Is surgery necessary for a prostate index of 12.3?

Patient's question:

My father had a health check-up at your hospital. He is 66 years old. The prostate index is 12.3 (blood test). I would like to consult if surgery is necessary.

Doctor's answer:

If there are no comfortable symptoms, surgery may not be necessary. The prostate is located deep in the urinary and reproductive system, making it difficult for drugs to directly target the affected tissue. Therefore, treatment with medication alone is unlikely to be effective and may delay the best opportunity for treatment. However, treatment generally takes a long time, and recurrence is common after treatment. Therefore, during treatment, it is essential to actively cooperate with the doctor's plan, use medication appropriately, and avoid sitting or riding for long periods.

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