How big does the prostate need to be to require surgery?

Patient's question:

Recently, I've been experiencing severe pain when urinating, and it's indeed painful. When I went to the hospital for a thorough check-up, the doctor said I have benign prostatic hyperplasia (BPH). He mentioned that it's a bit large but didn't say much. However, I want to have surgery to prevent it from getting bigger in the future. Could you please tell me how large the prostate needs to be before surgery is recommended?

Doctor's answer:

Prostatic hyperplasia less than 6 cm in size is relatively common in clinical diagnosis through surgical treatment. Generally, a volume below 5 cm can lead to local obstruction, followed by typical symptoms such as frequent urination, urgency, difficulty urinating, or incomplete emptying of the bladder. Therefore, surgery is required. Theoretically, some individuals can be treated with medication to suppress the condition, such as inhibiting male hormones or unblocking the prostate ducts. Prostatic hyperplasia can be stabilized, but the treatment process is usually slow, and the condition is prone to recurrence after treatment. Therefore, medications should be used symptomatically during treatment. Additionally, patients should avoid prolonged sitting or riding and pay attention to personal hygiene. We hope that male patients can recover quickly!

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