Why does chemotherapy recurrence occur after bladder and prostate hyperplasia surgery?

Patient's question:

Three months ago, the elderly person underwent surgery for both bladder and benign prostatic hyperplasia. The doctor said the surgery was successful. In the following two months, chemotherapy was administered every week, and multiple pre-injection checks revealed inflammation, requiring hospitalization before the procedure could be performed. However, this time the check showed recurrence again. It's truly unclear why it recurred so soon—is it due to the medication's poor efficacy or that it's not suitable for him? Based on this report, the doctor recommends that the surgery might be troublesome. Could you please ask how feasible it is or if there is a more viable treatment plan? Also, please ask the doctor to make an educated guess. Attached are the discharge summary from the last hospitalization and the two check reports from this time.

Doctor's answer:

This condition tends to recur after electroresection surgery, but this time, the cystoscopy examination confirmed the pathology as chronic inflammatory changes. Under microscopic observation, there are surface fibrosis phenomena. According to the doctor's guidance, surgical removal is still the best treatment method, which can achieve the best therapeutic effect. Prostatic hyperplasia can be stabilized, but the treatment period is generally long, and it is prone to recurrence after treatment. Therefore, during treatment, medications should be used symptomatically, and during the treatment period, it is recommended to adopt a healthy lifestyle and maintain a proper diet.

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