目的 :探讨膀胱颈及前列腺尿道纤维化致下尿路梗阻的临床诊断和手术方法。方法 :1997～ 1999收治膀胱颈及前列腺尿道纤维化病人 2 5例 ,采用耻骨上经膀胱、膀胱颈及纤维化前列腺尿道完整切除术。结果 :病人排尿困难、尿频、膀胱区及会阴不适明显改善。结论 :要增强对此病的认识 ,正确的手术方法是治疗成功的关键 Objective: To investigate the clinical diagnosis and operative methods of urinary tract obstruction caused by bladder neck and prostatic urethral fibrosis. METHODS: Twenty-five cases of bladder neck and prostatic urethral fibrosis were treated from 1997 to 1999. The intact urethral resection of the bladder through the bladder, bladder neck and fibrosis was performed. Results: Patients with dysuria, frequent urination, bladder area and perineal discomfort were significantly improved. Conclusion: To enhance the understanding of the disease, the correct surgical method is the key to successful treatment