CAJ | 학술논문

目的：探讨良性前列腺增生（ BPH）患者TURP术后再次电切手术的原因和诊治方法。方法采用回顾性临床研究方法，分析本院1998年12月～2013年12月行TURP治疗BPH患者术后再次电切手术的临床资料。结果3016例BPH患者TURP术后再次电切手术102例。再次电切手术距第一次 TURP时间平均1年6个月，第二次行电切手术的患者中有54例（占58．7％）在第一次TURP术后反复发生肉眼血尿，腺体残留或复发32例，膀胱颈部挛缩16例。结论 BPH患者行TURP术后再次电切手术的发生率为3．4％；第二次电切手术距第一次TURP手术的平均时间为1年6个月；其原因除了膀胱颈挛缩、腺体残留所引起明显下尿路梗阻症状外，TURP术后反复发生肉眼血尿是再次电切手术的主要原因。
목적：탐토량성전렬선증생（ BPH）환자TURP술후재차전절수술적원인화진치방법。방법채용회고성림상연구방법，분석본원1998년12월～2013년12월행TURP치료BPH환자술후재차전절수술적림상자료。결과3016례BPH환자TURP술후재차전절수술102례。재차전절수술거제일차 TURP시간평균1년6개월，제이차행전절수술적환자중유54례（점58．7％）재제일차TURP술후반복발생육안혈뇨，선체잔류혹복발32례，방광경부련축16례。결론 BPH환자행TURP술후재차전절수술적발생솔위3．4％；제이차전절수술거제일차TURP수술적평균시간위1년6개월；기원인제료방광경련축、선체잔류소인기명현하뇨로경조증상외，TURP술후반복발생육안혈뇨시재차전절수술적주요원인。
Objectives To analyze the probable causes of repeat transurethral resection of the prostate (TURP) and its treatment after TURP for benign prostatic hyperplasia(BHP) .Methods A retrospective study was conducted to summarize the cases who received repeat transurethral resection of prostate after TURP for BPH dur-ing December 1998~December 2013.Results 3016 patients received TURP for BHP from 1998 to 2013.102 patients experienced repeat TURP after a mean interval of 1 years and 6 months.58.7% of which manifested repeat gross hematuria beforerepeat prostatectomy.Conclusions The incidence rate of repeat prostatectomy after TURP for BHP is 3.4%.The mean interval between the two procedures is 1 years and 6months.Gross hematuria is one of the main causes for repeat TURP besides the low urinary tract symptoms .