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目的 :探讨一种既能彻底切除增生的前列腺 ,又能保持尿道的连续性同时能处理膀胱内病变的前列腺切除术.方法 :在前列腺包膜内将前列腺及该段尿道近至膀胱颈远至前列腺尖部彻底分离 ,并切除 ;将膀胱颈黏膜与前列腺尖部尿道端端吻合.结果 :本组 5 7例手术过程均顺利 ,平均输血量每人仅 2 0 0 M L,手术恢复均良好 ,无并发症.结论 :该术式既可彻底切除肥大的前列腺 ,又可保持尿道的完整性 ,同时处理膀胱内病变.“,”Objective: To develop a simple surgical technique by which complete resection of the hyperplastic prostate and continuity of the urethra could be achieved,and the intravesical lesions could also be managed at the same time Methods:The anterior prostatic capsule was incised transversely,the enlarged gland and the posterior urethra were then completely dissected and removed An end to end anastomosis of urethra was conducted Results:Fifty seven cases of benign prostatic hyperplasia (BPH) underwent this procedure with a mean intraoperative transfusion of 200 mL blood Postopeative convalescences were uneventful,No major surgical conplications were found Conclusion:This operation procedure can resect BPH completely under the continuously keeping urethra and treat intravesical lesions at the same time.