Patient's question:
My father is 68 years old this year. He has had benign prostatic hyperplasia for 5-6 years and has symptoms of frequent urination and a weak urine stream. He has not received any treatment. Additionally, he has high uric acid levels and gout, often experiencing swelling and pain in his toes and both foot joints. Recently, he has occasionally felt knee joint pain as well. He has no other diseases.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 unstable bladder symptoms; 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 urinary catheter should be inserted first to relieve the obstruction. Surgery should be performed only after the infection is controlled and renal function recovers. If catheter insertion is difficult or prolonged, leading to urethritis, suprapubic cystostomy may be an alternative. The indications for emergency transurethral resection of the prostate (TURP) must be strictly adhered to.