位男性病患因急性尿滯留住院，被發現是由小攝護腺引起的尿道阻塞造成的。本篇嘗試經由尿道做攝護腺切開術加上攝護腺尖部切開術，以達到病患在術後廿十九個月可供追蹤研究。二位病患無法自解，隨後須做攝護腺切除術。另一位病患在術後廿十八個月因解尿困難，再做一次攝護腺切除術。其餘卅三位病患自解良好。卅六位病患中沒有併發膀胱頸狹窄。八位病患在術後至牙一個月以上做尿流速度檢查，平均最高流速達每秒11cc，尿量230c。由以上主觀與客觀的評估，經由尿道在攝護腺切開術加上攝護腺尖部切除術可以使用在由小攝護腺引起阻塞症狀與病癥的病患。

Forty six male patients admitted with acute urinary retention were found to have small prostate gland as the cause of outlet obstruction. Transurethral incision of the prostate followed by apes resection was performed to achieve spontaneous voiding. Thirty six patients were available for evaluation bye symptom questionaires 28.9 months post-operation. Two patients failed voiding and had transurethral resection of the prostate gland subsequently. One patient had transurethral incision of the prostate 28 months later because of pool stream. The rest of the 33 patients voided satisfactorily. None of the 36 patients suffered from bladder neck contracture. Eight patients had uroflow study at least one month postoperation. The average peak flow rate was 11.0 cc/sec. with voided volume 203c.c. Based on above mentioned subjective ans objective assessments, transurethral incision of the prostate glans followed by apex resection is suggested for selective patients with symptoms and signs of outlet obstruction caused by small prostate gland.