Prostatic hyperplasia and weak bladder function - what's the reason?

Patient's question:

At the end of last October, I experienced frequent urination and urgency, which I misdiagnosed as a urinary tract infection and bought medicine myself. This led to urinary retention and bilateral kidney hydronephrosis. Later, I was hospitalized for treatment for ten days. After discharge, I focused on taking medication and continuously used a catheter (because urine would flow out at night, wetting my clothes). In early this year, I underwent urodynamic testing, which showed: 1. Stable bladder during filling phase, with normal volume. 2. Bladder muscle irradiation was not prominent, with about 320 milliliters of residual urine.
Help needed: What further tests and treatments are required?

Doctor's answer:

Prostate hyperplasia is caused by prolonged urinary retention, excessive sexual activity, and other environmental factors. There are typically two treatment methods for prostate hyperplasia: medication and surgery. Medication usually only provides some relief, and long-term use can lead to an increase in size, resulting in cardiovascular diseases, as well as the development of drug resistance. At a certain point, medication may no longer provide effective relief or suppression, and symptoms will become significantly worse after stopping the medication, though the condition may temporarily improve.
Currently, there are two surgical approaches. Traditional surgery carries high risks, is prone to rebleeding, and can lead to electric loop syndrome. It also has a higher likelihood of postoperative complications and recurrence.

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