Patient's question:
Last March, I had a minimally invasive surgery for benign prostatic hyperplasia. I had a follow-up check-up with a score of 3.5 after six months and 5.5 after one year. Recently, I've been experiencing swelling, frequent urination, and a high frequency of urination with small amounts each time.Doctor's answer:
Surgery remains an important treatment for benign prostatic hyperplasia. The indications for surgery are as follows: ① Presence of lower urinary tract obstruction symptoms with significant changes in urodynamic tests, or residual urine volume exceeding 60 mL; ② Severe symptoms of unstable bladder; ③ Presence of upper urinary tract obstruction and renal function impairment; ④ Multiple episodes of acute urinary retention, urinary tract infection, or gross hematuria; ⑤ Complication with bladder stones. For patients with long-term urinary tract obstruction, significant renal impairment, severe urinary tract infection, or acute urinary retention, a catheter should be placed first to relieve the obstruction. Surgery should be performed after the infection is controlled and renal function recovers. If catheter insertion is difficult or prolonged insertion has caused urethritis, suprapubic cystostomy may be an alternative. The indications for emergency transurethral resection of the prostate (TURP) should be strictly adhered to.