Patient's question:
I am a 70-year-old male who has been retired for 10 years. For over a decade, every physical examination has pointed out that I have benign prostatic hyperplasia, but it has not been taken seriously.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, significant changes in urodynamic tests, or residual urine volume exceeding 60 mL; ② Severe unstable bladder symptoms; ③ Causing upper urinary tract obstruction and renal damage; ④ Multiple episodes of acute urinary retention, urinary tract infection, or gross hematuria; ⑤ Complicated with bladder stones. For patients with long-term urinary tract obstruction, significant renal damage, severe urinary tract infection, or acute urinary retention, a catheter should be first inserted to relieve the obstruction, and 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.