Patient's question:
Prostate hyperplasia with PSA value of 12 (Magnetic resonance imaging and biopsy confirmed as benign). Took medication for 1.5 years, with little significant effect. The main symptoms are frequent urination and nocturia 4-6 times (sometimes unable to urinate in winter). Tried many medications with little effect. What should I do now? Are there any surgical options?Doctor's answer:
Microwave therapy can be used, suitable for patients who are ineffective with drug treatment (or unwilling to take long-term medication) and do not wish to undergo surgery, as well as high-risk patients with recurrent urinary retention who are unable to understand surgical procedures. It utilizes the principle of thermal coagulation of biological tissues by microwave to achieve therapeutic goals. The placement of the microwave reflector can be positioned via rectal ultrasound localization or under cystoscopic visualization. The latter can accurately avoid the external urethral sphincter, reducing the risk of incontinence complications. For patients with benign prostatic hyperplasia, timely treatment can reduce the incidence of the disease, whereas delayed treatment may affect fertility. Therefore, patients should receive timely symptomatic treatment and avoid overexertion in daily life while paying attention to personal hygiene.