Patient's question:
Prostate hyperplasia, urinary urgency, but very little urine is passed, with blood clots inside, and there is also a small lump. It's not clear how serious it is, but the doctor has recommended a needle biopsy. The patient is 62 years old. I want to ask if there will be any aftereffects after the biopsy.Doctor's answer:
Surgery remains an important treatment for benign prostatic hyperplasia. The indications for surgery include: ① Presence of lower urinary tract obstruction symptoms, with significant changes observed in urodynamic tests, or residual urine volume exceeding 60 mL; ② Severe unstable bladder symptoms; ③ Presence of upper urinary tract obstruction and renal function impairment; ④ Multiple episodes of acute urinary retention, urinary tract infections, or gross hematuria; ⑤ Complication with bladder stones. For patients with long-term urinary tract obstruction, significant renal impairment, severe urinary tract infections, or acute urinary retention, a catheter should be inserted first to relieve the obstruction. Surgery should be performed only after the infection is controlled and renal function has recovered. If catheter insertion is difficult or prolonged, leading to urethritis, suprapubic bladder puncture and cystostomy may be an alternative. The indications for emergency transurethral resection of the prostate (TURP) must be strictly adhered to.