目的　探索耻骨上经膀胱前列腺摘除术的有效止血方法。方法　对 116例耻骨上前列腺切除术采用缝扎止血 ,电凝止血 ,明胶海绵压迫止血等方法进行术中止血 ,术后给予温热生理盐水持续膀胱冲洗。记录术中出血量及术后导尿管引流冲洗情况。结果　 116例术中出血约 80～ 2 2 0ml,平均 12 0ml。除 1例术前贫血而输血外 ,均未输血。术后尿液转清最快 1小时 ,最慢 72小时 ,术后出血少 ,未发现术后远期出血等并发症。结论　多途径联合止血方法是前列腺切除术中有效的止血方法。 Objective To explore the effective method of suprapubic transvesical prostatectomy. Methods 116 cases of suprapubic prostatectomy using suture hemostasis, electrocoagulation hemostasis, gelatin sponge oppression hemostasis and other methods of intraoperative hemostasis, postoperative warm saline continued bladder irrigation. Record the intraoperative blood loss and postoperative drainage catheter flushing situation. Results 116 cases of intraoperative bleeding about 80 ~ 220ml, an average of 120ml. In addition to a case of preoperative anemia and blood transfusion, no blood transfusion. Postoperative urinary clearance of the fastest 1 hour, the slowest 72 hours, less bleeding, no postoperative long-term bleeding and other complications were found. Conclusion Multi-way combined hemostasis is an effective hemostasis in prostatectomy.