Patient's question:
My father had a heart stent surgery five years ago. At that time, he had four stents placed twice. He has been taking oral medications as recommended. Now, he wants to have a minimally invasive surgery for the prostate. After stopping aspirin enteric-coated tablets three days before the surgery, he experienced angina symptoms again. Can he still undergo the minimally invasive prostate surgery in this condition?Doctor's answer:
In this case, a comprehensive qualitative evaluation is required. Generally, surgery cannot be performed at the moment. For patients who have undergone coronary stent surgery, routine dual antiplatelet therapy is typically administered within the first year after the procedure, keeping the blood in a low-coagulation state. If surgery is performed during this time, there is a risk of severe bleeding. If aspirin and clopidogrel are stopped to facilitate surgery, it may lead to thrombus formation. Therefore, it is recommended to postpone surgery and consider oral medications such as tamsulosin or terazosin to alleviate symptoms caused by benign prostatic hyperplasia. The condition of benign prostatic hyperplasia tends to recur, requiring long-term medication.