目的：评价经尿道前列腺电气化水（TUVP）治疗前列腺增生症（BPH）的临床效果。方法：采用电气化法加电切法施行经尿道前列腺电气化术治疗BPH84例。结果：76例获得0．5年随访，国际前列腺症状评分（IPSS）由术前（274±3．1）分降至（10．5±1．7）分，生活质量评分（QOL）由（5．3±0．6）分降为（2．1±0．4）分，剩余尿量由（132．1±44．5）ml降至（28．6±14．2）ml，以上三项指标手术前后有非常显著性差异（配对t检验，P＜0．01）。术后发生并发症15例（17.86％），其中急性出血2例，TUR综合征1例，前列腺窝粘连1例，前列腺组织残留1例，急迫性尿失禁4例，尿路感染6例。结论：TUVP解除BPH引起的下尿路梗阻是安全和有效的，其优点有术中出血少、视野清晰、术后恢复快、易于掌握，有可能成为TURP的替代技术。 Objective: To evaluate the clinical effect of transurethral electrovaporization of water (TUVP) on benign prostatic hyperplasia (BPH). Methods: Transurethral electrovaporization of the prostate was used to treat 84 cases of BPH. Results: Sixty-six patients were followed up for 0.5 years. The IPSS decreased from (274 ± 3.1) to (10.5 ± 1.7) points and the quality of life (QOL) decreased from 5.3 ± 0.6) was reduced to (2.1 ± 0.4) points, the remaining urine output decreased from (132.1 ± 44.5) ml to (28.6 ± 14.2) ml, Three indicators before and after surgery were significantly different (paired t test, P <0.01). Fifteen patients (17.86%) had postoperative complications, including 2 cases of acute hemorrhage, 1 case of TUR syndrome, 1 case of prostate fossa adhesion, 1 case of residual prostate tissue, 4 cases of urge incontinence and 6 cases of urinary tract infection. CONCLUSION: TUVP can relieve the lower urinary tract obstruction caused by BPH safely and effectively. It has the advantages of less intraoperative bleeding, clear vision, rapid postoperative recovery and easy to grasp, which may become an alternative to TURP.