What is the best treatment for benign prostatic hyperplasia?

Patient's question:

All symptoms: Frequent urination, urgent urination, hematuria, lower abdominal pain for over a year, but no medication treatment, recently severe

Doctor's answer:

Treatment of Bladder Stones
Small stones can be expelled naturally through the urethra. For larger stones that cannot be expelled on their own, cystolitholapaxy (bladder stone crushing) can be performed. The methods for stone crushing include:
- Extracorporeal shock wave lithotripsy (ESWL)
- Liquid electroshock lithotripsy
- Ultrasonic lithotripsy
- Stone crushing forceps
For larger stones without access to lithotripsy equipment, suprapubic cystostomy (bladder stone removal) may be performed. If the patient also has a bladder infection, active treatment of the inflammation should be initiated concurrently.
Recommendations for BPH Treatment
Surgical removal of the hyperplastic prostate tissue is the fundamental method to cure benign prostatic hyperplasia (BPH). The surgical approaches for BPH include the following:
1. Bilateral orchiectomy (palliative surgery)
2. Transurethral resection of the prostate (TURP) (palliative surgery)
3. Suprapubic transvesical prostatectomy (open surgery)
4. Posterior retroperitoneal prostatectomy (open surgery)
5. Perineal prostatectomy (open surgery)