Multifactor Analysis Of Bladder Neck Contracture After Transurethral Resection Of Prostate

Objective:To analyze different factors related to the occurrence of bladder neck contracture (BNC) and to find possible ways of reducing this complication.Methods:All putative factors and the numbers of BNC cases were studied with statistical analyses in1120cases that had undergone transurethral resection of the prostate (TURP).31patients underwent transurethral resection of the prostatic urethra scar and cutting in down "Y" of bladder neck, and to prevent bladder neck contracture.Results:Higher morbidity of BNC occurred in patients of small size of the prostate, prostatitis and longer time of operation. They were important factors of BNC.31patients underwent transurethral resection of the prostatic urethra scar and cutting in down "Y" of bladder neck, Only1patients recurred. Reoccurrence rate is only3.23%.Conclusion:The volume of the prostate(<30ml), prostatitis and electrical injuries of resection are the primary factors of BNC. Transurethral resection of the prostatic urethra scar and cutting in down "Y" of bladder neck is the method of novel and original. The effect is good, and easy to generalize.