【摘要】 经尿道前列腺切除术(TURP)是良性前列腺增生(BPH)的主要治疗方法，尿道狭窄是TURP后再入院的主要原因，无论采用何种术式治疗BPH均不能完全避免尿道狭窄发生，对患者排尿功能和生活质量造成严重影响，因此需合理选择有效的治疗策略以改善患者排尿功能。对于BPH行TURP后尿道狭窄的治疗手段与其他病因所致的尿道狭窄相同，分为开放手术和腔内治疗，不同类型手术的近期、远期效果有明显差异，且适应证人群也有严格限制。文章总结了BPH行TURP后尿道狭窄的发生状况和外科治疗方式，以指导临床医师针对患者的不同情况选择最恰当的手术方案，改善患者预后。

    【关键词】 良性前列腺增生；经尿道前列腺切除术；尿道狭窄；开放手术；腔内治疗

    Research progress on the occurrence and surgical treatment of urethral stricture after

    transurethral resection of prostate for benign prostatic hyperplasia

    CAI Jiale， WEN Liping ， HE Min

    (The Second School of Clinical Medical， Zhejiang Chinese Medical University， Hangzhou 310053， China)

    Corresponding author： WEN Liping， E-mail： winleopard@163.com

    【Abstract】 Transurethral resection of prostate (TURP) is the main method for retreating benign prostatic hyperplasia (BPH)， and urethral stricture is the main reason for readmission after TURP. No matter what surgical method is used to treat BPH， urethral stricture cannot be completely avoided， which seriously affects the patient’s urinary function and quality of life. Only by selecting reasonable and effective treatment strategies can patients improve their urinary function. At present ......