Complications following transurethral prostatectomy(analysis of 10 cases)

Objective To study the etiology,prophylaxis and management of complications after transurethral.Methods Clinical date of 165 patients with benigh prostatic hyperplasia(BPH)undergoing transurethral resection of prostate(TURP)in this hospital,and complication occurred in 10 ceases.Results In 1 patient with TURP syndrome,the operation was terminately and active symptomatic treatment was conducted.The patient experienced stable vital signs and a good recovery of voiding function;Four patients with severe bleeding in bladder.one patient with severe bleeding in bladder a trilumen single ballon catheter was intriduced into the bladder for continuous bladder irrigation with normal saline or iced normal saline,combined with medical therapy,to obtain a full recovery of voiding function without re-bleeding.Among 3 patients with urinary retention after operation,a re-operation of TURP was conduced.No recurrence of urinary retention was noted and a re-examination of the maximum flow values(Qmax)at 1-3 months after operation revealed more than 15ml/s.The voiding function recoverd well in 1 patients with urethral stricture after periodic dilatation of the urethra.Conclusions Urinary retention and urethral stricture are common complications following transurethral resection of prostate,Careful selection of patients strict technique and timely and proper management of complications are considered essential to improve results.