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患者男,66岁。12年前因患前列腺增生症行开放性前列腺摘除术,切除腺体重量为42g,病理诊断为良性前列腺增生症。术后排尿一直通畅。2年前患者又出现进行性排尿困难,夜尿增多,每夜4～5次,经门诊多次治疗未见改善。1994年9月15日因急性尿潴留入院。检查:膀胱充盈明显,直肠指检示前列腺Ⅱ度增生。B超检查示前列腺5.5cm×5.1cm×4.8cm。IVU示膀胱壁毛糙,膀胱颈部见一巨大不规则负影弧型压迹。CT检查示膀胱下后方可见圆形软组织阴影,考虑为前列腺增生症。9月26日行经膀胱前列腺摘除术,切除前列腺重量约55g,病理诊断为复发性良性前列腺增生症。术后随访3月,排尿通畅。
Patient male, 66 years old. 12 years ago suffering from benign prostatic hyperplasia underwent open prostatectomy, removal of gland weight of 42g, the pathological diagnosis of benign prostatic hyperplasia. Postoperative urination has been smooth. 2 years ago, patients with progressive dysuria, increased nocturia, night 4 to 5 times, after repeated treatment in the clinic did not improve. September 15, 1994 admitted due to acute urinary retention. Check: Obvious bladder filling, the rectum refers to prostate Ⅱ degree hyperplasia. B-ultrasound showed prostate 5.5cm × 5.1cm × 4.8cm. IVU showed rough bladder wall, bladder neck see a huge irregular negative shadow arc indentation. CT examination showed a clear round under the bladder shadow of soft tissue, considered as benign prostatic hyperplasia. Sept. 26 passed prostatectomy, removal of prostate weight of about 55g, the pathological diagnosis of recurrent benign prostatic hyperplasia. Follow-up after 3 months, voiding patency.